In this episode I’ll: 1. Discuss an article about predicting the need for critical care resources after receiving IV thromblysis for ischemic stroke. 2. Answer the drug information question “Should a pregnant woman who removed a tick from herself be prophylaxed for Lyme Disease?” 3. Share a resource with fantastic infographics on critical care topics. […]
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70: Treatment of severe alcohol withdrawal
In this episode I’ll discuss the treatment of severe alcohol withdrawal. Subscribe on iTunes, Android, or Stitcher Symptoms Symptoms of alcohol withdrawal are the result of an increase in autonomic activity and sympathetic outflow, as well as psychomotor agitation. Commonly this manifests as diaphoresis, nausea, vomiting, tremor, and anxiety. Severe alcohol withdrawal may progress to […]
69: Aspirin to reduce mortality in staph aureus bloodstream infection, why phenylephrine is so bad in sepsis, and using hashtags to find educational material on social media
In this episode I’ll: 1. Discuss an article about whether aspirin affects mortality in staph aureus bloodstream infection 2. Answer the drug information question “Why is phenylephrine such a bad vasopressor to use in sepsis?” 3. Share a resource for finding medical information on social media Subscribe on iTunes, Android, or Stitcher Article Low-Dose Acetylsalicylic […]
68: The fallacy of sugammadex rescue
In this episode I’ll discuss whether sugammadex can rescue your patient from a “can’t intubate, can’t oxygenate” scenario. Subscribe on iTunes, Android, or Stitcher Now that sugammadex has made it to the US market, the push to add it to formulary has begun. I discussed the approval of sugammadex in episode 33. Sugammadex may have […]
67: Dexmedetomidine for agitated delirium, dexmedetomidine loading dose use, and how long to wait before a procedure after stopping apixaban, dabigatran, and rivaroxaban
In this episode I’ll: 1. Discuss an article about using dexmedetomidine for agitated delirium when haloperidol doesn’t work. 2. Answer the drug information question “Should I use a loading dose when initiating a dexmedetomidine infusion?” 3. Share a resource I created for calculating the time to wait after the last dose of a non-vitamin K […]
66: Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS)
In this episode I’ll discuss diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS). Subscribe on iTunes, Android, or Stitcher Definition Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) are the most serious acute complications of diabetes. These diabetic crises cause thousands of deaths annually in the US. DKA and HHS differ clinically according to the […]
65: Continuous cefazolin in CABG, heparin with an epidural in place, and an update on my favorite drug interaction resource
In this episode I’ll: 1. Discuss an article that evaluates continuous vs intermittent dosing of cefazolin during CABG surgery. 2. Answer the drug information question “Can I give heparin subcutaneously for VTE prophylaxis to a patient with an epidural catheter in place?” 3. Share an update on a resource I use to evaluate drug interactions. […]
Episode 64: How to identify drug fever
In this episode, I’ll discuss how I identify drug fever. Subscribe on iTunes, Android, or Stitcher Background Drug fever is a common condition that coincides temporally with the administration of a drug and disappears after discontinuation of the medication. Unfortunately, it is usually an unclear diagnosis, often made by exclusion. It is just as valuable to […]
63: New criteria to identify non-ICU patients at risk of mortality from sepsis, new sepsis definitions, and a resource from JAMA to learn about it all
In this episode I’ll: 1. Discuss an article about identifying patients at risk of death from sepsis outside of the ICU. 2. Answer the drug information question: What are the new definitions and clinical criteria for sepsis and septic shock? 3. Share a resource for understanding the new definitions and clinical criteria for sepsis. Subscribe […]
62: 6 tips to incorporate precepting advanced pharmacy practice experience students into your workflow
In this episode I’ll share my top 6 tips to incorporate precepting advanced pharmacy practice experience (APPE) students into your workflow. Subscribe on iTunes, Android, or Stitcher I look at precepting as providing a student the opportunity to develop and apply the art and science of pharmacy in a practice setting. It is the responsibility […]
61: Toxicology of rivaroxaban and apixaban, compatibility of vancomycin and piperacillin-tazobactam, and a resource for taking care of critically ill pregnant patients
In this episode I’ll: 1. Discuss an article about the toxicology of rivaroxaban and apixaban. 2. Answer the drug information question “Is vancomycin compatible with piperacillin-tazobactam at Y-site?” 3. Share a resource I use when taking care of a pregnant patient in the ICU. Subscribe on iTunes, Android, or Stitcher Article An Observational Study of […]
60: ACE inhibitor induced angioedema treatment
In this episode, I’ll discuss the treatment of ACE inhibitor induced angioedema. Subscribe on iTunes, Android, or Stitcher Angioedema due to Angiotensin-converting enzyme (ACE) inhibitors is a rare event. Because of the high frequency of ACE inhibitor use, many patients will go on to develop ACE inhibitor induced angioedema. Angioedema is the swelling of deep […]
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