The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

By Pharmacy Joe

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Description

The Elective Rotation - the number 1 ranked Hospital Pharmacy podcast - is created for YOU Pharmacy Nation! If you are a Pharmacy Student, Resident, Pharmacist, Nurse, Physician, or Critical Care Practitioner in a hospital, intensive care unit (ICU) or emergency department looking to improve your practice, The Elective Rotation delivers unbiased critical care and hospital pharmacy content from a Board Certified Pharmacotherapy Specialist. Episodes are published every Monday and Thursday at 3AM EST. Find the show notes at pharmacyjoe.com.

Episode Date
321: The most important piece of information to find out before ICU rounds
1:11
In this episode, I ll discuss the most important piece of information to find out before ICU rounds. Show notes at pharmacyjoe.com/episode321. The post 321: The most important piece of information to find out before ICU rounds appeared first on Critical Care Resources by Pharmacy Joe.
Aug 16, 2018
320: When to use octreotide for upper GI bleeding
4:23
In this episode, I ll discuss when to use octreotide for upper GI bleeding. Show notes at pharmacyjoe.com/episode320. The post 320: When to use octreotide for upper GI bleeding appeared first on Critical Care Resources by Pharmacy Joe.
Aug 13, 2018
319: Are folic acid and folinic acid interchangeable for the treatment of methanol toxicity?
1:21
Show notes at pharmacyjoe.com/episode319. The post 319: Are folic acid and folinic acid interchangeable for the treatment of methanol toxicity? appeared first on Critical Care Resources by Pharmacy Joe.
Aug 09, 2018
318: Half-dose versus full-dose alteplase for PE, enoxaparin vs heparin after alteplase for PE, and a tip for responding to inpatient medical emergencies
6:05
In this episode I ll: 1. Discuss an article comparing half-dose versus full-dose alteplase for the treatment of pulmonary embolism 2. Answer the drug information question Can enoxaparin be used as anticoagulation for PE following the administration of alteplase?” 3. Share a tip for responding to inpatient medical emergencies Show notes at pharmacyjoe.com/episode318. The post 318: Half-dose versus full-dose alteplase for PE, enoxaparin vs heparin after alteplase for PE, and a tip for responding to inpatient medical emergencies appeared first on Critical Care Resources by Pharmacy Joe.
Aug 06, 2018
317: Assessing response to antibiotic therapy in community acquired pneumonia
1:29
Show notes at pharmacyjoe.com/episode317. The post 317: Assessing response to antibiotic therapy in community acquired pneumonia appeared first on Critical Care Resources by Pharmacy Joe.
Aug 02, 2018
316: Iatrogenic propylene glycol toxicity
0:00
Show notes at pharmacyjoe.com/episode316. The post 316: Iatrogenic propylene glycol toxicity appeared first on Critical Care Resources by Pharmacy Joe.
Jul 30, 2018
315: How long do you continue CPR after giving IV push alteplase for pulmonary embolism related cardiac arrest?
0:00
Show notes at pharmacyjoe.com/episode315. The post 315: How long do you continue CPR after giving IV push alteplase for pulmonary embolism related cardiac arrest? appeared first on Critical Care Resources by Pharmacy Joe.
Jul 26, 2018
314: Daptomycin vs linezolid for VRE bacterial clearance, should lidocaine be added to potassium infusions to reduce pain, and a tip for responding to inpatient medical emergencies
0:00
Show notes at pharmacyjoe.com/episode314. In this episode I ll: 1. Discuss an article about the dose of daptomycin and bacterial clearance. 2. Answer the drug information question Should lidocaine be added to potassium infusions to reduce pain?” 3. Share a tip for responding to inpatient medical emergencies. The post 314: Daptomycin vs linezolid for VRE bacterial clearance, should lidocaine be added to potassium infusions to reduce pain, and a tip for responding to inpatient medical emergencies appeared first on Critical Care Resources by Pharmacy Joe.
Jul 23, 2018
313: How to taper a dexmedetomidine infusion
0:00
To celebrate 3 years of podcasting at pharmacyjoe.com I am giving away 3 copies of my book, A Pharmacist’s Guide to Inpatient Medical Emergencies and my 6-module Code Blue and Rapid Response Training Program for Hospital Pharmacists. To enter the contest go to pharmacyjoe.com/3. The post 313: How to taper a dexmedetomidine infusion appeared first on Critical Care Resources by Pharmacy Joe.
Jul 19, 2018
312: A Pharmacist s primer for understanding the continuum of depth of sedation
0:00
In this episode, I’ll discuss the continuum of depth of sedation. Show notes at pharmacyjoe.com/episode312. The post 312: A Pharmacist s primer for understanding the continuum of depth of sedation appeared first on Critical Care Resources by Pharmacy Joe.
Jul 16, 2018
311: When is coag-negative staph a pathogen?
0:00
Show notes at pharmacyjoe.com/episode311 The post 311: When is coag-negative staph a pathogen? appeared first on Critical Care Resources by Pharmacy Joe.
Jul 12, 2018
310: Cost effective C diff treatment, phenobarbital monotherapy in severe alcohol withdrawal, and a tip for responding to inpatient medical emergencies
6:32
Show notes at pharmacyjoe.com/episode310 In this episode I ll: 1. Discuss an article on cost effective C diff treatment. 2. Answer the drug information question “Can phenobarbital be used as monotherapy in patients with severe alcohol withdrawal?” 3. Share a tip for responding to inpatient medical emergencies The post 310: Cost effective C diff treatment, phenobarbital monotherapy in severe alcohol withdrawal, and a tip for responding to inpatient medical emergencies appeared first on Critical Care Resources by Pharmacy Joe.
Jul 09, 2018
309: Can andexanet alpha be used to reverse heparin?
1:34
In this episode, I ll discuss how andexanet alpha can be used to reverse heparin. Show notes at pharmacyjoe.com/episode309. The post 309: Can andexanet alpha be used to reverse heparin? appeared first on Critical Care Resources by Pharmacy Joe.
Jul 05, 2018
308: Causes, treatment, and prevention of stridor
0:00
Show notes at pharmacyjoe.com/episode308. In this episode, I ll discuss the causes, treatment, and prevention of stridor. The post 308: Causes, treatment, and prevention of stridor appeared first on Critical Care Resources by Pharmacy Joe.
Jul 02, 2018
307: How desmopressin (DDAVP) can be used for intracranial hemorrhage
0:00
Show notes at pharmacyjoe.com/episode307. The post 307: How desmopressin (DDAVP) can be used for intracranial hemorrhage appeared first on Critical Care Resources by Pharmacy Joe.
Jun 28, 2018
306: Order of vasopressor discontinuation, why is daptomycin dosed once daily, and a tip for responding to inpatient medical emergencies
6:15
Show notes at pharmacyjoe.com/episode306. In this episode I ll: 1. Discuss an article on the discontinuation order of vasopressors in the management of septic shock. 2. Answer the drug information question Why is daptomycin dosed once daily?” 3. Share a tip for responding to inpatient medical emergencies. The post 306: Order of vasopressor discontinuation, why is daptomycin dosed once daily, and a tip for responding to inpatient medical emergencies appeared first on Critical Care Resources by Pharmacy Joe.
Jun 25, 2018
305: Critical care scenarios where the monitoring and replacement of calcium are warranted
1:35
Show notes at pharmacyjoe.com/episode305. The post 305: Critical care scenarios where the monitoring and replacement of calcium are warranted appeared first on Critical Care Resources by Pharmacy Joe.
Jun 21, 2018
304: Lactate clearance in sepsis isn t as straightforward as the guidelines make it seem
4:33
Show notes at pharmacyjoe.com/episode304. In this episode, I’ll discuss how lactate clearance in sepsis isn’t as straightforward as the guidelines make it seem. The post 304: Lactate clearance in sepsis isn t as straightforward as the guidelines make it seem appeared first on Critical Care Resources by Pharmacy Joe.
