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, […]

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 […]

In this episode, I’ll describe the steps that I follow to create knowledge-based in-services or continuing pharmacy education lectures. Subscribe on iTunes, Android, or Stitcher ACPE says this about knowledge-based education activities: These CPE activities are primarily constructed to transmit knowledge (i.e., facts). The facts must be based on evidence as accepted in the literature […]

In this episode, I’ll discuss using Anti-Xa vs. aPTT for heparin infusion monitoring. Subscribe on iTunes, Android, or Stitcher Over the past several years, many institutions have switched to monitoring heparin infusions with anti-factor Xa levels instead of activated partial thromboplastin time. Guidelines Expert guidelines don’t seem to take a stand either way when it […]

In this episode I’ll: 1. Discuss an article about using adjusted body weight for heparin dosing in obese patients. 2. Answer the drug information question “How long is glucose therapy required after using high-dose insulin for beta-blocker or calcium channel blocker overdose?” 3. Share a resource for studying intensive care topics. Subscribe on iTunes, Android, […]

In this episode I’ll discuss causes of fever in critically ill patients. Subscribe on iTunes, Android, or Stitcher Elevated body temperature is detected in almost half of patients admitted to adult ICUs. Its presence should trigger a thorough search for the etiology. IDSA / SCCM guidelines define pyrexia in critically ill adults as a temperature […]

In this episode I’ll: 1. Discuss an article about the impact of reported penicillin allergies. 2. Answer the drug information question “Can nafcillin cause hyperbilirubinemia?” 3. Share a resource for creating images for use in ICU education materials, protocols, and presentations. Before we begin, I’d like to share a pearl from my book, A Pharmacist’s Guide […]

In this episode, I’ll discuss using analgosedation in critically ill patients. Subscribe on iTunes, Android, or Stitcher Before we begin, I’d like to share a pearl from my book, A Pharmacist’s Guide to Inpatient Medical Emergencies: “Typical features of shock: AMS, high HR, low BP, oliguria, cool & clammy skin, acidosis” #pharmacists https://t.co/w0tP1mmQW7 — Pharmacy Joe […]