In this episode I’ll discuss the use of magnesium sulfate in critical care. Subscribe on iTunes, Android, or Stitcher Shout out to listener “Pharmacy Alex” for suggesting this topic! When I think of magnesium in critical care, 3 uses come to mind: 1. Prevention of recurrent eclamptic seizures 2. Adjunctive therapy in life-threatening asthma exacerbations […]
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95: Ketamine blow darts, amiodarone and contrast media cross-sensitivity, and antibiotic breakpoint information
In this episode I’ll: 1. Discuss evidence on the efficacy of ketamine IM for acute behavioral emergencies. 2. Answer the drug information question “Can a patient with an allergy to contrast media receive amiodarone?” 3. Share a resource for antimicrobial stewards. Subscribe on iTunes, Android, or Stitcher Article Ketamine as Rescue Treatment for Difficult-to-Sedate Severe […]
94: Flumazenil. Huh! What is it good for? (Almost) Absolutely nothing! or Does flumazenil cause seizures in benzodiazepine overdose?
In this episode I’ll discuss the use of flumazenil. Subscribe on iTunes, Android, or Stitcher Shout out to “Pharmacy Ashkan” for suggesting this topic and sending many of the references that are linked in this episode. Flumazenil is a competitive benzodiazepine receptor inhibitor. It is classified as an antidote to benzodiazepines. Indications The approved indications […]
93: High dose heparin for VTE prophylaxis, how much vitamin K to lower the INR, and a resource for anticoagulant lab assay interference
In this episode I’ll: 1. Discuss an article about high dose heparin for VTE prophylaxis in obese patients. 2. Answer a drug information question about vitamin K. 3. Share a resource for lab assay interference by non-vitamin K oral anticoagulants. Subscribe on iTunes, Android, or Stitcher Article Safety and Efficacy of High-Dose Unfractionated Heparin for […]
92: How to provide analgesia and sedation for the critically ill patient on buprenorphine
In this episode I’ll discuss how I provide analgesia & sedation to critically ill patients who have taken buprenorphine. Subscribe on iTunes, Android, or Stitcher Buprenorphine is an opioid partial agonist. It is used to treat acute & chronic pain, opioid withdrawal, and opioid dependence. Buprenorphine has a very high affinity for the mu […]
91: Imatinib for bleomycin lung toxicity, linezolid vs daptomycin for VRE bacteremia, and a resource for critical care drug dosing at extremes of body weight
In this episode I’ll: 1. Review an article about using imatinib for bleomycin interstitial pneumonitis. 2. Answer the drug information question “Should daptomycin or linezolid be used for VRE bacteremia?” 3. Share a resource provided by another pharmacist in the Pharmacy Nation slack group. Subscribe on iTunes, Android, or Stitcher Article Imatinib for bleomycin induced […]
Episode 90: 6 tips to help pharmacists respond to medical emergencies
In this episode I’ll discuss 6 tips for pharmacists responding to inpatient medical emergencies. Subscribe on iTunes, Android, or Stitcher After years of working in the central pharmacy, an opportunity arose to go to the floors for code blue and rapid response calls. At the time, I was very nervous! Nothing in my pharmacy […]
89: Bloodless anemia treatment, antibiotics for necrotizing pancreatitis, and alternative rock to teach pathophysiology
In this episode I’ll: 1. Discuss an article about bloodless treatment of anemia. 2. Answer the drug information question “Which antibiotics should be given to a patient with necrotizing pancreatitis?” 3. Share a resource I use to teach pathophysiology. Subscribe on iTunes, Android, or Stitcher Article Outcomes of Protocol-Driven Care of Critically Ill Severely Anemic […]
88: Treatment of loperamide cardiac toxicity
In this episode, I’ll discuss the treatment of loperamide toxicity. Subscribe on iTunes, Android, or Stitcher Loperamide is often referred to as “the poor man’s methadone”. It has been used as both a drug of abuse and as a way of self-treating opioid withdrawal. The dose used in loperamide abuse far exceeds the labelled 16 […]
87: Platelet transfusions may cause harm in ICH, why alteplase contraindications got changed, and a resource for learning how to recognize ECG rhythms
In this episode I’ll: 1. Discuss an article about using platelet infusions to treat intracerebral hemorrhage (ICH) from antiplatelet medications. 2. Answer the drug information question “Why were the contraindications to alteplase for acute ischemic stroke changed?” 3. Share a resource I used to learn how to recognize ECG rhythms. Subscribe on iTunes, Android, or […]
86: Updated intravenous lipid emulsion in drug toxicity guidelines
In this episode I’ll discuss updated toxicology guidelines when using intravenous lipid emulsion (ILE) for drug toxicity. Subscribe on iTunes, Android, or Stitcher Back in episode 30 I discussed the use of ILE for drug toxicity. In April 2016 the American College of Medical Toxicology published guidance for using ILE. The most significant change to the […]
85: Earplugs for preventing ICU delirium, dextrose solutions in ischemic stroke, and a great way to get your drug information questions answered
In this episode I’ll: 1. Share an article about using earplugs to reduce ICU delirium. 2. Answer the drug information question: “Should dextrose containing solutions be avoided in ischemic stroke patients?” 3. Share the resource I used to answer the drug information question. Subscribe on iTunes, Android, or Stitcher Article The Efficacy of Earplugs as […]
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