Jun 18, 2018
303: Evaluating lithium levels in the setting of lithium toxicity
1:40
Show notes at pharmacyjoe.com/episode303. In this episode, I ll discuss how to evaluate lithium levels in the setting of lithium toxicity. The post 303: Evaluating lithium levels in the setting of lithium toxicity appeared first on Critical Care Resources by Pharmacy Joe.
Jun 14, 2018
302: FEIBA vs KCentra, intermittent vs continuous PPIs, and a tip for responding to inpatient medical emergencies
6:52
Show notes at pharmacyjoe.com/episode302. In this episode I ll: 1. Discuss an article comparing FEIBA with KCentra. 2. Answer the drug information question “Can intermittent boluses of pantoprazole be used to treat acute GI bleeding rather than continuous infusions?” 3. Share a tip for responding to inpatient medical emergencies. The post 302: FEIBA vs KCentra, intermittent vs continuous PPIs, and a tip for responding to inpatient medical emergencies appeared first on Critical Care Resources by Pharmacy Joe.
Jun 11, 2018
301: IV compatibility in critical situations
1:18
Show notes at pharmacyjoe.com/episode301. The post 301: IV compatibility in critical situations appeared first on Critical Care Resources by Pharmacy Joe.
Jun 07, 2018
300: Catheter-directed alteplase for pulmonary embolism
5:40
Show notes at pharmacyjoe.com/episode300. In this episode, I ll discuss catheter-directed alteplase for pulmonary embolism. The post 300: Catheter-directed alteplase for pulmonary embolism appeared first on Critical Care Resources by Pharmacy Joe.
Jun 04, 2018
299: Beware the unknown toxicokinetics of loperamide
1:41
Show notes at pharmacyjoe.com/episode299. The post 299: Beware the unknown toxicokinetics of loperamide appeared first on Critical Care Resources by Pharmacy Joe.
May 31, 2018
298: Subcutaneous dexmedetomidine, why IV dextrose is given to patients with DKA, and a tip for responding to inpatient medical emergencies
5:24
Show notes at pharmacyjoe.com/episode298. In this episode I ll: 1. Discuss an article about subcutaneously administered dexmedetomidine. 2. Answer the drug information question “Why is IV dextrose given to patients with DKA?” 3. Share a tip for responding to inpatient medical emergencies. The post 298: Subcutaneous dexmedetomidine, why IV dextrose is given to patients with DKA, and a tip for responding to inpatient medical emergencies appeared first on Critical Care Resources by Pharmacy Joe.
May 28, 2018
297: How long does it take for high dose insulin for calcium channel blocker or beta blocker overdose to start working?
1:38
In this episode, I ll discuss How long it takes for high dose insulin for calcium channel blocker or beta blocker overdose to start working. Show notes at pharmacyjoe.com/episode297 The post 297: How long does it take for high dose insulin for calcium channel blocker or beta blocker overdose to start working? appeared first on Critical Care Resources by Pharmacy Joe.
May 24, 2018
296: Dosing of beta-lactam antibiotics in the setting of augmented renal clearance
5:22
Show notes at pharmacyjoe.com/episode296 In this episode, I ll discuss the dosing of beta-lactam antibiotics in the setting of augmented renal clearance. The post 296: Dosing of beta-lactam antibiotics in the setting of augmented renal clearance appeared first on Critical Care Resources by Pharmacy Joe.
May 21, 2018
295: A classic systematic review and meta-analysis counterargument to evidence based medicine
1:49
Show notes at pharmacyjoe.com/episode295. The post 295: A classic systematic review and meta-analysis counterargument to evidence based medicine appeared first on Critical Care Resources by Pharmacy Joe.
May 17, 2018
294: Infusion rate for analgesic doses of ketamine, Is sodium polystyrene sulfate effective for the treatment of severe, acute hyperkalemia, and a tip for responding to inpatient medical emergencies
6:16
Show notes at pharmacyjoe.com/episode294. In this episode I ll: 1. Discuss an article about the rate of infusion for analgesic doses of ketamine. 2. Answer the drug information question Is sodium polystyrene sulfate effective for the treatment of severe, acute hyperkalemia? 3. Share a tip for responding to inpatient medical emergencies. The post 294: Infusion rate for analgesic doses of ketamine, Is sodium polystyrene sulfate effective for the treatment of severe, acute hyperkalemia, and a tip for responding to inpatient medical emergencies appeared first on Critical Care Resources by Pharmacy Joe.
May 14, 2018
293: Hyperkalemia and why the order of treatment matters
1:53
Show notes at pharmacyjoe.com/episode293 The post 293: Hyperkalemia and why the order of treatment matters appeared first on Critical Care Resources by Pharmacy Joe.
May 10, 2018
292: Wernicke s encephalopathy (Wernicke-Korsakoff syndrome)
5:36
Show notes at pharmacyjoe.com/episode292. In this episode, I ll discuss Wernicke s encephalopathy. The post 292: Wernicke s encephalopathy (Wernicke-Korsakoff syndrome) appeared first on Critical Care Resources by Pharmacy Joe.
May 07, 2018
291: Short-acting opioid dose titration tips for inpatients with uncontrolled acute pain
2:07
Show notes at pharmacyjoe.com/episode291 In this episode, I’ll discuss short-acting opioid dose titration tips for inpatients with uncontrolled acute pain The post 291: Short-acting opioid dose titration tips for inpatients with uncontrolled acute pain appeared first on Critical Care Resources by Pharmacy Joe.
May 03, 2018
290: Trends in Use of Midodrine in the ICU, phentolamine for dobutamine extravasation, and a resource for targeted medication safety best practices for hospitals
6:15
Show notes at pharmacyjoe.com/episode290 In this episode I ll: 1. Discuss an article about trends in use of midodrine in the ICU. 2. Answer the drug information question “Should phentolamine be used to treat dobutamine extravasation?” 3. Share a resource for targeted medication safety best practices for hospitals. The post 290: Trends in Use of Midodrine in the ICU, phentolamine for dobutamine extravasation, and a resource for targeted medication safety best practices for hospitals appeared first on Critical Care Resources by Pharmacy Joe.
Apr 30, 2018
289: The 4 most common fixes to inadequate pain management
1:41
The post 289: The 4 most common fixes to inadequate pain management appeared first on Critical Care Resources by Pharmacy Joe.
Apr 26, 2018
288: The one formula that explains (almost) all inpatient medical emergencies
5:32
Show notes at pharmacyjoe.com/episode288 In this episode, I’ll discuss the one formula that explains (almost) all inpatient medical emergencies. The post 288: The one formula that explains (almost) all inpatient medical emergencies appeared first on Critical Care Resources by Pharmacy Joe.
Apr 23, 2018
287: How to stop stumbling through conversations with physicians
2:11
In this episode, I ll discuss how to stop stumbling through conversations with physicians. The post 287: How to stop stumbling through conversations with physicians appeared first on Critical Care Resources by Pharmacy Joe.
Apr 19, 2018
286: Oral versus intraoperative i.v. acetaminophen, Should vasopressin be started at the same time as norepinephrine in septic shock? And a resource on what a pharmacist should know about mechanical ventilation
5:32
Show notes at pharmacyjoe.com/episode286. In this episode I ll: 1. Discuss an article about preoperative oral versus intraoperative i.v. acetaminophen. 2. Answer the drug information question “Should vasopressin be started at the same time as norepinephrine in septic shock?” 3. Share a resource on what a pharmacist should know about mechanical ventilation. The post 286: Oral versus intraoperative i.v. acetaminophen, Should vasopressin be started at the same time as norepinephrine in septic shock? And a resource on what a pharmacist should know about mechanical ventilation appeared first on Critical Care Resources by Pharmacy Joe.
