In this episode, I’ll discuss lithium toxicity. Subscribe on iTunes, Android, or Stitcher Lithium has been used since the 1970s for bipolar disorder. Toxicity from lithium may occur from an acute ingestion or when a patient on chronic lithium therapy has a decrease in renal function. Acute Patients with acute lithium ingestion primarily exhibit gastrointestinal […]
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Episode 128: How to prepare a knowledge-based in-service or continuing pharmacy education lecture
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 […]
Episode 127: Chloride content effect on patient outcomes, treatment for severe, complicated c diff, and medication identification
In this episode I’ll: 1. Discuss an article about the effect of chloride content during fluid resuscitation. 2. Answer the drug information question “What therapy is recommended for severe, complicated C. diff. infection?” 3. Share a resource for identifying medications. Subscribe on iTunes, Android, or Stitcher Article Chloride Content of Fluids Used for Large-Volume Resuscitation […]
Episode 126: Anti-xa vs aPTT for heparin infusion monitoring
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 […]
Episode 125: Adjusted weight dosing of heparin in obese patients, how long is glucose needed after high dose insulin therapy is stopped, and a resource for studying intensive care topics
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, […]
Episode 124: Causes of fever in critically ill patients
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 […]
Episode 123: Impact of reported penicillin allergy, nafcillin and hyperbilirubinemia, and a resource for creating images for use in your ICU education materials
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 […]
Episode 122: Using analgosedation in critically ill patients
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 […]
Episode 121: Andexanet alfa for reversal of rivaroxaban and apixaban, cryptococcal meningitis treatment, and PharmERToxGuy’s resources
In this episode I’ll: 1. Discuss an article about the factor Xa reversal agent andexanet alfa. 2. Answer the drug information question “What is the treatment for cryptococcal meningitis in a non-HIV infected, non-transplant patient?” 3. Share a resource for lectures and handouts by a board certified toxicologist. Show notes at pharmacyjoe.com/episode121. Before we begin, […]
Episode 120: Should critically ill patients with Legionella pneumonia receive double antibiotic coverage?
In this episode, I’ll discuss whether critically ill patients with Legionella pneumonia should receive double antibiotic coverage. Before we begin, I’d like to share a pearl from my book, A Pharmacist’s Guide to Inpatient Medical Emergencies: “Causes of low O2 sat: PE, shunting, airway obstruction (functional or mechanical)” #pharmacists https://t.co/w0tP1mmQW7 — Pharmacy Joe (@PharmacyJoe) September 11, […]
Episode 119: Antibiotic exposure and infection with resistant organisms, repeat PCC dosing in rivaroxaban bleed patients, and an evidence-based healthcare resource
In this episode I’ll: 1. Discuss an article about the effects of antibiotic exposure and infection with resistant organisms. 2. Answer the drug information question “Should a second dose of 4-factor PCC be given to a patient who has refractory bleeding from rivaroxaban?” 3. Share a resource for evidence-based healthcare. Before we begin, I’d like […]
Episode 118: How should dexmedetomidine be used in severe alcohol withdrawal?
In this episode I’ll discuss how to use dexmedetomidine in severe alcohol withdrawal. Call for listeners to submit practice resources Every odd-numbered episode I share a resource that I use in my daily practice. I would love to hear from you on what resources you use, so I can share with all of the listeners. […]
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