In this episode I’ll: 1. Discuss an article on the discontinuation order of vasopressors in the management of septic shock. 2. Answer the drug information question “Why is daptomycin dosed once daily?” 3. Share a tip for responding to inpatient medical emergencies. I have a 6-module program that teaches pharmacists how to respond to code […]

In this episode, I’ll discuss critical care scenarios where the monitoring and replacement of calcium are warranted. Routine efforts to monitor and correct the serum calcium level in critically ill patients only treat the laboratory number; there is no evidence that replacement has an effect on patient morbidity and mortality. Furthermore, there is some evidence […]

In this episode, I’ll discuss how lactate clearance in sepsis isn’t as straightforward as the guidelines make it seem. Subscribe on iTunes, Android, or Stitcher The surviving sepsis guidelines state: We suggest guiding resuscitation to normalize lactate in patients with elevated lactate levels as a marker of tissue hypoperfusion (weak recommendation, low quality of evidence). […]

In this episode, I’ll discuss how to evaluate lithium levels in the setting of lithium toxicity. When lithium toxicity is suspected, a lithium level should be drawn immediately and every few hours until a downward trend is seen. Lithium levels should continue to be checked, as delayed peaks have been reported as long as 40 hours […]

In this episode I’ll: 1. Discuss an article comparing FEIBA with KCentra. 2. Answer the drug information question “Can intermittent boluses of pantoprazole be used to treat acute GI bleeding rather than continuous infusions?” 3. Share a tip for responding to inpatient medical emergencies. Subscribe on iTunes, Android, or Stitcher Article Activated Prothrombin Complex Concentrate […]

In this episode, I’ll discuss IV compatibility in critical situations. Get my 6 tips for pharmacists responding to codes in my free download area at pharmacyjoe.com/free. It’s download #16. If you like this post, check out my book – A Pharmacist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and […]

In this episode, I’ll discuss the unknown toxicokinetics of loperamide. Get my 6 tips for pharmacists responding to codes in my free download area at pharmacyjoe.com/free. It’s download #16. If you like this post, check out my book – A Pharmacist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and […]

In this episode I’ll: 1. Discuss an article about subcutaneously administered dexmedetomidine. 2. Answer the drug information question “Why is IV dextrose given to patients with DKA?” 3. Share a tip for responding to inpatient medical emergencies. Subscribe on iTunes, Android, or Stitcher Article Subcutaneously administered dexmedetomidine is efficiently absorbed and is associated with attenuated […]

In this episode, I’ll discuss How long it takes for high dose insulin for calcium channel blocker or beta blocker overdose to start working. Members of my hospital pharmacy academy have access to my masterclass training on High Dose Insulin Euglycemia For CCB / Beta Blocker OD which covers the background, use, and weaning of […]

In this episode, I’ll discuss the dosing of beta-lactam antibiotics in the setting of augmented renal clearance. Subscribe on iTunes, Android, or Stitcher Augmented renal clearance (ARC) of medications has been reported in 30% to 85% of patients in the intensive care unit, depending on patient-specific factors. A 2015 review article found that there is […]

In this episode, I’ll discuss a classic systematic review and meta-analysis counterargument to evidence based medicine. Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials If you like this post, check out my book – A Pharmacist’s Guide to Inpatient Medical Emergencies: How to respond to code […]