In this episode, I’ll discuss whether olanzapine can be given intravenously. Members of my Hospital Pharmacy Academy academy have access to my in-depth training on the treatment of severe alcohol withdrawal. To access this training and much more go to pharmacyjoe.com/academy. Evidence: A Prospective Observational Study of Patients Receiving Intravenous and Intramuscular Olanzapine in the […]
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Episode 240: What to do with norepinephrine extravasation
In this episode, I’ll discuss what to do when norepinephrine extravasates. Subscribe on iTunes, Android, or Stitcher Central line access is often preferred for vasopressor administration due to the risk of extravasation. Extravasation of a vasopressor such as norepinephrine can cause tissue necrosis and ultimately, the loss of a limb due to local vasoconstriction. The […]
Episode 239: The paradox of benzodiazepines & respiratory failure in severe alcohol withdrawal
In this episode, I’ll discuss the paradox of benzodiazepines & respiratory failure in severe alcohol withdrawal. Members of my critical care pharmacy academy have access to my in-depth training on the treatment of severe alcohol. To access this training and much more go to pharmacyjoe.com/academy. Evidence: The need for mechanical ventilation was reduced in two […]
Episode 238: Ketamine as an analgesic adjunct in critically ill patients, at what MIC should an alternative to vancomycin be used to treat meningitis, and a resource for those interested in pharmacy compounding
In this episode I’ll: 1. Discuss an article about using ketamine as an analgesic adjunct in critically ill patients. 2. Answer the drug information question “At what MIC should an alternative to vancomycin be used to treat meningitis? 3. Share a resource for those interested in pharmacy compounding. Subscribe on iTunes, Android, or Stitcher Members […]
Episode 237: Why can’t you give calcium gluconate by rapid IV push?
In this episode, I’ll discuss why can’t you give calcium gluconate by rapid IV push. For more on use of calcium for hyperkalemia go to pharmacyjoe.com/episode34. 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, and other medical emergencies. […]
Episode 236: Cyproheptadine to treat serotonin syndrome
In this episode, I’ll discuss the use of cyproheptadine to treat serotonin syndrome. Subscribe on iTunes, Android, or Stitcher Serotonin syndrome (SS) can result from an overdose or drug interaction involving one or more of the many drugs that increase serotonergic activity. The Hunter Criteria is often used for the diagnosis of serotonin syndrome. To fulfill […]
Episode 235: Alternatives to fentanyl for continuous sedation due to the shortage
In this episode, I’ll discuss alternatives to fentanyl for continuous sedation due to the shortage. Link to evidence referenced in this video. 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, and other medical emergencies. <– Previous Post […]
Episode 234: 5 vs 10 units of insulin for hyperkalemia, how long can you use high dose insulin for a calcium channel blocker overdose, and a resource for learning about pharmacologic issues in anesthesia
In this episode I’ll: 1. Discuss an article comparing two insulin doses for the treatment of hyperkalemia in patients with renal insufficiency. 2. Answer the drug information question “How long can you use high dose insulin for a calcium channel blocker overdose?” 3. Share a resource for learning about pharmacologic issues in anesthesia. Subscribe on […]
Episode 233: How to taper a vasopressor infusion using oral midodrine
In this episode, I’ll discuss how to taper a vasopressor infusion using oral midodrine. 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, and other medical emergencies. <– Previous Post […]
Episode 232: How to deal with allergic reactions to local anesthetics, and a tip on how to memorize ester vs. amide anesthetics
In this episode, I’ll discuss how I deal with allergic reactions to local anesthetics. I’ll also include a tip that will help you never forget how to tell whether a local anesthetic is ester or amide-based. Subscribe on iTunes, Android, or Stitcher Local anesthetic agents such as procaine and lidocaine can rarely cause allergic […]
Episode 231: 4 Pearls for the use of daptomycin in the ICU
In this episode I’ll discuss 4 pearls for the use of daptomycin in the ICU: 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, and other medical emergencies. <– Previous Post […]
Episode 230: IVIG for refractory HIT, differences in QTc risk among quinolones, and a resource for searching FDA reports of adverse reactions to medications
In this episode I’ll: 1. Discuss an article about using IVIG for refractory HIT. 2. Answer the drug information question “Do some quinolones have lower QTc prolongation risk than others?” 3. Share a resource for searching FDA reports of adverse reactions to medications. Subscribe on iTunes, Android, or Stitcher Members of my Critical Care Pharmacy […]
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