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 […]
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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 […]
Episode 133: IV acetaminophen causes hypotension, basal PCA rates in opioid naive patients, and a resource for extracting ICD-10 codes from natural language
In this episode I’ll: 1. Discuss an article about the hemodynamic effects of IV acetaminophen in critically ill patients. 2. Answer the drug information question “When should an opioid naive patient receive a continuous basal rate on patient-controlled analgesia?” 3. Share a resource for easily extracting ICD-10 codes from natural text. Subscribe on iTunes, […]
Episode 132: Treatment of calcium channel blocker overdose in adult patients
In this episode, I’ll discuss the treatment of calcium channel blocker overdose in adult patients. Subscribe on iTunes, Android, or Stitcher Consensus recommendations for the management of calcium channel blocker poisoning in adults have been published in the journal Critical Care in October 2016. The recommendations emphasize the role of poison centers (1-800-222-1222 in […]
Episode 131: Calcium replacement may be harmful, sulfamethoxazole-trimethoprim dosing in morbid obesity, and a resource for switching to anti-XA heparin monitoring
In this episode I’ll: 1. Discuss an article about the adverse outcomes of calcium administration in critically ill patients. 2. Answer the drug information question “What dose of sulfamethoxazole/trimethoprim should be used to treat stenotrophomonas in a super-morbidly obese patient?” 3. Share a resource I’ve used to convert heparin protocols to anti-Xa monitoring. Subscribe on […]
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