In this episode I’ll: 1. Review an article about using melatonin to decrease the need for sedation in the ICU 2. Answer the drug information question “How long can I take NSAIDs before I need to take GI prophylaxis? 3. Share a resource I use when taking care of a patient with myasthenia gravis Subscribe on iTunes, […]
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44: Status epilepticus management – tips for the pharmacist
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 […]
43: Can olanzapine be given IV and the FOAMed subreddit
In this episode I’ll: 1. Review an article I used to answer the drug information question “Can olanzapine be given IV?” 2. Share a resource for finding free open access medical education content Subscribe on iTunes, Android, or Stitcher Article Intravenous droperidol or olanzapine as an adjunct to midazolam for the acutely agitated patient Lead author: Esther […]
42: Initial treatment of severe sepsis and septic shock – tips for the pharmacist
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 […]
Episode 41: Enoxaparin in morbid obesity, morphine in dialysis, and porphyria drug database
In this episode I’ll: 1. Review an article on monitoring enoxaparin with antifactor Xa levels in morbidly obese patients 2. Answer a drug information question about using morphine in a patient on dialysis 3. Share a great resource I use for researching which medications exacerbate porphyria Subscribe on iTunes, Android, or Stitcher Article Monitoring Enoxaparin […]
Episode 40: Hyperthermia from serotonin syndrome vs malignant hyperthermia vs neuroleptic malignant syndrome
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 […]
39: Parachute use to prevent death and trauma, IV compatibility tips, and candida score calculator
In this episode I’ll: 1. Discuss an article about evidence based medicine 2. Answer a drug information question about IV compatibility 3. Share a resource for calculating a patient’s Candida Score Subscribe on iTunes, Android, or Stitcher Article Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled […]
38: Hypertensive emergency treatment
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 […]
37: Prolonged empiric antibiotics in ICU, eosinophilic nephritis, and a 4T score calculator
In this episode I’ll: 1. Discuss an article about prolonged empiric antibiotic therapy in adult ICUs 2. Answer a drug information question about eosinophilic nephritis 3. Share a 4T score calculator Subscribe on iTunes, Android, or Stitcher Article A Multicenter Evaluation of Prolonged Empiric Antibiotic Therapy in Adult ICUs in the United States Lead Author: […]
36: Pharmacotherapy for stridor in adult ICU patients
In this episode I’ll review the definition, recognition, causes & pharmacotherapy treatments of stridor in critically ill adult patients. Subscribe on iTunes, Android, or Stitcher Defintion Stridor is an abnormal inspiratory sound, and a sign of upper airway obstruction that requires immediate attention. Recognition Stridor can be heard without a stethoscope. It is usually a […]
35: Propofol related infusion syndrome, SCIP prophylaxis Q&A, and drug induced thrombocytopenia resource
In this episode I’ll: 1. Review an article on propofol related infusion syndrome 2. Answer a drug information question about surgical antibiotic prophylaxis 3. Share a great resource I use for investigating drug induced thrombocytopenia Subscribe on iTunes, Android, or Stitcher Article Propofol infusion syndrome: a structured review of experimental studies and 153 published case […]
Episode 34: Severe hyperkalemia treatment
In this episode I’ll: 1. Review how to recognize severe hyperkalemia 2. Review the 3 categories of hyperkalemia treatments and the order which they should be used 3. Discuss the nuances of each treatment Subscribe on iTunes, Android, or Stitcher Recognizing hyperkalemia Severe hyperkalemia can be recognized by cardiac conduction abnormalities on ECG, muscle weakness […]
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