In this episode I’ll discuss diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS). Subscribe on iTunes, Android, or Stitcher Definition Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) are the most serious acute complications of diabetes. These diabetic crises cause thousands of deaths annually in the US. DKA and HHS differ clinically according to the […]
65: Continuous cefazolin in CABG, heparin with an epidural in place, and an update on my favorite drug interaction resource
In this episode I’ll: 1. Discuss an article that evaluates continuous vs intermittent dosing of cefazolin during CABG surgery. 2. Answer the drug information question “Can I give heparin subcutaneously for VTE prophylaxis to a patient with an epidural catheter in place?” 3. Share an update on a resource I use to evaluate drug interactions. […]
Episode 64: How to identify drug fever
In this episode, I’ll discuss how I identify drug fever. Subscribe on iTunes, Android, or Stitcher Background Drug fever is a common condition that coincides temporally with the administration of a drug and disappears after discontinuation of the medication. Unfortunately, it is usually an unclear diagnosis, often made by exclusion. It is just as valuable to […]
63: New criteria to identify non-ICU patients at risk of mortality from sepsis, new sepsis definitions, and a resource from JAMA to learn about it all
In this episode I’ll: 1. Discuss an article about identifying patients at risk of death from sepsis outside of the ICU. 2. Answer the drug information question: What are the new definitions and clinical criteria for sepsis and septic shock? 3. Share a resource for understanding the new definitions and clinical criteria for sepsis. Subscribe […]
62: 6 tips to incorporate precepting advanced pharmacy practice experience students into your workflow
In this episode I’ll share my top 6 tips to incorporate precepting advanced pharmacy practice experience (APPE) students into your workflow. Subscribe on iTunes, Android, or Stitcher I look at precepting as providing a student the opportunity to develop and apply the art and science of pharmacy in a practice setting. It is the responsibility […]
61: Toxicology of rivaroxaban and apixaban, compatibility of vancomycin and piperacillin-tazobactam, and a resource for taking care of critically ill pregnant patients
In this episode I’ll: 1. Discuss an article about the toxicology of rivaroxaban and apixaban. 2. Answer the drug information question “Is vancomycin compatible with piperacillin-tazobactam at Y-site?” 3. Share a resource I use when taking care of a pregnant patient in the ICU. Subscribe on iTunes, Android, or Stitcher Article An Observational Study of […]
60: ACE inhibitor induced angioedema treatment
In this episode, I’ll discuss the treatment of ACE inhibitor induced angioedema. Subscribe on iTunes, Android, or Stitcher Angioedema due to Angiotensin-converting enzyme (ACE) inhibitors is a rare event. Because of the high frequency of ACE inhibitor use, many patients will go on to develop ACE inhibitor induced angioedema. Angioedema is the swelling of deep […]
59: Vasopressors and unavoidable pressure ulcers, holding etanercept before surgery, and finding images of medication structures
In this episode I’ll: 1. Discuss an article about vasopressors and pressure ulcers in critical care. 2. Answer the drug information question: “How long should I hold etanercept before surgery?” 3. Share a resource I use to obtain pictures of the chemical structure of medications. Subscribe on iTunes, Android, or Stitcher Article Vasopressors and development of pressure […]
58: Patient controlled analgesia use in the ICU
In this episode I’ll discuss using patient controlled analgesia in ICU patients. Subscribe on iTunes, Android, or Stitcher What is PCA? Patient controlled analgesia (PCA) is when a patient self-administers opioid medication through the use of a programmable IV pump. PCA allows self-dosing up to a predetermined limit set by the clinician. PCA generally involves […]
57: Updated 10th edition CHEST guidelines for VTE disease, continuing CDI treatment, and smartwatches in healthcare
In this episode I’ll: 1. Review the updated CHEST guidelines on Antithrombotic Therapy for VTE Disease. 2. Answer the drug information question: “Can I continue metronidazole for prevention of recurrent clostridium difficile infection (CDI) in patients requiring antimicrobial therapy?” 3. Share a resource I wear around my wrist. Subscribe on iTunes, Android, or Stitcher Shout […]
Episode 56: Why the Cockcroft-Gault formula can’t be used to calculate creatinine clearance
In this episode I’ll discuss a long time pet peeve of mine – the Cockcroft Gault formula can be used to predict – not calculate – creatinine clearance. Subscribe on iTunes, Android, or Stitcher 40 years after it’s publication, the Cockcroft Gault formula remains the most appropriate method of estimating kidney function for the purpose […]
55: Sux vs roc in brain injury, stopping antibiotics in fecal microbiota transplant & more
In this episode I’ll: 1. Discuss an article that found an increase in mortality when succinylcholine was used for rapid sequence intubation in patients with traumatic brain injury. 2. Answer the drug information question “Do antibiotics need to be stopped prior to fecal microbiota transplantation (FMT) to treat clostridium difficile infection?” 3. Share a resource I use during […]
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