In this episode I’ll discuss how to transition from dexmedetomidine to clonidine. Subscribe on iTunes, Android, or Stitcher Dexmedetomidine is an IV alpha-2A adrenergic agonist. It has sedative effects and is used for the management of pain, agitation, and delirium in critically ill patients. The use of dexmedetomidine was encouraged in the 2013 Society of […]
101: Propofol for toxin related seizures, whether to stop SSRIs in GI bleeds, and a critical care resource
In this episode I’ll: 1. Discuss an article about using propofol for toxin-related seizures. 2. Answer the drug information question “Should SSRIs be stopped in a patient with GI bleeding?” 3. Share a resource for critical care related information. Subscribe on iTunes, Android, or Stitcher Article Propofol Use for Toxin-Related Seizures Lead author: F. Lee […]
Episode 100: Critical Care Pharmacist Workflow And PGY-1 Pharmacy Resident Orientation
In this episode I’ll discuss my ICU workflow as a critical care pharmacist. I’ll also share how I orient PGY-1 pharmacy residents to my critical care pharmacy rotation. Subscribe on iTunes, Android, or Stitcher Workflow There is a basic workflow to the critical care pharmacy rotation, and I’ve captured it in a diagram using the […]
99: Guidelines on acute kidney injury in ICU, IV push antibiotics in sepsis, and a workflow diagram resource
In this episode I’ll: 1. Discuss a new guideline on Acute kidney injury in ICU patients. 2. Answer the drug information question “What do you think about IV push antibiotics in sepsis?” 3. Share a resource for creating workflow diagrams. Subscribe on iTunes, Android, or Stitcher Article Acute kidney injury in the perioperative period and […]
98: Is there a pro-ketamine bias in the FOAMed community?
In this episode I’ll discuss whether there is a pro-ketamine bias in the #FOAMed community. Subscribe on iTunes, Android, or Stitcher Click here if you’d like to help me pick the title for my new book about inpatient medical emergencies for pharmacists. Ketamine is a uniquely useful drug. I discussed the use of ketamine in critical […]
97: Sedative choice and infection risk, phentolamine vs terbutaline for extravasation, and crowd sourced medical lecture notes
In this episode I’ll: 1. Discuss an article about sedation choice and infection risk. 2. Answer the drug information question “Is phentolamine superior to terbutaline for treatment of extravasation?” 3. Share a resource for crowd-sourced medical lecture notes. Subscribe on iTunes, Android, or Stitcher Article The Relationship Between Sedatives, Sedative Strategy, and Healthcare-Associated Infection: A […]
96: Magnesium sulfate use in critical care
In this episode I’ll discuss the use of magnesium sulfate in critical care. Subscribe on iTunes, Android, or Stitcher Shout out to listener “Pharmacy Alex” for suggesting this topic! When I think of magnesium in critical care, 3 uses come to mind: 1. Prevention of recurrent eclamptic seizures 2. Adjunctive therapy in life-threatening asthma exacerbations […]
95: Ketamine blow darts, amiodarone and contrast media cross-sensitivity, and antibiotic breakpoint information
In this episode I’ll: 1. Discuss evidence on the efficacy of ketamine IM for acute behavioral emergencies. 2. Answer the drug information question “Can a patient with an allergy to contrast media receive amiodarone?” 3. Share a resource for antimicrobial stewards. Subscribe on iTunes, Android, or Stitcher Article Ketamine as Rescue Treatment for Difficult-to-Sedate Severe […]
94: Flumazenil. Huh! What is it good for? (Almost) Absolutely nothing! or Does flumazenil cause seizures in benzodiazepine overdose?
In this episode I’ll discuss the use of flumazenil. Subscribe on iTunes, Android, or Stitcher Shout out to “Pharmacy Ashkan” for suggesting this topic and sending many of the references that are linked in this episode. Flumazenil is a competitive benzodiazepine receptor inhibitor. It is classified as an antidote to benzodiazepines. Indications The approved indications […]
93: High dose heparin for VTE prophylaxis, how much vitamin K to lower the INR, and a resource for anticoagulant lab assay interference
In this episode I’ll: 1. Discuss an article about high dose heparin for VTE prophylaxis in obese patients. 2. Answer a drug information question about vitamin K. 3. Share a resource for lab assay interference by non-vitamin K oral anticoagulants. Subscribe on iTunes, Android, or Stitcher Article Safety and Efficacy of High-Dose Unfractionated Heparin for […]
92: How to provide analgesia and sedation for the critically ill patient on buprenorphine
In this episode I’ll discuss how I provide analgesia & sedation to critically ill patients who have taken buprenorphine. Subscribe on iTunes, Android, or Stitcher Buprenorphine is an opioid partial agonist. It is used to treat acute & chronic pain, opioid withdrawal, and opioid dependence. Buprenorphine has a very high affinity for the mu […]
91: Imatinib for bleomycin lung toxicity, linezolid vs daptomycin for VRE bacteremia, and a resource for critical care drug dosing at extremes of body weight
In this episode I’ll: 1. Review an article about using imatinib for bleomycin interstitial pneumonitis. 2. Answer the drug information question “Should daptomycin or linezolid be used for VRE bacteremia?” 3. Share a resource provided by another pharmacist in the Pharmacy Nation slack group. Subscribe on iTunes, Android, or Stitcher Article Imatinib for bleomycin induced […]
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