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 […]
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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 […]
33: Sugammadex FDA approval and dabigatran drug interactions
In this episode I’ll: 1. Review the FDA briefing documents for sugammadex 2. Answer a drug information question about dabigatran 3. Share a great resource I use for evaluating drug interactions Subscribe on iTunes, Android, or Stitcher Before we get to the topic for today’s show I want to invite you to join the Pharmacy Nation […]
32: Why normal saline makes hyponatremia worse in SIADH
In this episode I’ll share with you what he taught me and I’ll: 1. Review the pathophysiology of hyponatremia from SIADH 2. Explain how normal saline makes it worse 3. Discuss basic treatment of severe, symptomatic hyponatremia from SIADH and what to do if you correct the sodium too fast Subscribe on iTunes, Android, or […]
31: Vanco dosing by AUC:MIC, heparin vs LMWH, and sleep hygiene resources
In this episode, I will: Review an article about monitoring vancomycin by trough levels Answer a drug information question: Why do some of my trauma patients get heparin and some enoxaparin for DVT prophylaxis? Share sleep hygiene resources that I personally use. Subscribe on iTunes, Android, or Stitcher Article Vancomycin Trough Concentration as a Predictor […]
30: Intravenous lipid emulsion for the treatment of drug toxicity
In this episode I’ll 1. Discuss some cases of using IV lipid emulsion for drug toxicity 2. List which patient care areas in my institution are stocked with IV lipid emulsion 3. Review the dosing of IV lipid emulsion Subscribe on iTunes, Android, or Stitcher I first heard of the idea of using IV lipid […]
29: Idarucizumab for dabigatran reversal, rivaroxaban for PE with active cancer, and an evidence based guideline resource
In this episode I will: 1. Review an article about idarucizumab for dabigatran reversal 2. Answer a drug information question: “Can I use rivaroxaban to treat a pulmonary embolism (PE) in a patient with active cancer?” 3. Share a resource I use that is a collection of evidence based critical care guidelines Subscribe on iTunes, Android, […]
28: Pharmacist pain management tips
In this episode I’ll share how I approach a “Pharmacy Pain Consult” at my hospital. Subscribe on iTunes, Android, or Stitcher I’ll discuss how I titrate opioid doses when the patient has risk factors for respiratory depression. I’ll also share the 4 most common fixes to inadequate pain management. I was talking with Andrew, one of our […]
Episode 27: Dexmedetomidine drug fever, the SPLIT trial on saline vs. Plasmalyte, and a useful resource to stay current with medical literature
In this episode I will: 1. Review an article about the choice of IV fluids in ICU patients 2. Answer a drug information question: “Have you seen dexmedetomidine drug fever?” 3. Share a free resource I use to stay updated with medical literature Subscribe on iTunes, Android, or Stitcher Article Effect of a Buffered Crystalloid Solution vs […]
Episode 26: 2015 Cardiopulmonary resuscitation guidelines update
The American Heart Association cardiopulmonary resuscitation guidelines have been updated for 2015! There are some interesting changes to the guidelines that pharmacists should know about and I’ll summarize them for you in this episode. Subscribe on iTunes, Android, or Stitcher I strongly recommend that any pharmacist who is involved in responding to medical emergencies read […]
Episode 25: How to dose naloxone for opioid reversal
When it comes to direct antidotes for drug toxicity, there are only a handful. In this episode, I’ll talk about how to dose naloxone (Narcan) including when to give a lot and when to give just a little bit. Subscribe on iTunes, Android, or Stitcher Naloxone is a pure opioid antagonist that competes with and displaces […]