In this episode, I’ll discuss using Anti-Xa vs. aPTT for heparin infusion monitoring. Subscribe on iTunes, Android, or Stitcher Over the past several years, many institutions have switched to monitoring heparin infusions with anti-factor Xa levels instead of activated partial thromboplastin time. Guidelines Expert guidelines don’t seem to take a stand either way when it […]

In this episode I’ll: 1. Discuss an article about using adjusted body weight for heparin dosing in obese patients. 2. Answer the drug information question “How long is glucose therapy required after using high-dose insulin for beta-blocker or calcium channel blocker overdose?” 3. Share a resource for studying intensive care topics. Subscribe on iTunes, Android, […]

In this episode I’ll discuss causes of fever in critically ill patients. Subscribe on iTunes, Android, or Stitcher Elevated body temperature is detected in almost half of patients admitted to adult ICUs. Its presence should trigger a thorough search for the etiology. IDSA / SCCM guidelines define pyrexia in critically ill adults as a temperature […]

In this episode I’ll: 1. Discuss an article about the impact of reported penicillin allergies. 2. Answer the drug information question “Can nafcillin cause hyperbilirubinemia?” 3. Share a resource for creating images for use in ICU education materials, protocols, and presentations. Before we begin, I’d like to share a pearl from my book, A Pharmacist’s Guide […]

In this episode, I’ll discuss using analgosedation in critically ill patients. Subscribe on iTunes, Android, or Stitcher Before we begin, I’d like to share a pearl from my book, A Pharmacist’s Guide to Inpatient Medical Emergencies: “Typical features of shock: AMS, high HR, low BP, oliguria, cool & clammy skin, acidosis” #pharmacists https://t.co/w0tP1mmQW7 — Pharmacy Joe […]

In this episode, I’ll discuss whether critically ill patients with Legionella pneumonia should receive double antibiotic coverage. Before we begin, I’d like to share a pearl from my book, A Pharmacist’s Guide to Inpatient Medical Emergencies: “Causes of low O2 sat: PE, shunting, airway obstruction (functional or mechanical)” #pharmacists https://t.co/w0tP1mmQW7 — Pharmacy Joe (@PharmacyJoe) September 11, […]

In this episode I’ll: 1. Discuss an article about the effects of antibiotic exposure and infection with resistant organisms. 2. Answer the drug information question “Should a second dose of 4-factor PCC be given to a patient who has refractory bleeding from rivaroxaban?” 3. Share a resource for evidence-based healthcare. Before we begin, I’d like […]