In this episode, I’ll discuss Why you should never treat sinus tachycardia You can watch or listen to this episode on my youtube channel: In my post, Pharmacists as Members of the Rapid Response Team, I share more examples of potential underlying causes of sinus tachycardia. I also provide more in-depth training on how to respond […]
Episode 221: How to monitor neuromuscular blocker infusions without a baseline train of four
A continuous infusion of a neuromuscular blocker (NMB) such as cisatracurium or vecuronium was started before a baseline train of four could be obtained – how do you monitor the NMB infusion? You can watch or listen to this episode on my youtube channel: Members of my Critical Care Pharmacy Academy will have access to my […]
Episode 209: The first question is usually not the real question
In this episode, I’ll discuss how the first question is usually not the real question. You can watch or listen to this episode on my new youtube channel: If you like this post, check out my book – A Pharmacist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other […]
Episode 208: How to cheat at journal club (ethically) and still be able to sleep at night
In this episode, I’ll discuss how to cheat at journal club (ethically) and still be able to sleep at night. Subscribe on iTunes, Android, or Stitcher Whether you are a pharmacy student or resident looking for a good article for journal club, or a preceptor that wants to make sure journal club articles are high […]
Episode 207: Treatment options for refractory status epilepticus
In this episode, I’ll discuss treatment options for refractory status epilepticus: You can watch or listen to this episode on my new youtube channel: Evidence for dosing in this episode: midazolam propofol pentobarbital ketamine If you like this post, check out my book – A Pharmacist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, […]
Episode 204: A pharmacist’s mind should be treated like a factory, not a warehouse
In this episode, I’ll discuss why A pharmacist’s mind should be treated like a factory, not a warehouse. Subscribe on iTunes, Android, or Stitcher Your mind as a warehouse Treating your mind like a warehouse means you fill it with facts and knowledge, hoping to recall it at a future point. This is a great […]
Episode 203: How to use ketamine as a rescue analgesic
In this episode, I’ll discuss how to use ketamine as a rescue analgesic. You can watch or listen to this episode on my new youtube channel: Evidence related to this episode You can get the evidence for this episode as well as a detailed pdf on the use of ketamine in critical care in my […]
Episode 198: How to use high dose insulin therapy for beta-blocker or calcium channel blocker overdose
In this episode, I’ll discuss how to use high dose insulin therapy for beta-blocker or calcium channel blocker overdose. Subscribe on iTunes, Android, or Stitcher An overdose of beta-blockers or calcium channel blockers often induces life-threatening cardiogenic shock. Traditional therapies for beta-blockers or calcium channel blocker toxicity are: Glucagon Calcium Atropine Electricity (pacing) Vasopressors Unfortunately, […]
Episode 192: Sodium bicarbonate alternatives due to the current shortage
In this episode, I’ll discuss the alternatives to sodium bicarbonate given the current drug shortage. Subscribe on iTunes, Android, or Stitcher This isn’t the first time we’ve had to deal with a sodium bicarbonate shortage. Back in 2012 there was also a bicarb shortage…but this time it is more complicated. The two alternatives to sodium […]
Episode 191: Effects of IV push administration on beta-lactam pharmacodynamics, duration of octreotide in variceal bleeding, and a video based resource
In this episode I’ll: 1. Discuss an article about the effects of IV push administration on beta-lactam pharmacodynamics. 2. Answer the drug information question “How long should octreotide be continued in patients with variceal bleeding?” 3. Share a video-based resource that explains complex ICU topics to patients and students. Subscribe on iTunes, Android, or Stitcher […]
Episode 187: Combination antibiotic bag (CAB) in severe sepsis and septic shock
In this episode, I’ll discuss an abstract by a pharmacy resident about the use of a combination antibiotic bag (CAB) in severe sepsis and septic shock. Subscribe on iTunes, Android, or Stitcher At the NYSCHP annual assembly, I saw a presentation about a novel way to increase compliance with the sepsis core measure bundle of […]
Episode 184: What is the analgesic ceiling dose of ketorolac?
In this episode, I will discuss the analgesic ceiling dose of ketorolac. Subscribe on iTunes, Android, or Stitcher Back in episode 151, I discussed a trial by Sergey Motov that demonstrated IV ketorolac has an analgesic ceiling dose of 10 mg. Recently, Ken Milne discussed this study on the Skeptics Guide to Emergency Medicine. […]
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