In this episode I’ll: 1. Discuss an article about extended vs. intermittent infusion of piperacillin/tazobactam in critically ill patients. 2. Answer the drug information question “How should a naloxone infusion be weaned?” 3. Share a resource for researching toxicology concerns with medications. Subscribe on iTunes, Android, or Stitcher One of the best parts of hosting […]
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Episode 144: The three ongoing trials that will bring clarity to the question of when to use stress ulcer prophylaxis
In this episode, I’ll discuss the three ongoing trials that will bring clarity to the question of when to use stress ulcer prophylaxis. Subscribe on iTunes, Android, or Stitcher Many pharmacists have told me that getting and staying ahead of the vast critical care medical literature is one of our greatest challenges. There are so […]
Episode 143: Linezolid in patients on CRRT, should insulin detemir be given once or twice daily, and a resource for researching the hepatotoxicity potential of a given medication
In this episode I’ll: 1. Discuss an article about the effects of continuous renal replacement therapy on linezolid. 2. Answer the drug information question “Should insulin detemir be given once or twice daily?” 3. Share a resource for researching the hepatotoxicity potential of a given medication. Subscribe on iTunes, Android, or Stitcher I am proud […]
Episode 142: Amiodarone induced hepatotoxicity
In this episode, I’ll discuss amiodarone induced hepatotoxicity. Subscribe on iTunes, Android, or Stitcher Amiodarone is known to cause two distinct types of hepatoxicity: 1. Hepatotoxicity associated with long-term oral therapy 2. Hepatotoxicity associated with intravenous amiodarone Hepatotoxicity associated with long-term oral therapy Almost one-quarter of patients on long-term oral amiodarone therapy experience an asymptomatic […]
Episode 141: Volatile agents for ICU sedation, IV vs oral antihypertensives in stroke, and reversal of antithrombotics in intracranial hemorrhage guidelines
In this episode I’ll: 1. Discuss an article about using inhaled volatile agents for ICU sedation. 2. Answer the drug information question “Should IV or oral antihypertensives be used for severe hypertension in the immediate period after acute ischemic stroke?” 3. Share a resource for reversal of antithrombotics in intracranial hemorrhage. Subscribe on iTunes, Android, […]
Episode 140: Dexmedetomidine & etomidate are better than ketamine
In this episode, I’ll discuss scenarios where dexmedetomidine & etomidate are better than ketamine. Subscribe on iTunes, Android, or Stitcher Strictly referring to therapeutic uses, ketamine is a stylish medication to use and to talk about using. It has been FDA approved for over 45 years, but ketamine’s popularity as measured by published journal articles […]
Episode 139: Apnea from ketamine used for delayed sequence intubation, posaconazole induced hypokalemia, and the content outline for the BCCCP exam
In this episode I’ll: 1. Discuss an article about delayed sequence intubation. 2. Answer the drug information question “Can posaconazole cause hypokalemia?” 3. Share a resource for the Board Certified Critical Care Pharmacy (BCCCP) exam. Subscribe on iTunes, Android, or Stitcher My on-line Critical Care Pharmacy Academy will open December 2016. The Academy will be […]
Episode 138: The role of sodium bicarbonate in critically ill patients
In this episode, I’ll discuss the role of sodium bicarbonate in critically ill patients. Subscribe on iTunes, Android, or Stitcher At the time of this episode, I am hosting a closed beta program for my Critical Care Pharmacy Academy, a private, paid membership group where I teach other pharmacists about critical care. I plan to […]
Episode 137: Piperacillin-tazobactam induced acute kidney injury, tapering steroids in septic shock, an antibiotic sensitivity overview
In this episode I’ll: 1. Discuss an article about the combination of vancomycin and piperacillin-tazobactam and the development of acute kidney injury. 2. Answer the drug information question “When using steroids for the treatment of septic shock, should they be abruptly stopped or tapered?” 3. Share a resource for remembering antibiotic sensitivity. Subscribe on iTunes, […]
Episode 136: Can midodrine be used to wean IV vasopressors?
In this episode, I will discuss the use of midodrine to wean ICU patients off of vasopressor infusions. Subscribe on iTunes, Android, or Stitcher At the time of this episode, I am hosting a closed beta program for my Critical Care Pharmacy Academy, a private, paid membership group where I teach other pharmacists about critical […]
Episode 135: Levosimendan in sepsis, intubating a severe pulmonary hypertension patient, and how to become a journal peer reviewer
In this episode I’ll: 1. Discuss an article about levosimendan in sepsis. 2. Answer the drug information question “Should catecholamines be started before intubating a patient with severe pulmonary hypertension?” 3. Share a resource about how to become a peer-reviewer for a medical journal. Subscribe on iTunes, Android, or Stitcher The Critical Care Pharmacy Academy […]
Episode 134: Stress ulcer prophylaxis in critically ill patients – where are the guidelines?
In this episode, I’ll discuss stress ulcer prophylaxis in critically ill patients. Subscribe on iTunes, Android, or Stitcher Stress ulcers were first described in 1969. Stress ulcers are thought to form due to hypoperfusion to the gastric mucosa associated with critical illness. Various factors including coagulopathy, history of peptic ulcer disease, and prolonged mechanical ventilation […]
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