Apr 16, 2018
285: The easiest single thing hospital pharmacists can do to increase their productivity
1:17
In this episode, I’ll discuss why patients with severe alcoholic hepatitis are given prednisolone. The post 285: The easiest single thing hospital pharmacists can do to increase their productivity appeared first on Critical Care Resources by Pharmacy Joe.
Apr 12, 2018
284: Updated 2018 IDSA C. difficile guidelines
4:41
Show notes at pharmacyjoe.com/episode284. In this episode, I’ll discuss the updated 2018 C. difficile guidelines. The post 284: Updated 2018 IDSA C. difficile guidelines appeared first on Critical Care Resources by Pharmacy Joe.
Apr 09, 2018
283: Why are patients with severe alcoholic hepatitis given prednisolone?
1:17
In this episode, I’ll discuss why patients with severe alcoholic hepatitis are given prednisolone. The post 283: Why are patients with severe alcoholic hepatitis given prednisolone? appeared first on Critical Care Resources by Pharmacy Joe.
Apr 05, 2018
282: Predicting intubation-related cardiac arrest, apnea risk of ketamine, and a resource for patients who cannot have a blood transfusion
6:15
Show notes at pharmacyjoe.com/episode282. In this episode I ll: 1. Discuss an article about Cardiac Arrest and Mortality Related to Intubation Procedure in Critically Ill Adult Patients. 2. Answer the drug information question “Is it possible for ketamine to cause apnea?” 3. Share a resource for managing patients for whom blood transfusion is not an option. The post 282: Predicting intubation-related cardiac arrest, apnea risk of ketamine, and a resource for patients who cannot have a blood transfusion appeared first on Critical Care Resources by Pharmacy Joe.
Apr 02, 2018
281: The 3 skill levels of pharmacists who respond to code blue and rapid response team calls
1:56
In this episode, I’ll discuss the 3 skill levels of pharmacists who respond to code blue and rapid response team calls. The post 281: The 3 skill levels of pharmacists who respond to code blue and rapid response team calls appeared first on Critical Care Resources by Pharmacy Joe.
Mar 29, 2018
280: Beta-lactam antibiotic dosing concerns in obese adult patients
5:22
Show notes at pharmacyjoe.com/episode280. In this episode, I ll discuss beta-lactam antibiotic dosing concerns in obese adult patients. The post 280: Beta-lactam antibiotic dosing concerns in obese adult patients appeared first on Critical Care Resources by Pharmacy Joe.
Mar 26, 2018
279: Is the Critical Care Pain Observation Tool the best non-verbal pain scale to use in the ICU?
1:42
In this episode, I’ll discuss whether the Critical Care Pain Observation Tool the best non-verbal pain scale to use in the ICU. Show notes at pharmacyjoe.com/episode279. The post 279: Is the Critical Care Pain Observation Tool the best non-verbal pain scale to use in the ICU? appeared first on Critical Care Resources by Pharmacy Joe.
Mar 22, 2018
278: KCentra vs FEIBA, ibuprofen in hemodialysis, and a resource for individualized antibiotic dosing
6:33
In this episode I ll: 1. Discuss an article comparing KCentra with FEIBA. 2. Answer the drug information question “Does ibuprofen accumulate in renal insufficiency?” 3. Share a resource for individualizing antibioitic dosing. Show notes at pharmacyjoe.com/episode278. The post 278: KCentra vs FEIBA, ibuprofen in hemodialysis, and a resource for individualized antibiotic dosing appeared first on Critical Care Resources by Pharmacy Joe.
Mar 19, 2018
277: Why as a pharmacist you need to “know what you don t know”
1:50
In this episode, I ll discuss why as a pharmacist you need to “know what you don t know.” The post 277: Why as a pharmacist you need to “know what you don t know” appeared first on Critical Care Resources by Pharmacy Joe.
Mar 15, 2018
276: Top 100 Drug Interactions Review
7:03
Show notes at pharmacyjoe.com/episode276. The post 276: Top 100 Drug Interactions Review appeared first on Critical Care Resources by Pharmacy Joe.
Mar 12, 2018
275: Characteristics of dexmedetomidine induced fever
1:37
In this episode, I ll discuss the characteristics of dexmedetomidine-induced fever. The post 275: Characteristics of dexmedetomidine induced fever appeared first on Critical Care Resources by Pharmacy Joe.
Mar 08, 2018
274: Modification of guideline-directed medical therapy in heart failure, linezolid in nec fasc, and how to get full-text journal access
6:01
Show notes at pharmacyjoe.com/episode274. In this episode I ll: 1. Discuss an article about modification of guideline-directed medical therapy in HF. 2. Answer the drug information question “Can linezolid be used to inhibit bacterial toxin production in necrotizing fasciitis?” 3. Share a resource for full-text journal access. The post 274: Modification of guideline-directed medical therapy in heart failure, linezolid in nec fasc, and how to get full-text journal access appeared first on Critical Care Resources by Pharmacy Joe.
Mar 05, 2018
273: When alteplase is given for PE-related cardiac arrest, how long should CPR be continued?
1:48
Show notes at pharmacyjoe.com/episode273. In this episode, I ll discuss how long should CPR be continued when alteplase is given for PE-related cardiac arrest. The post 273: When alteplase is given for PE-related cardiac arrest, how long should CPR be continued? appeared first on Critical Care Resources by Pharmacy Joe.
Mar 01, 2018
272: How to make sure your hospital is prepared to administer lipid rescue therapy
5:36
Show notes at pharmacyjoe.com/episode272. In this episode, I ll discuss how to make sure your hospital is prepared to administer lipid rescue therapy The post 272: How to make sure your hospital is prepared to administer lipid rescue therapy appeared first on Critical Care Resources by Pharmacy Joe.
Feb 26, 2018
271: Should dexmedetomidine be started with a loading dose?
1:35
In this episode, I ll discuss whether dexmedetomidine should be started with a loading dose. The post 271: Should dexmedetomidine be started with a loading dose? appeared first on Critical Care Resources by Pharmacy Joe.
Feb 22, 2018
270: Stress ulcer prophylaxis vs enteral nutrition, tamsulosin for trial without catheter in a female patient, and a resource for understanding statistical significance versus the clinical importance of observed effect sizes
6:50
Show notes at pharmacyjoe.com/episode270. In this episode I ll: Discuss an article about stress ulcer prophylaxis in patients receiving enteral nutrition. Answer the drug information question How long after giving a female patient with urinary retention tamsulosin should a trial without catheter be attempted? Share a resource for understanding statistical significance versus the clinical importance of observed […] The post 270: Stress ulcer prophylaxis vs enteral nutrition, tamsulosin for trial without catheter in a female patient, and a resource for understanding statistical significance versus the clinical importance of observed effect sizes appeared first on Critical Care Resources by Pharmacy Joe.
Feb 19, 2018
269: What is a safe amount to increase short acting opioid doses to control acute pain in hospital inpatients?
1:39
In this episode, I ll discuss what I think is a safe amount to increase short-acting opioid doses to control acute pain in hospital inpatients. Evidence for this episode linked here. The post 269: What is a safe amount to increase short acting opioid doses to control acute pain in hospital inpatients? appeared first on Critical Care Resources by Pharmacy Joe.
Feb 15, 2018
268: How to study for and pass BCPS or any Board of Pharmaceutical Specialties exam
5:20
Show notes at pharmacyjoe.com/episode268. In this episode, I ll share a method for studying and passing the BCPS or any Board of Pharmaceutical Specialties exam. There are two board of pharmaceutical specialties testing windows in each year; one in the spring and one in the fall. The post 268: How to study for and pass BCPS or any Board of Pharmaceutical Specialties exam appeared first on Critical Care Resources by Pharmacy Joe.
Feb 12, 2018
267: The 3 different dose-dependent effects of dopamine
1:57
In this episode, I ll discuss the 3 different dose-dependent effects of dopamine. The post 267: The 3 different dose-dependent effects of dopamine appeared first on Critical Care Resources by Pharmacy Joe.
