In this episode, I’ll discuss when should combination therapy in sepsis be de-escalated to monotherapy. As of this recording, members of my Hospital Pharmacy Academy now have access to 4 additional training videos on how to use ketamine in critical care, de-escalation of antibiotics in sepsis, safe IV lipid use for nutrition purposes, and use […]

In this episode I’ll: 1. Discuss an article about thiamine in patients with septic shock. 2. Answer the drug information question “Why is the dose of adenosine reduced when given through a central line?” 3. Share a tip for responding to inpatient medical emergencies. Subscribe on iTunes, Android, or Stitcher Article Effect of Thiamine Administration […]

In this episode, I’ll discuss When “prophylactic” anticoagulation can be confused with full-intensity anticoagulation. 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 blue, rapid response calls, […]

In this episode, I’ll discuss the updated pain, agitation/sedation, delirium, immobility, and sleep disruption (PADIS) guidelines. Subscribe on iTunes, Android, or Stitcher The SCCM Guidelines for sedative use in the ICU have been updated for 2018 and now cover pain, agitation, delirium, immobility, and sleep disruption. The following are my top 7 takeaways from the […]

In this episode, I’ll discuss why patients with variceal bleeding should receive antibiotics. You can Get my 6 tips for pharmacists responding to codes in my free download area at pharmacyjoe.com/free. It’s download #16. 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: 1. Discuss an article about the prothrombin time and bleeding in hospitalized patients receiving rivaroxaban. 2. Answer the drug information question “Is melatonin associated with physical dependence or addiction?” 3. Share a tip for responding to inpatient medical emergencies. Subscribe on iTunes, Android, or Stitcher Article Association between prothrombin time and […]

In this episode, I’ll discuss the most important piece of information to find out before ICU rounds. You can get an example of the sheet I use for pre-rounding, as well as a blank template for you to use in my free downloads area at pharmacyjoe.com/free. They are downloads number 18 and 19 on the […]

In this episode, I’ll discuss when to use octreotide for upper GI bleeding. Subscribe on iTunes, Android, or Stitcher Octreotide is a long-acting analog of somatostatin. It inhibits the release of many endocrine peptides including insulin and glucagon. In addition, it inhibits the release of gastric acid.  Because glucagon is a vasodilator, octreotide indirectly decreases […]

In this episode, I’ll discuss whether folic acid and folinic acid are interchangeable for the treatment of methanol toxicity. For instructions on how to write a pharmacy progress note go to my free download area at pharmacyjoe.com/free. It’s download #14 on the list. If you like this post, check out my book – A Pharmacist’s Guide […]

In this episode I’ll: 1. Discuss an article comparing half-dose versus full-dose alteplase for the treatment of pulmonary embolism. 2. Answer the drug information question “Can enoxaparin be used as anticoagulation for PE following the administration of alteplase?” 3. Share a tip for responding to inpatient medical emergencies. Subscribe on iTunes, Android, or Stitcher Article Half-Dose […]

In this episode, I’ll discuss iatrogenic propylene glycol toxicity. Subscribe on iTunes, Android, or Stitcher Propylene glycol is a diluent for several medications commonly used in critical care – especially diazepam, lorazepam, and phenytoin. Although propylene glycol is considered safe to use as a diluent by the FDA, the potential for toxicity exists. The potential […]

In this episode, I’ll discuss how long you continue CPR after giving IV push alteplase for pulmonary embolism related cardiac arrest. Evidence: http://jtd.amegroups.com/article/view/3595/html https://www.nejm.org/doi/full/10.1056/NEJMoa012885 Get my 6 tips for pharmacists responding to codes in my free download area at pharmacyjoe.com/free. It’s download #16. If you like this post, check out my book – A Pharmacist’s Guide […]