In this episode, I’ll discuss using cyproheptadine in mild to moderate serotonin syndrome. Evidence at this link. For more on how to approach serotonin syndrome and other inpatient medical emergencies from a pharmacist’s point of view, get my book, a pharmacist’s guide to inpatient medical emergencies at clinicalpharmacybooks.com. <– Previous Post         […]

In this episode, I’ll discuss the role of proactive desmopressin in the treatment of severe hyponatremia. Subscribe on iTunes, Android, or Stitcher One of the risks of treating severe hyponatremia (serum sodium <120 mEq/L) is osmotic demyelination syndrome (ODS) resulting from overly rapid correction of the serum sodium. An overly rapid correction is an increase […]

In this episode, I’ll discuss how to determine the electricity “dose” on the peripheral nerve stimulator. For more on how to use, dose and monitor neuromuscular blockers from a pharmacist’s point of view check out the training video in the Hospital Pharmacy Academy. To sign up go to pharmacyjoe.com/academy. If you like this post, check […]

In this episode I’ll: 1. Discuss an article comparing two lidocaine administration techniques. 2. Answer the drug information question “Can vasopressors be given via the intraosseous route?” 3. Share a tip for responding to inpatient medical emergencies. Subscribe on iTunes, Android, or Stitcher Article Comparison of Two Lidocaine Administration Techniques on Perceived Pain From Bedside […]

In this episode, I’ll discuss what you can do when the analgesic effect of an opioid does not last the entire dosing interval. Members of my Hospital Pharmacy Academy have access to my new training on my Approach to a Pharmacy Pain Management Consult. To access this and 55 other high-quality training videos go to […]

In this episode, I’ll discuss how to manage pain associated with wound VAC dressing changes. Subscribe on iTunes, Android, or Stitcher A wound VAC is a vacuum-assisted closure device that applies negative pressure to a wound. This is also referred to as negative pressure wound therapy, and has become a common way for various surgical […]

In this episode, I’ll discuss why hematochezia is especially concerning in patients with upper GI bleeding. Members of my Hospital Pharmacy Academy have access to my training video on treatment of patients with acute upper GI bleeding from a pharmacist’s point of view. It covers variceal and non-variceal bleeding, how care changes before and after […]

In this episode I’ll: 1. Discuss an article about oversedation in hospitalized patients. 2. Answer the drug information question “Can nitroglycerin be given for hepatic artery spasm in the interventional radiology suite?” 3. Share a tip for responding to medical emergencies. Subscribe on iTunes, Android, or Stitcher Article Predictors of oversedation in hospitalized patients  Lead […]

In this episode, I’ll discuss the first thing I tell PGY-1 residents and APPE students on rotation with me. You can access my free download area with 19 different resources for hospital pharmacists at pharmacyjoe.com/free. If you like this post, check out my book – A Pharmacist’s Guide to Inpatient Medical Emergencies: How to respond to code […]

In this episode, I’ll discuss an article about propofol and moderate vs deep sedation. Subscribe on iTunes, Android, or Stitcher Article Randomized Clinical Trial Comparing Procedural Amnesia and Respiratory Depression between Moderate versus Deep Sedation with Propofol in the Emergency Department Lead author: Alexandra Schick Published in Academic Emergency Medicine August 2018 Background Propofol is […]

In this episode, I’ll discuss a case report of using buprenorphine in opioid overdose. Intravenous Buprenorphine: A Substitute for Naloxone in Methadone-Overdosed Patients? Members of my Hospital Pharmacy Academy now have access to 4 new training videos on how to use ketamine in critical care, de-escalation of antibiotics in sepsis, safe IV lipid use for […]

In this episode, I’ll discuss medications that may increase weakness and impair neuromuscular transmission in patients with myasthenia gravis. Subscribe on iTunes, Android, or Stitcher Myasthenia Gravis is a neuromuscular junction disease that results from the production of autoantibodies directed against the nicotinic acetylcholine receptor. The Myasthenia Gravis Foundation of America keeps a list of […]