Feb 08, 2018
266: Corticosteroids in septic shock, which dose of vasopressin should be used, and a resource for residency and job interviews
6:21
Show notes at pharmacyjoe.com/episode266. In this episode I ll: 1. Discuss an article about corticosteroids in septic shock. 2. Answer the drug information question “Which dose of vasopressin should be used in septic patients?” 3. Share a resource for residency and job interviews. The post 266: Corticosteroids in septic shock, which dose of vasopressin should be used, and a resource for residency and job interviews appeared first on Critical Care Resources by Pharmacy Joe.
Feb 05, 2018
265: How to dose magnesium sulfate to treat torsades
1:31
In this episode, I’ll discuss how to dose magnesium sulfate to treat torsades. The post 265: How to dose magnesium sulfate to treat torsades appeared first on Critical Care Resources by Pharmacy Joe.
Feb 01, 2018
264: How a pharmacist can assess a critical care patient
6:50
Show notes at pharmacyjoe.com/episode264. IIn this episode, I’ll discuss how a pharmacist can assess a critical care patient. The post 264: How a pharmacist can assess a critical care patient appeared first on Critical Care Resources by Pharmacy Joe.
Jan 29, 2018
263: What makes ketamine different from other sedatives & analgesics used in critical care?
1:47
In this episode, I ll discuss what makes ketamine different from other sedatives & analgesics used in critical care. The post 263: What makes ketamine different from other sedatives & analgesics used in critical care? appeared first on Critical Care Resources by Pharmacy Joe.
Jan 25, 2018
262: Which vasopressor should be stopped first? Do patients with liver disease and prolonged PT/INR levels still need VTE prophylaxis? And a resource that reviews noteworthy Emergency Medicine articles from 2017
5:55
Show notes at pharmacyjoe.com/episode262. In this episode I ll: 1. Discuss an article about which vasopressor should be stopped first. 2. Answer the drug information question “Do patients with liver disease and prolonged PT/INR levels still need VTE prophylaxis?” 3. Share a resource that reviews noteworthy Emergency Medicine articles from 2017. The post 262: Which vasopressor should be stopped first? Do patients with liver disease and prolonged PT/INR levels still need VTE prophylaxis? And a resource that reviews noteworthy Emergency Medicine articles from 2017 appeared first on Critical Care Resources by Pharmacy Joe.
Jan 22, 2018
261: How to predict and confirm augmented renal clearance
2:14
In this episode, I ll discuss how to predict and confirm augmented renal clearance. For a calculator to determine the ARC score and link to evidence supporting the prediction and confirmation of ARC go to https://www.pharmacyjoe.com/arc/ If you are listening to this podcast before 10 pm EST on January 21, 2018, you can try out the […] The post 261: How to predict and confirm augmented renal clearance appeared first on Critical Care Resources by Pharmacy Joe.
Jan 18, 2018
260: How to tell if a patient is about to be intubated
5:32
Show notes at pharmacyjoe.com/episode260. In this episode, I ll discuss how to tell if a patient is about to be intubated. If you are listening to this podcast before 10 pm EST on January 21, 2018, you can try out the Hospital Pharmacy Academy for a full 7 days for only 1 dollar by going to […] The post 260: How to tell if a patient is about to be intubated appeared first on Critical Care Resources by Pharmacy Joe.
Jan 15, 2018
259: Is the interaction between metoclopramide and olanzapine significant?
1:24
In this episode, I ll discuss the interaction between metoclopramide and olanzapine. For more on how I evaluate drug interactions go to pharmacyjoe.com/interactions The post 259: Is the interaction between metoclopramide and olanzapine significant? appeared first on Critical Care Resources by Pharmacy Joe.
Jan 11, 2018
258: Higher vs. lower MAP targets, should a higher dose of heparin be used for VTE prophylaxis in obese patients, and a resource for patient education materials on sepsis
6:04
Show notes at pharmacyjoe.com/episode258. In this episode I ll: 1. Discuss an article analyzing higher versus lower blood pressure targets for vasopressor therapy septic and vasodilatory shock. 2. Answer the drug information question Should a higher dose of heparin be used for VTE prophylaxis in obese patients?” 3. Share a resource for patient education materials on […] The post 258: Higher vs. lower MAP targets, should a higher dose of heparin be used for VTE prophylaxis in obese patients, and a resource for patient education materials on sepsis appeared first on Critical Care Resources by Pharmacy Joe.
Jan 08, 2018
257: Preventing injection site pain from etomidate
1:59
In this episode, i ll discuss preventing injection site pain from etomidate. Evidence at pharmacyjoe.com/episode257. The post 257: Preventing injection site pain from etomidate appeared first on Critical Care Resources by Pharmacy Joe.
Jan 04, 2018
256: Angiotensin II for the Treatment of Vasodilatory Shock
6:29
In this episode, I’ll discuss angiotensin II for the treatment of vasodilatory shock. Show notes at pharmacyjoe.com/episode256. The post 256: Angiotensin II for the Treatment of Vasodilatory Shock appeared first on Critical Care Resources by Pharmacy Joe.
Jan 01, 2018
255: How to taper off steroids used for adrenal insufficiency in septic shock
1:41
In this episode, I’ll discuss how to taper off steroids used for adrenal insufficiency in septic shock. The post 255: How to taper off steroids used for adrenal insufficiency in septic shock appeared first on Critical Care Resources by Pharmacy Joe.
Dec 28, 2017
254: High-dose daptomycin for patients with MRSA bacteremia, which patients receiving once-daily gentamicin dosing should have a trough level checked, and a resource for up to date antimicrobial sensitivity breakpoints
5:43
Show notes at pharmacyjoe.com/episode254. In this episode I ll: 1. Discuss an article about high-dose daptomycin for patients with MRSA bacteremia. 2. Answer the drug information question “Which patients receiving once-daily gentamicin dosing should have a trough level checked?” 3. Share a resource for up to date antimicrobial sensitivity breakpoints.   The post 254: High-dose daptomycin for patients with MRSA bacteremia, which patients receiving once-daily gentamicin dosing should have a trough level checked, and a resource for up to date antimicrobial sensitivity breakpoints appeared first on Critical Care Resources by Pharmacy Joe.
Dec 25, 2017
253: How to wean a naloxone infusion
1:44
In this episode, I’ll discuss how to wean a naloxone infusion. The post 253: How to wean a naloxone infusion appeared first on Critical Care Resources by Pharmacy Joe.
Dec 21, 2017
252: Stenotrophomonas
5:23
Show notes at pharmacyjoe.com/episode252. In this episode, I will discuss the organism Stenotrophomonas maltophilia.   The post 252: Stenotrophomonas appeared first on Critical Care Resources by Pharmacy Joe.
Dec 18, 2017
251: The 3 factors that predict hypotension from dexmedetomidine
1:54
Members of my Hospital Pharmacy Academy have access to my in-depth training on the practical use of dexmedetomidine and other sedatives in the ICU. To join the Academy for members-only trainings, literature updates, and discussion forums go to pharmacyjoe.com/academy. The post 251: The 3 factors that predict hypotension from dexmedetomidine appeared first on Critical Care Resources by Pharmacy Joe.
Dec 14, 2017
250: Ketamine infusion for sedation in mechanically ventilated patients, therapeutic hypothermia and anticoagulation, and a resource for HIV guidelines
8:53
Show notes at pharmacyjoe.com/episode250. In this episode I ll: 1. Discuss an article about using ketamine infusion for sedation in mechanically ventilated patients. 2. Answer the drug information question “Can patients undergoing therapeutic hypothermia receive continuous heparin infusion?” 3. Share a resource for HIV guidelines. The post 250: Ketamine infusion for sedation in mechanically ventilated patients, therapeutic hypothermia and anticoagulation, and a resource for HIV guidelines appeared first on Critical Care Resources by Pharmacy Joe.
