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 […]
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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 […]
84: Chemical sedation for acute agitation
In this episode I’ll discuss chemical sedation for acute agitation. Subscribe on iTunes, Android, or Stitcher Chemical sedation is part of the array of options to treat acute agitation. Prevention strategies, verbal de-escalation techniques, and physical restraints also play a role in the prevention and management of acute agitation. The ideal first line medications to […]
83: Pharmacodynamics of fluid challenge, why is epinephrine added to lidocaine for injections, and a resource to stay up to date with FDA medwatch alerts
In this episode I’ll: 1. Discuss an article on the pharmacodynamics of a fluid challenge. 2. Answer the drug information question “Why is epinephrine added to lidocaine for injection?” 3. Share a resource for staying up to date with FDA safety information. Subscribe on iTunes, Android, or Stitcher Article Pharmacodynamic Analysis of a Fluid Challenge […]
82: Cyanide poisoning
In this episode I’ll discuss cyanide toxicity. Subscribe on iTunes, Android, or Stitcher Cyanide is a rapidly lethal toxin. It causes death within minutes to hours of exposure. Cyanide inhibits oxidative phosphorylation in the mitochondria, shutting down aerobic metabolism. Oxygen supply remains adequate but cells are unable to utilize the oxygen. Cyanide is present in […]
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