Prolonged QTc interval leading to torsades. It is the adverse medication event that keeps pharmacists awake at night. In this episode I will explain how, as a hospital-based pharmacist, I evaluate drug interactions that carry the risk of QT prolongation. Subscribe on iTunes, Android, or Stitcher Evaluating QTc drug interactions This is an area of […]
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Episode 11: Making Patient Focused Risk:Benefit Assessments
The topic for today’s show is PharmacyJoe-ism #7: Making patient focused risk benefit assessments. Subscribe on iTunes, Android, or Stitcher Why Is My Patient In the ICU and How Sick Are They? My ability to do this greatly improved when I started to explicitly and on a basic level think about why is a patient […]
Episode 10: The Pharmacist and the ECG Should Be Friends
As the expert in drug therapy, you need to know how different drugs exert their effects on the electrical system of the heart. Subscribe on iTunes, Android, or Stitcher Pharmacist review of the ECG is relatively straight forward compared to other professions. We should be able to identify the rhythm, look for signs of drug […]
Episode 9: How To Talk Like A Physician And Get A Physician To Listen Like A Pharmacist
Today I’m going to pull the curtain back and show you how I trained myself to have successful verbal communications with physicians and get my interventions accepted. I’ll go over: Expected acceptance rates First impressions of your conversation Planning out your conversation What to do when the physician comes to you with a question Subscribe on […]
Episode 8: Empiric Antibiotic Selection in the ICU
So much of antibiotic selection has to do with local resistance patterns and it cannot be protocolized or generalized without that knowledge. Subscribe on iTunes, Android, or Stitcher That said I believe there are some principles of antibiotic selection in the ICU that are worth discussing in general terms. A big shout out to Pharmacist […]
Episode 7: Seven tips on How to stay current with medical literature
Here are my 7 tips for how to stay current with medical literature: Subscribe on iTunes, Android, or Stitcher Pharmacist’s Letter / Prescriber’s Letter I’ve been a subscriber to Pharmacist’s Letter for over 12 years. They are an unbiased source of current information about new medications and new uses for old medications. Their monthly newsletter is concise […]
Episode 6: Alternatives To Phentolamine For Vasopressor Extravasation
11/4/15 Update: Phentolamine is available again! The rest of the post is un-edited, but check with your purchaser to see if you can get phentolamine now. Subscribe on iTunes, Android, or Stitcher Another one bites the dust. Phentolamine is no longer manufactured Phentolamine has now made ASHP’s list of drugs no longer available. This information […]
Episode 5: Vasopressors In Shock – A Review for PGY-1 Pharmacy Residents
In this episode I’ll review the vasopressors norepinephrine, vasopressin, epinephrine, dopamine, and phenylephrine. Fluids, vasopressors, and inotropes are the essential parts of the treatment of shock. Subscribe on iTunes, Android, or Stitcher Shock is the syndrome that results when the cardiovascular system fails to maintain adequate tissue perfusion. The immediate treatment goal for shock is to maintain hemodynamics […]
Episode 4: Push Dose Pressors: Use Them Once, Shame On Me. Use Them Twice, Shame On You!
Subscribe on iTunes, Android, or Stitcher Push Dose Pressors, They’re Not Just For Anesthesia Anymore! I like preventing the complications of profound hypotension as much as anyone. Really, I do. It’s why I suggest you focus so much on anticipating patient and provider needs during an emergency situation. It’s why I suggest you put a […]
Episode 3: Pharmacists as Members of the Rapid Response Team
In this episode, I will discuss pharmacist participation on rapid response teams. Subscribe on iTunes, Android, or Stitcher According to the wikipedia definition (don’t tell my former professors I referenced that site!): A rapid response team (RRT) is a team of health care providers that responds to hospitalized patients with early signs of clinical deterioration on […]
Episode 2: Pharmacist Response to Code Blue Continued
In this episode, I will continuing discussing pharmacist response to code blue calls. Subscribe on iTunes, Android, or Stitcher I’ll wrap up a few things from episode 1 and review the ACLS cardiac arrest algorithm. I ended episode 1 with the following: – At the start of the code open and assemble an epinephrine syringe. […]
Episode 1: Patients Will Die Less Often If A Pharmacist Responds to Code Blue Calls
In this episode, I’ll discuss how patients are less likely to die if a pharmacist response to the code blue call. Subscribe on iTunes, Android, or Stitcher Why should Pharmacists respond to code blue calls? It’s simple. Patients will die less often. To the tune of 12,880 reduced deaths in 2007, p=0.009 according to: Bond, […]
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