Dec 11, 2017
249: 3 pearls for dosing vancomycin
1:50
In this episode, I’ll discuss 3 pearls for dosing vancomycin. Starting today members of my Hospital Pharmacy Academy have access to my Masterclass on vancomycin dosing where I discuss the current guidelines, dosing strategies, and all my clinical pearls for the use of vancomycin. Join the academy to get immediate access to the vancomycin masterclass and […] The post 249: 3 pearls for dosing vancomycin appeared first on Critical Care Resources by Pharmacy Joe.
Dec 07, 2017
248: Current strategies for the reversal of life-threatening bleeding due to direct oral anticoagulants (DOACs)
0:00
In this episode, I’ll discuss current strategies for the reversal of life-threatening bleeding due to direct oral anticoagulants (DOACs). Show notes at pharmacyjoe.com/episode248. This month marks the one-year anniversary of the Critical Care Pharmacy Academy. Over 200 pharmacists have joined the Academy to learn and enhance their critical care skills. Because many Academy members cross-cover […] The post 248: Current strategies for the reversal of life-threatening bleeding due to direct oral anticoagulants (DOACs) appeared first on Critical Care Resources by Pharmacy Joe.
Dec 04, 2017
247: The one question to ask before deciding the dose of naloxone to give a hospital inpatient
1:54
In this episode, I’ll discuss the one question to ask before deciding the dose of naloxone to give a hospital inpatient. The post 247: The one question to ask before deciding the dose of naloxone to give a hospital inpatient appeared first on Critical Care Resources by Pharmacy Joe.
Nov 30, 2017
246: Part 2 of the Guidelines for the Diagnosis and Management of Critical Illness-Related Corticosteroid Insufficiency (CIRCI) in Critically Ill Patients, does dexmedetomidine prolong the QTc interval? and a resource for looking up chemical and physical properties of a medication
6:12
In this episode I ll: 1. Discuss Part 2 of the Guidelines for the Diagnosis and Management of Critical Illness-Related Corticosteroid Insufficiency (CIRCI) in Critically Ill Patients. 2. Answer the drug information question Does dexmedetomidine prolong the QTc interval? 3. Share a resource for looking up chemical and physical properties of a medication. Show notes at […] The post 246: Part 2 of the Guidelines for the Diagnosis and Management of Critical Illness-Related Corticosteroid Insufficiency (CIRCI) in Critically Ill Patients, does dexmedetomidine prolong the QTc interval? and a resource for looking up chemical and physical properties of a medication appeared first on Critical Care Resources by Pharmacy Joe.
Nov 27, 2017
245: Why you can t use dexmedetomidine as monotherapy for severe alcohol withdrawal
1:39
If you are shopping on Amazon this holiday season (and beyond!), remember you can support what I am doing with this podcast by clicking my affiliate link at pharmacyjoe.com/shop. You’ll pay the same price, and The Elective Rotation will receive a percentage of each sale to help with the costs associated with producing this podcast. The post 245: Why you can t use dexmedetomidine as monotherapy for severe alcohol withdrawal appeared first on Critical Care Resources by Pharmacy Joe.
Nov 23, 2017
244: Management of hyponatremia
6:30
In this episode, I will discuss the management of hyponatremia. Show notes at pharmacyjoe.com/episode244. I am excited to announce that I now have a 6-hour program with ACPE continuing education credits on the subject of Inpatient Emergency Response Training for Pharmacists. This program provides comprehensive training on the role of a pharmacist at inpatient medical […] The post 244: Management of hyponatremia appeared first on Critical Care Resources by Pharmacy Joe.
Nov 20, 2017
243: How to fit topic discussions into your busy preceptor schedule
0:00
In this episode, I’ll discuss how to fit topic discussions into your busy preceptor schedule. Get an example of the 7 questions I use to lead a topic discussion in my free download area. It’s download #17. The post 243: How to fit topic discussions into your busy preceptor schedule appeared first on Critical Care Resources by Pharmacy Joe.
Nov 16, 2017
242: Mortality effects of prolonged versus short-term intravenous infusion of antipseudomonal β-lactams, bicarb IV compatibility, and a free resource for checking IV compatibility
6:13
In this episode I ll: 1. Discuss an article about prolonged versus short-term intravenous infusion of antipseudomonal β-lactams for patients with sepsis. 2. Answer the drug information question What IV medications are compatible with sodium bicarbonate?” 3. Share a free resource for checking IV compatibility. Show notes at pharmacyjoe.com/episode242. The post 242: Mortality effects of prolonged versus short-term intravenous infusion of antipseudomonal β-lactams, bicarb IV compatibility, and a free resource for checking IV compatibility appeared first on Critical Care Resources by Pharmacy Joe.
Nov 13, 2017
241: Can olanzapine be given intravenously?
1:49
In this episode, I’ll discuss whether olanzapine can be given intravenously. Members of my Hospital Pharmacy Academy have access to my in-depth training on the treatment of severe alcohol. To access this training and much more go to pharmacyjoe.com/academy. Evidence here The post 241: Can olanzapine be given intravenously? appeared first on Critical Care Resources by Pharmacy Joe.
Nov 09, 2017
240: What to do with norepinephrine extravasation
4:18
In this episode, I’ll discuss what to do when norepinephrine extravasates. Show notes at pharmacyjoe.com/episode240. The post 240: What to do with norepinephrine extravasation appeared first on Critical Care Resources by Pharmacy Joe.
Nov 06, 2017
239: The paradox of benzodiazepines & respiratory failure in severe alcohol withdrawal
1:49
In this episode, I’ll discuss the paradox of benzodiazepines & respiratory failure in severe alcohol withdrawal. Members of my critical care pharmacy academy have access to my in-depth training on the treatment of severe alcohol. To access this training and much more go to pharmacyjoe.com/academy. Evidence: The need for mechanical ventilation was reduced in two […] The post 239: The paradox of benzodiazepines & respiratory failure in severe alcohol withdrawal appeared first on Critical Care Resources by Pharmacy Joe.
Nov 02, 2017
238: Ketamine as an analgesic adjunct in critically ill patients, at what MIC should an alternative to vancomycin be used to treat meningitis, and a resource for those interested in pharmacy compounding
5:59
Show notes at pharmacyjoe.com/episode238. In this episode I ll: 1. Discuss an article about using ketamine as an analgesic adjunct in critically ill patients. 2. Answer the drug information question At what MIC should an alternative to vancomycin be used to treat meningitis? 3. Share a resource for those interested in pharmacy compounding. The post 238: Ketamine as an analgesic adjunct in critically ill patients, at what MIC should an alternative to vancomycin be used to treat meningitis, and a resource for those interested in pharmacy compounding appeared first on Critical Care Resources by Pharmacy Joe.
Oct 30, 2017
237: Why can t you give calcium gluconate by rapid IV push?
1:20
In this episode, I’ll discuss why can t you give calcium gluconate by rapid IV push. For more on use of calcium for hyperkalemia go to pharmacyjoe.com/episode34. The post 237: Why can t you give calcium gluconate by rapid IV push? appeared first on Critical Care Resources by Pharmacy Joe.
Oct 26, 2017
236: Cyproheptadine to treat serotonin syndrome
4:21
Show notes at pharmacyjoe.com/episode236. In this episode, I’ll discuss the use of cyproheptadine to treat serotonin syndrome. The post 236: Cyproheptadine to treat serotonin syndrome appeared first on Critical Care Resources by Pharmacy Joe.
Oct 23, 2017
235: Alternatives to fentanyl for continuous sedation due to the shortage
2:09
In this episode, I’ll discuss alternatives to fentanyl for continuous sedation due to the shortage. The post 235: Alternatives to fentanyl for continuous sedation due to the shortage appeared first on Critical Care Resources by Pharmacy Joe.
