Objectives: 1. Describe the benefits and drawbacks of fixed dosing of 4-factor prothrombin complex concentrate for warfarin reversal. 2. Recall the major issues in fixed dosing of 4-FPCC that consensus must be reached on before a protocol can be finalized.
Understanding and Preventing Iatrogenic Hyperchloremia
Objectives: 1. Describe the causes of iatrogenic hyperchloremia 2. Recall the evidence behind available prevention strategies for each possible cause of iatrogenic hyperchloremia
Understanding the SCCM/IDSA Guidelines for New Fever in a Critically Ill Adult
Objectives: 1. Recall the possible drug-related causes of new fever in an ICU patient 2. Describe the role of procalcitonin and C-reactive protein in the evaluation of new fever
Guidelines on Choosing Resuscitation Fluids
Objectives: 1. Recall the different levels of evidence supporting the 11 guideline statements 2. Describe the role for albumin, isotonic saline, and balance electrolyte solutions as resuscitation fluids in critically ill patients
Pharmacotherapy Considerations with the Impella Ventricular Assist Device
Objectives: 1. Recall which purge solution base fluids are commonly used and which are contraindicated. 2. Describe a possible pharmacologic treatment for device thrombosis.
Understanding the SCCM/ASHP Guidelines for Stress Ulcer Prophylaxis in Critically Ill Adults
Objectives: 1. Recall the risk factors for stress-related upper GI bleeding 2. Describe the recommended medication, dose, and route of administration for stress ulcer prophylaxis
ICU Management of Neuroleptic Malignant Syndrome
Objectives: 1. Recall the diagnostic criteria for neuroleptic malignant syndrome 2. Describe the commonly used general and specific treatments for critically ill patients with NMS
Why and When to Use Adjunctive Antibiotics to Inhibit Bacterial Toxin Production
Objectives: 1. Describe the 3 common pathogens that produce exotoxins which increase their virulence. 2. Recall the commonly recommended adjunctive antibiotics for toxin inhibition and their usual duration of therapy.
Using the One Minute Preceptor Technique with Resident/Student Pharmacist Learners
Objectives: 1. Describe the 5 microskills of the one minute preceptor technique 2. Recall the two opportunities to provide meaningful feedback to the learner when using the one minute preceptor technique
Understanding the NKF Recommendations On Using Race-Free eGFR for Medication-Related Decisions
Objectives: 1. Recall the relative accuracy of the Cockcroft Gault formula with the 2021 race-free eGFR formulas published by NKF 2. Describe the rationale for using eGFR to make medication dose adjustment decisions
Mucolytics in the ICU
Objectives: 1. Describe the pathophysiology of mucus dysfunction in critically ill patients. 2. Recall the commonly used mucolytics and the evidence that supports their use.
Understanding the SCCM Pain, Anxiety, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption Guidelines Focused Update
Objectives: 1. Recall the evidence supporting melatonin use in ICU patients 2. Describe the benefits and risks of using dexmedetomidine over propofol for light sedation in the ICU
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