In this episode I’ll: 1. Discuss an article about Cardiac Arrest and Mortality Related to Intubation Procedure in Critically Ill Adult Patients. 2. Answer the drug information question “Is it possible for ketamine to cause apnea?” 3. Share a resource for managing patients for whom blood transfusion is not an option. Subscribe on iTunes, Android, […]

In this episode, I’ll discuss the 3 skill levels of pharmacists who respond to code blue and rapid response team calls. No matter what skill level of code blue and rapid response you are at, the Hospital Pharmacy Academy has specific trainings to help you bring your emergency response skills to the next level. To […]

In this episode, I’ll discuss beta-lactam antibiotic dosing concerns in obese adult patients. Subscribe on iTunes, Android, or Stitcher Physiologic effects of obesity affect both pharmacokinetic and pharmacodynamic parameters for beta-lactam antibiotics. The volume of distribution (Vd) is generally increased in obesity as a result of extra fat tissue and accompanying lean muscle. An exception […]

In this episode, I’ll discuss whether the Critical Care Pain Observation Tool is the best non-verbal pain scale to use in the ICU. For links to a validation article for the CPOT and a detailed comparison of the available non-verbal pain assessment tools go to pharmacyjoe.com/cpot If you like this post, check out my book – […]

In this episode, I’ll discuss why as a pharmacist you need to “know what you don’t know.” To find out more about the Academy go to pharmacyjoe.com/academy. 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 other medical […]

Subscribe on iTunes, Android, or Stitcher My favorite pharmacy reference book on drug interactions has been updated for 2018. Hansten and Horn have published their Top 100 Drug Interactions 2018: A Guide to Patient Management. Third party drug interaction services are often of little to no use in determining the clinical significance of a potential […]

In this episode, I’ll discuss the characteristics of dexmedetomidine-induced fever. Evidence for this episode linked here. To find out more about how the academy can help you stay up to date with the medical literature go to pharmacyjoe.com/academy. If you like this post, check out my book – A Pharmacist’s Guide to Inpatient Medical Emergencies: How […]

In this episode I’ll: 1. Discuss an article about modification of guideline-directed medical therapy in HF. 2. Answer the drug information question “Can linezolid be used to inhibit bacterial toxin production in necrotizing fasciitis?” 3. Share a resource for full-text journal access. Subscribe on iTunes, Android, or Stitcher Article Guideline-Directed Medical Therapy and Survival Following […]

In this episode, I’ll discuss how long should CPR be continued when alteplase is given for PE-related cardiac arrest. Evidence for this episode linked here, here, and here. To get my 6 tips for pharmacists that respond to code blue calls go to my free download area, it is number 16 on the list. If […]

In this episode, I’ll discuss how to make sure your hospital is prepared to administer lipid rescue therapy Subscribe on iTunes, Android, or Stitcher Intravenous lipid emulsion (ILE) or “lipid rescue” therapy is used in local anesthetic systemic toxicity (LAST) and enteral drug toxicity. Anesthesia, toxicology, and ACLS guidelines recommend intravenous fat emulsion with various […]

In this episode, I’ll discuss whether dexmedetomidine should be started with a loading dose. Evidence for this episode linked here. Members of my hospital pharmacy academy have access to in-depth trainings on the use of dexmedetomidine for ICU sedation and alcohol withdrawal. To sign up for the academy, go to pharmacyjoe.com/academy If you like this […]