Oct 19, 2017
234: 5 vs 10 units of insulin for hyperkalemia, how long can you use high dose insulin for a calcium channel blocker overdose, and a resource for learning about pharmacologic issues in anesthesia
5:58
Show notes at pharmacyjoe.com/episode234. In this episode I ll: 1. Discuss an article comparing two insulin doses for the treatment of hyperkalemia in patients with renal insufficiency. 2. Answer the drug information question How long can you use high dose insulin for a calcium channel blocker overdose?” 3. Share a resource for learning about pharmacologic issues […] The post 234: 5 vs 10 units of insulin for hyperkalemia, how long can you use high dose insulin for a calcium channel blocker overdose, and a resource for learning about pharmacologic issues in anesthesia appeared first on Critical Care Resources by Pharmacy Joe.
Oct 16, 2017
233: How to taper a vasopressor infusion using oral midodrine
2:08
In this episode, I’ll discuss how to taper a vasopressor infusion using oral midodrine. The post 233: How to taper a vasopressor infusion using oral midodrine appeared first on Critical Care Resources by Pharmacy Joe.
Oct 12, 2017
232: How to deal with allergic reactions to local anesthetics, and a tip on how to memorize ester vs. amide anesthetics
3:20
Show notes at pharmacyjoe.com/episode232. In this episode, I ll discuss how I deal with allergic reactions to local anesthetics. I ll also include a tip that will help you never forget how to tell whether a local anesthetic is ester or amide-based. The post 232: How to deal with allergic reactions to local anesthetics, and a tip on how to memorize ester vs. amide anesthetics appeared first on Critical Care Resources by Pharmacy Joe.
Oct 09, 2017
231: 4 Pearls for the use of daptomycin in the ICU
1:50
In this episode I ll discuss 4 pearls for the use of daptomycin in the ICU: The post 231: 4 Pearls for the use of daptomycin in the ICU appeared first on Critical Care Resources by Pharmacy Joe.
Oct 05, 2017
230: IVIG for refractory HIT, differences in QTc risk among quinolones, and a resource for searching FDA reports of adverse reactions to medications
5:56
Show notes at pharmacyjoe.com/episode230. In this episode I ll: 1. Discuss an article about using IVIG for refractory HIT. 2. Answer the drug information question “Do some quinolones have lower QTc prolongation risk than others?” 3. Share a resource for searching FDA reports of adverse reactions to medications. The post 230: IVIG for refractory HIT, differences in QTc risk among quinolones, and a resource for searching FDA reports of adverse reactions to medications appeared first on Critical Care Resources by Pharmacy Joe.
Oct 02, 2017
229: Why you should never treat sinus tachycardia
1:52
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 […] The post 229: Why you should never treat sinus tachycardia appeared first on Critical Care Resources by Pharmacy Joe.
Sep 28, 2017
228: 3 Points to keep in mind when preparing your pharmacy department s code response plan
5:10
Show notes at pharmacyjoe.com/episode228. In this episode, I’ll discuss 3 points to keep in mind when preparing your pharmacy department s code response plan: 1. Ensure that someone responds when expected. 2. Don t let the perfect stand in the way of the good. 3. Use your response plan to facilitate training residents and new responders. The post 228: 3 Points to keep in mind when preparing your pharmacy department s code response plan appeared first on Critical Care Resources by Pharmacy Joe.
Sep 25, 2017
227: What to do about the serum potassium when treating DKA or HHS?
1:37
In this episode, I’ll discuss what to do about the serum potassium when treating DKA or HHS. You can watch or listen to this episode on my youtube channel: The post 227: What to do about the serum potassium when treating DKA or HHS? appeared first on Critical Care Resources by Pharmacy Joe.
Sep 21, 2017
226: Nebulized amikacin to treat hospital and ventilator associated pneumonia, sodium polystyrene sulfate and intestinal necrosis, and a resource for pharmacy calculations and other useful information
5:06
Show notes at pharmacyjoe.com/episode226. In this episode I ll: 1. Discuss an article about using nebulized amikacin to treat hospital and ventilator-associated pneumonia. 2. Answer the drug information question Can sodium polystyrene sulfate cause intestinal necrosis?” 3. Share a resource for pharmacy calculations and other useful information. The post 226: Nebulized amikacin to treat hospital and ventilator associated pneumonia, sodium polystyrene sulfate and intestinal necrosis, and a resource for pharmacy calculations and other useful information appeared first on Critical Care Resources by Pharmacy Joe.
Sep 18, 2017
225: There are only 2 reasons to reduce a medication dose for renal insufficiency in the ICU
1:37
In this episode, I’ll discuss the two reasons to reduce a medication dose for renal insufficiency. You can watch or listen to this episode on my youtube channel: The post 225: There are only 2 reasons to reduce a medication dose for renal insufficiency in the ICU appeared first on Critical Care Resources by Pharmacy Joe.
Sep 14, 2017
224: Pharmacotherapy considerations during massive transfusion
4:57
Show notes at pharmacyjoe.com/episode224. In this episode, I ll discuss pharmacotherapy considerations that arise from massive transfusion.   The post 224: Pharmacotherapy considerations during massive transfusion appeared first on Critical Care Resources by Pharmacy Joe.
Sep 11, 2017
223: What an ICU pharmacist should do if your patient has stridor
1:50
If I hear a stridorous patient, or hear other clinicians saying that a patient has stridor, what should you do? You can watch or listen to this episode on my youtube channel: The post 223: What an ICU pharmacist should do if your patient has stridor appeared first on Critical Care Resources by Pharmacy Joe.
Sep 07, 2017
222: Fondaparinux in critically ill patients with severe renal dysfunction, clindamycin in necrotizing fasciitis, and a resource to make your midyear poster presentation easier to read
5:25
Show notes at pharmacyjoe.com/episode222. In this episode, I ll: 1. Discuss an article about using fondaparinux in critically ill patients with severe renal dysfunction. 2. Answer the drug information question Why is clindamycin added to antibiotic coverage in necrotizing fasciitis?” 3. Share a resource to make your midyear poster presentation easier to read. The post 222: Fondaparinux in critically ill patients with severe renal dysfunction, clindamycin in necrotizing fasciitis, and a resource to make your midyear poster presentation easier to read appeared first on Critical Care Resources by Pharmacy Joe.
Sep 04, 2017
221: How to monitor neuromuscular blocker infusions without a baseline train of four
1:41
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: The post 221: How to monitor neuromuscular blocker infusions without a baseline train of four appeared first on Critical Care Resources by Pharmacy Joe.
Aug 31, 2017
220: Why is it important to check the 4T score before further testing for heparin induced thrombocytopenia?
5:20
Show notes at pharmacyjoe.com/episode220. In this episode, I ll discuss why it is important to check the 4T score before further testing for heparin induced thrombocytopenia. The post 220: Why is it important to check the 4T score before further testing for heparin induced thrombocytopenia? appeared first on Critical Care Resources by Pharmacy Joe.
Aug 28, 2017
219: How to dose methylene blue for the treatment of acquired methemoglobinemia
1:51
In this episode, I ll discuss how to dose methylene blue for the treatment of acquired methemoglobinemia. You can watch or listen to this episode on my youtube channel: The post 219: How to dose methylene blue for the treatment of acquired methemoglobinemia appeared first on Critical Care Resources by Pharmacy Joe.
Aug 24, 2017
218: Double carbapenem use for severe carbapenemase-producing Klebsiella pneumoniae infections, dexamethasone dose for cerebral edema, and a resource for therapeutic hypothermia
5:59
Show notes at pharmacyjoe.com/episode218. In this episode I ll: 1. Discuss an article about double carbapenem use in severe carbapenemase-producing Klebsiella pneumoniae infections. 2. Answer the drug information question “What is the dose of dexamethasone in cerebral edema associated with a brain tumor or craniotomy?” 3. Share a resource for therapeutic hypothermia. The post 218: Double carbapenem use for severe carbapenemase-producing Klebsiella pneumoniae infections, dexamethasone dose for cerebral edema, and a resource for therapeutic hypothermia appeared first on Critical Care Resources by Pharmacy Joe.
