In this episode I’ll discuss 6 tips for pharmacists responding to inpatient medical emergencies. Subscribe on iTunes, Android, or Stitcher After years of working in the central pharmacy, an opportunity arose to go to the floors for code blue and rapid response calls. At the time, I was very nervous! Nothing in my pharmacy […]
89: Bloodless anemia treatment, antibiotics for necrotizing pancreatitis, and alternative rock to teach pathophysiology
In this episode I’ll: 1. Discuss an article about bloodless treatment of anemia. 2. Answer the drug information question “Which antibiotics should be given to a patient with necrotizing pancreatitis?” 3. Share a resource I use to teach pathophysiology. Subscribe on iTunes, Android, or Stitcher Article Outcomes of Protocol-Driven Care of Critically Ill Severely Anemic […]
88: Treatment of loperamide cardiac toxicity
In this episode, I’ll discuss the treatment of loperamide toxicity. Subscribe on iTunes, Android, or Stitcher Loperamide is often referred to as “the poor man’s methadone”. It has been used as both a drug of abuse and as a way of self-treating opioid withdrawal. The dose used in loperamide abuse far exceeds the labelled 16 […]
87: Platelet transfusions may cause harm in ICH, why alteplase contraindications got changed, and a resource for learning how to recognize ECG rhythms
In this episode I’ll: 1. Discuss an article about using platelet infusions to treat intracerebral hemorrhage (ICH) from antiplatelet medications. 2. Answer the drug information question “Why were the contraindications to alteplase for acute ischemic stroke changed?” 3. Share a resource I used to learn how to recognize ECG rhythms. Subscribe on iTunes, Android, or […]
86: Updated intravenous lipid emulsion in drug toxicity guidelines
In this episode I’ll discuss updated toxicology guidelines when using intravenous lipid emulsion (ILE) for drug toxicity. Subscribe on iTunes, Android, or Stitcher Back in episode 30 I discussed the use of ILE for drug toxicity. In April 2016 the American College of Medical Toxicology published guidance for using ILE. The most significant change to the […]
85: Earplugs for preventing ICU delirium, dextrose solutions in ischemic stroke, and a great way to get your drug information questions answered
In this episode I’ll: 1. Share an article about using earplugs to reduce ICU delirium. 2. Answer the drug information question: “Should dextrose containing solutions be avoided in ischemic stroke patients?” 3. Share the resource I used to answer the drug information question. Subscribe on iTunes, Android, or Stitcher Article The Efficacy of Earplugs as […]
84: Chemical sedation for acute agitation
In this episode I’ll discuss chemical sedation for acute agitation. Subscribe on iTunes, Android, or Stitcher Chemical sedation is part of the array of options to treat acute agitation. Prevention strategies, verbal de-escalation techniques, and physical restraints also play a role in the prevention and management of acute agitation. The ideal first line medications to […]
83: Pharmacodynamics of fluid challenge, why is epinephrine added to lidocaine for injections, and a resource to stay up to date with FDA medwatch alerts
In this episode I’ll: 1. Discuss an article on the pharmacodynamics of a fluid challenge. 2. Answer the drug information question “Why is epinephrine added to lidocaine for injection?” 3. Share a resource for staying up to date with FDA safety information. Subscribe on iTunes, Android, or Stitcher Article Pharmacodynamic Analysis of a Fluid Challenge […]
82: Cyanide poisoning
In this episode I’ll discuss cyanide toxicity. Subscribe on iTunes, Android, or Stitcher Cyanide is a rapidly lethal toxin. It causes death within minutes to hours of exposure. Cyanide inhibits oxidative phosphorylation in the mitochondria, shutting down aerobic metabolism. Oxygen supply remains adequate but cells are unable to utilize the oxygen. Cyanide is present in […]
81: Tigecycline for clostridium difficile, mycophenylate induced aveolar hemorrhage, and a warfarin dosing resource
In this episode, I’ll: 1. Discuss an article about using tigecycline for clostridium difficile infection. 2. Answer the drug information question “Has mycophenolate ever been associated with aveolar hemorrhage?” 3. Share a resource that can be used to determine a patient’s warfarin dose. Subscribe on iTunes, Android, or Stitcher When tigecycyline first arrived on the […]
80: Phenytoin dosage, adjustment, and monitoring
In this episode I’ll discuss the drug phenytoin. Subscribe on iTunes, Android, or Stitcher Indications Common indications for the use of phenytoin are: Control of generalized tonic-clonic and complex partial (psychomotor, temporal lobe) seizures Prevention and treatment of seizures occurring during or following neurosurgery Prevention of early (within 1 week) post-traumatic seizures following traumatic brain […]
79: Methylprednisolone shortage alternatives
If you haven’t been hit by the methylprednisolone shortage yet, get ready…it looks like it may be coming to a pharmacy near you! Subscribe on iTunes, Android, or Stitcher According to the ASHP drug shortage bulletin, 40 and 125 mg vials of methylprednisolone are in short supply. Pfizer appears to be experiencing a manufacturing delay, […]
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