In this episode I’ll review the medications used to support the treatment of shock from 12 different etiologies. Subscribe on iTunes, Android, or Stitcher During the treatment of shock, the patient’s life hangs in the balance while the care team quickly delivers interventions to identify and treat the underlying cause. Many of these interventions require […]

In this episode I’ll: 1. Review an article about augmented renal clearance of antibiotics in critically ill patients 2. Answer the drug information question “For a patient with rash to penicillin that is 5 months s/p TAVR and has 4/4 bottles positive for gram positive cocci resembling staph, what antibiotic regimen should be used?” 3. […]

In this episode I’ll review the pharmacologic treatments for anaphylaxis. Subscribe on iTunes, Android, or Stitcher Definition Anaphylaxis is a potentially fatal allergic reaction with a rapid onset. Immunoglobulin E (IgE)-mediated allergic reactions to food, insect stings and medications are the most common triggers for anaphylaxis. As a result of the IgE reaction, mast cells […]

In this episode I’ll discuss the management priorities for a hospital pharmacist when caring for a patient with status epilepticus. Subscribe on iTunes, Android, or Stitcher Seizure Whenever I encounter a hospital inpatient with an acute seizure, I make sure that I have IV lorazepam available. Most seizures stop after about 2 minutes. In reality […]

In this episode I’ll talk about tips for the pharmacist in the initial treatment of severe sepsis / septic shock. Subscribe on iTunes, Android, or Stitcher Introduction Severe sepsis is sepsis with organ dysfunction and septic shock is sepsis induced hypotension that remains after adequate fluid resuscitation. Additional criteria for the definitions of severe sepsis […]

In this episode, I’ll discuss the recognition and treatment of serotonin syndrome (SS), malignant hyperthermia (MH), and neuroleptic malignant syndrome (NMS). Subscribe on iTunes, Android, or Stitcher Muscular rigidity, significant hyperthermia, and autonomic instability are all common features of serotonin syndrome, malignant hyperthermia, and neuroleptic malignant syndrome. A thorough review of the patient’s current and […]

Today’s episode topic is being presented at the request of another “Pharmacy Joe” who left a voice message on pharmacyjoe.com about using clonidine for hypertensive emergencies.  If you’d like to call in a topic request use the Speakpipe widget at the end of the show notes or at pharmacyjoe.com/contact. Subscribe on iTunes, Android, or Stitcher This may be […]