Aug 21, 2017
217: How to dose lipid emulsion for enteral drug toxicity
1:58
Show notes at pharmacyjoe.com/episode217. You can watch or listen to this episode on my 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 medical emergencies. <– Previous Post […] The post 217: How to dose lipid emulsion for enteral drug toxicity appeared first on Critical Care Resources by Pharmacy Joe.
Aug 17, 2017
216: Should the dose of ceftriaxone in critically ill patients be 1 gram or 2 grams?
5:17
Show notes at pharmacyjoe.com/episode216. In this episode, I’ll discuss the recommended ceftriaxone dose for 5 different scenarios: 1. Variceal hemorrhage 2. Spontaneous bacterial peritonitis (SBP) 3. Community-acquired pneumonia (CAP) 4. Community acquired bacterial meningitis 5. Obesity The post 216: Should the dose of ceftriaxone in critically ill patients be 1 gram or 2 grams? appeared first on Critical Care Resources by Pharmacy Joe.
Aug 14, 2017
215: Is the potential for serotonin syndrome from linezolid plus fentanyl relevant in ICU patients?
1:49
You can watch or listen to this episode on my new youtube channel: What do you think of this interaction? Leave a comment here! The post 215: Is the potential for serotonin syndrome from linezolid plus fentanyl relevant in ICU patients? appeared first on Critical Care Resources by Pharmacy Joe.
Aug 10, 2017
214: Readmission for recurrent sepsis, lactated ringers and the bicarbonate shortage, and a resource to learn about ongoing clinical trials
5:45
Show notes at pharmacyjoe.com/episode214. In this episode I ll: 1. Discuss an article about readmission for recurrent sepsis. 2. Answer the drug information question “Does lactated ringers solution have a role in managing the current sodium bicarbonate shortage?” 3. Share a resource for learning about ongoing clinical trials. The post 214: Readmission for recurrent sepsis, lactated ringers and the bicarbonate shortage, and a resource to learn about ongoing clinical trials appeared first on Critical Care Resources by Pharmacy Joe.
Aug 07, 2017
213: How can you tell if you need to adjust a medication dose for a patient receiving ECMO?
1:33
You can watch or listen to this episode on my new youtube channel: Click here to download the ECMO dose adjustment guide. It’s download #15. The post 213: How can you tell if you need to adjust a medication dose for a patient receiving ECMO? appeared first on Critical Care Resources by Pharmacy Joe.
Aug 03, 2017
212: Starting extracorporeal membrane oxygenation in the ED & ECMO pharmacotherapy – an interview with Joe Bellezzo MD & Ashkan Khabazian PharmD
46:41
Show notes at pharmacyjoe.com/episode212. In this episode, I ll be joined by two experts in the field of adult venoarterial extracorporeal membrane oxygenation – Dr. of Emergency Medicine Joe Bellezzo and Dr. of Pharmacy Ashkan Khabazian. The post 212: Starting extracorporeal membrane oxygenation in the ED & ECMO pharmacotherapy – an interview with Joe Bellezzo MD & Ashkan Khabazian PharmD appeared first on Critical Care Resources by Pharmacy Joe.
Jul 31, 2017
211: When should empiric double coverage for pseudomonas be used for HAP?
2:02
In this episode, I ll discuss when to use empiric double coverage for pseudomonas in HAP. You can watch or listen to this episode on my new youtube channel: 2016 IDSA HAP/VAP Guidelines The post 211: When should empiric double coverage for pseudomonas be used for HAP? appeared first on Critical Care Resources by Pharmacy Joe.
Jul 27, 2017
210: Antibiotic stewardship in aspiration pneumonia, green urine after methylene blue, and a resource on critical care toxicology
5:10
Show notes at pharmacyjoe.com/episode210. In this episode I ll: 1. Discuss an article about antibiotic stewardship in aspiration pneumonia. 2. Answer the drug information question How long will urine stay green after a patient receives methylene blue? 3. Share a resource on critical care toxicology. The post 210: Antibiotic stewardship in aspiration pneumonia, green urine after methylene blue, and a resource on critical care toxicology appeared first on Critical Care Resources by Pharmacy Joe.
Jul 24, 2017
209: The first question is usually not the real question
1:27
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: The post 209: The first question is usually not the real question appeared first on Critical Care Resources by Pharmacy Joe.
Jul 20, 2017
208: How to cheat at journal club (ethically) and still be able to sleep at night.
4:42
Show notes at pharmacyjoe.com/episode208. In this episode, I’ll discuss how to cheat at journal club (ethically) and still be able to sleep at night. The post 208: How to cheat at journal club (ethically) and still be able to sleep at night. appeared first on Critical Care Resources by Pharmacy Joe.
Jul 17, 2017
207: Treatment options for refractory status epilepticus
1:41
In this episode, I’ll discuss treatment options for refractory status epilepticus: Evidence for dosing in this episode found at pharmacyjoe.com/episode207. You can watch or listen to this episode on my new youtube channel: The post 207: Treatment options for refractory status epilepticus appeared first on Critical Care Resources by Pharmacy Joe.
Jul 13, 2017
206: Gabapentin is associated with postoperative respiratory failure, can IV labetalol be continued after the 300 mg maximum has been reached, and a resource for building a smart pump library
5:48
Show notes at pharmacyjoe.com/episode206. In this episode I ll: 1. Discuss an article about gabapentin and the link to postoperative respiratory failure. 2. Answer the drug information question Can IV labetalol be continued after the 300 mg maximum has been reached? 3. Share a resource for building a smart pump drug library. The post 206: Gabapentin is associated with postoperative respiratory failure, can IV labetalol be continued after the 300 mg maximum has been reached, and a resource for building a smart pump library appeared first on Critical Care Resources by Pharmacy Joe.
Jul 10, 2017
205: The most important class of drugs to check with a new CRRT start
0:00
In this episode, I ll discuss what class of medications to check the dosing on after a new CRRT start. You can watch or listen to this episode on my new youtube channel: Evidence: Prevalence of underdosing antibiotics in CRRT A paper that suggests 600 mg q12 hour fluconazole while on CRRT Older but relevant review of abx dosing in […] The post 205: The most important class of drugs to check with a new CRRT start appeared first on Critical Care Resources by Pharmacy Joe.
Jul 06, 2017
204: A pharmacist’s mind should be treated like a factory, not a warehouse
4:29
Show notes at pharmacyjoe.com/episode204. In this episode, I ll discuss why A pharmacist’s mind should be treated like a factory, not a warehouse. The post 204: A pharmacist’s mind should be treated like a factory, not a warehouse appeared first on Critical Care Resources by Pharmacy Joe.
Jul 03, 2017
203: How to use ketamine as a rescue analgesic
1:37
Show notes at pharmacyjoe.com/episode203. 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. The post 203: How to use ketamine as a rescue analgesic appeared first on Critical Care Resources by Pharmacy Joe.
Jun 29, 2017
202: IV acetaminophen in critically ill adults, why is my post-op patient who is on rifampin at home still in pain after being given fentanyl?, and a resource for the treatment of intracranial hypertension after traumatic brain injury
6:20
Show notes at pharmacyjoe.com/episode202. In this episode I ll: 1. Discuss an article about using IV acetaminophen in critically ill adults. 2. Answer the drug information question Why is my post-op patient who is on rifampin at home still in pain after being given fentanyl? 3. Share a resource for the treatment of intracranial hypertension after […] The post 202: IV acetaminophen in critically ill adults, why is my post-op patient who is on rifampin at home still in pain after being given fentanyl?, and a resource for the treatment of intracranial hypertension after traumatic brain injury appeared first on Critical Care Resources by Pharmacy Joe.
Jun 26, 2017
201: How to tell the difference between serotonin syndrome, malignant hyperthermia, and neuroleptic malignant syndrome?
