In-Hospital Emergency ResponseClinical Pharmacy SkillsPharmacist Role in ICU RoundsButton 4
Recent Episodes
Episode 50: Overdose scenarios in which supportive care is not enough – acetaminophen, methanol, or ethylene glycol poisoning
In this episode I’ll focus on 2 examples of medication overdose that require more than supportive care to treat effectively:1. Acetaminophen poisoning 2. Methanol & ethylene glycol poisoningA special shout out to my kids for the artwork & audio bumper for this episode!Many poisons, few antidotesExpert Consensus Guidelines for Stocking of Antidotes in Hospitals That […]
Episode 49: Fixed dosing of 4 factor prothrombin complex concentrate, full dose subcutaneous heparin, and pneumotox.com
In this episode I’ll:1. Review an article about fixed dosing of 4-factor prothrombin complex concentrate for emergent warfarin reversal 2. Answer the drug information question: What is the dose of subcutaneous heparin to provide full therapeutic anticoagulation? 3. Share a resource for information about drug-induced & iatrogenic respiratory diseaseThank you to Emergency Medicine Alex for sharing this […]
Episode 48: Pharmacologic support in the treatment of 12 types of shock
In this episode I’ll review the medications used to support the treatment of shock from 12 different etiologies.During the treatment of shock, the patient’s life hangs in the balance while the care team quickly delivers interventions to identify and treat the underlying cause. Many of these interventions require medications to facilitate treatment.I see the pharmacist’s […]
Episode 47: Augmented renal clearance, endocarditis treatment, and tPA risk vs benefit
In this episode I’ll:1. Review an article about augmented renal clearance of antibiotics in critically ill patients 2. Answer the drug information question “For a patient with rash to penicillin that is 5 months s/p TAVR and has 4/4 bottles positive for gram positive cocci resembling staph, what antibiotic regimen should be used?” 3. Share […]
Episode 46: Pharmacologic treatments for anaphylaxis
In this episode I’ll review the pharmacologic treatments for anaphylaxis. Definition Anaphylaxis is a potentially fatal allergic reaction with a rapid onset. Immunoglobulin E (IgE)-mediated allergic reactions to food, insect stings and medications are the most common triggers for anaphylaxis. As a result of the IgE reaction, mast cells release histamine and other mediators of […]
Episode 45: Melatonin decreases need for ICU sedation, NSAIDS and GI prophylaxis, and a myasthenia gravis resource
In this episode I’ll:1. Review an article about using melatonin to decrease the need for sedation in the ICU 2. Answer the drug information question “How long can I take NSAIDs before I need to take GI prophylaxis? 3. Share a resource I use when taking care of a patient with myasthenia gravisArticleMelatonin reduces the need for […]
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