1:25
Show notes at pharmacyjoe.com/episode201. In this episode, I ll discuss how to tell the difference between serotonin syndrome, malignant hyperthermia, and neuroleptic malignant syndrome. The post 201: How to tell the difference between serotonin syndrome, malignant hyperthermia, and neuroleptic malignant syndrome? appeared first on Critical Care Resources by Pharmacy Joe.
Jun 22, 2017
200: Etomidate use in the ICU
5:54
Show notes at pharmacyjoe.com/episode200. In this episode, I’ll discuss the use of etomidate in the ICU. To celebrate the 200th episode of the elective rotation podcast, I am giving away 10 copies of my book, A Pharmacist s Guide to Inpatient Medical Emergencies. You can win a copy by heading over to my new Facebook page. Once there […] The post 200: Etomidate use in the ICU appeared first on Critical Care Resources by Pharmacy Joe.
Jun 19, 2017
199: Withholding stress ulcer prophylaxis in critically ill patients, can pancrelipase pellets be given via gastrostomy tube, and a resource from Vanderbilt University School of Medicine
5:49
Show notes at pharmacyjoe.com/episode199. In this episode I ll: 1. Discuss an article about withholding stress ulcer prophylaxis in critically ill patients. 2. Answer the drug information question “Can pancrelipase pellets be given via gastrostomy tube?” 3. Share a resource from Vanderbilt University School of Medicine. The post 199: Withholding stress ulcer prophylaxis in critically ill patients, can pancrelipase pellets be given via gastrostomy tube, and a resource from Vanderbilt University School of Medicine appeared first on Critical Care Resources by Pharmacy Joe.
Jun 15, 2017
198: How to use high dose insulin therapy for beta-blocker or calcium channel blocker overdose
5:49
Show notes at pharmacyjoe.com/episode198. In this episode, I ll discuss how to use high dose insulin therapy for beta-blocker or calcium channel blocker overdose. The post 198: How to use high dose insulin therapy for beta-blocker or calcium channel blocker overdose appeared first on Critical Care Resources by Pharmacy Joe.
Jun 12, 2017
197: Delay in the 2nd dose of antibiotic for septic patients, is it OK to give lactated ringers to a septic patient with elevated lactate, and a resource for learning about rare disorders
5:31
Show notes at pharmacyjoe.com/episode197. In this episode I ll: 1. Discuss an article about delays in the 2nd dose of antibiotic for septic patients. 2. Answer the drug information question Is it OK to give lactated ringers to a septic patient with elevated lactate? 3. Share a resource for learning about rare disorders. The post 197: Delay in the 2nd dose of antibiotic for septic patients, is it OK to give lactated ringers to a septic patient with elevated lactate, and a resource for learning about rare disorders appeared first on Critical Care Resources by Pharmacy Joe.
Jun 08, 2017
196: How to easily perform a Monte Carlo Simulation in under 10 minutes using Microsoft Excel, Apple Numbers or Google Sheets
7:15
Show notes at pharmacyjoe.com/episode196. In this episode, I will discuss how to easily perform a Monte Carlo Simulation in under 10 minutes using Microsoft Excel, Apple Numbers or Google Sheets.   The post 196: How to easily perform a Monte Carlo Simulation in under 10 minutes using Microsoft Excel, Apple Numbers or Google Sheets appeared first on Critical Care Resources by Pharmacy Joe.
Jun 05, 2017
195: Is allometric dosing of vancomycin likely to achieve AUC/MIC ratio over 400?
6:07
Show notes at pharmacyjoe.com/episode195. In this episode, I’ll discuss whether allometric dosing of vancomycin is likely to achieve AUC/MIC ratio over 400. The post 195: Is allometric dosing of vancomycin likely to achieve AUC/MIC ratio over 400? appeared first on Critical Care Resources by Pharmacy Joe.
Jun 01, 2017
194: Interaction between valproic acid and carbapenem antibiotics should it be considered contraindicated in ICU patients?
5:00
Show notes at pharmacyjoe.com/episode194. In this episode, I ll discuss the interaction between valproic acid and carbapenem antibiotics. The post 194: Interaction between valproic acid and carbapenem antibiotics should it be considered contraindicated in ICU patients? appeared first on Critical Care Resources by Pharmacy Joe.
May 29, 2017
193: Allometric vancomycin dosing, how long to give steroids be given for severe alcoholic hepatitis, and an allometric vancomycin dosing calculator
0:00
Show notes at pharmacyjoe.com/episode193. In this episode I ll: 1. Discuss an article about allometric dosing of vancomycin. 2. Answer the drug information question How long should steroids be given for severe alcoholic hepatitis?” 3. Share a resource for calculating the allometric dosing of vancomycin. The post 193: Allometric vancomycin dosing, how long to give steroids be given for severe alcoholic hepatitis, and an allometric vancomycin dosing calculator appeared first on Critical Care Resources by Pharmacy Joe.
May 25, 2017
192: Sodium bicarbonate alternatives due to the current shortage
5:34
Show notes at pharmacyjoe.com/episode192. In this episode, I ll discuss the alternatives to sodium bicarbonate given the current drug shortage. The post 192: Sodium bicarbonate alternatives due to the current shortage appeared first on Critical Care Resources by Pharmacy Joe.
May 22, 2017
191: Effects of IV push administration on beta-lactam pharmacodynamics, duration of octreotide in variceal bleeding, and a video based resource
6:05
Show notes at pharmacyjoe.com/episode191. 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. The post 191: Effects of IV push administration on beta-lactam pharmacodynamics, duration of octreotide in variceal bleeding, and a video based resource appeared first on Critical Care Resources by Pharmacy Joe.
May 18, 2017
190: Do patients taking warfarin for atrial fibrillation require bridging?
5:18
Show notes at pharmacyjoe.com/episode190. In this episode, I’ll discuss whether patients taking warfarin for atrial fibrillation require bridging. The post 190: Do patients taking warfarin for atrial fibrillation require bridging? appeared first on Critical Care Resources by Pharmacy Joe.
May 15, 2017
189: Preventing post-extubation stridor, giving ceftriaxone for variceal bleeding, and a resource for antibiotic information
6:02
Show notes at pharmacyjoe.com/episode189. In this episode I ll: 1. Discuss an article about post-extubation stridor. 2. Answer the drug information question Why should patients with variceal bleeding receive ceftriaxone?” 3. Share a resource for antibiotic information. The post 189: Preventing post-extubation stridor, giving ceftriaxone for variceal bleeding, and a resource for antibiotic information appeared first on Critical Care Resources by Pharmacy Joe.
May 11, 2017
188: The use of volatile anesthetic agents (isoflurane, desflurane, sevoflurane) for ICU sedation
5:49
Show notes at pharmacyjoe.com/episode188. In this episode, I ll discuss the use of volatile anesthetic agents for ICU sedation. The post 188: The use of volatile anesthetic agents (isoflurane, desflurane, sevoflurane) for ICU sedation appeared first on Critical Care Resources by Pharmacy Joe.
May 08, 2017
187: Combination antibiotic bag (CAB) in severe sepsis and septic shock
15:17
Show notes at pharmacyjoe.com/episode187. 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. The post 187: Combination antibiotic bag (CAB) in severe sepsis and septic shock appeared first on Critical Care Resources by Pharmacy Joe.
May 04, 2017
186: The risk of anesthetic awareness when giving rocuronium before ketamine (rocketamine) in rapid sequence intubation
8:16
Show notes at pharmacyjoe.com/episode186. In this episode, I’ll discuss a Monte Carlo analysis I performed to assess the risk of anesthetic awareness when giving rocuronium before ketamine (rocketamine) in rapid sequence intubation. The post 186: The risk of anesthetic awareness when giving rocuronium before ketamine (rocketamine) in rapid sequence intubation appeared first on Critical Care Resources by Pharmacy Joe.
May 01, 2017
185: Antibiotics in the ambulance to avoid emergency department delays, protease inhibitors for necrotizing fasciitis, and a simple way to get ACPE credits
6:57
Show notes at pharmacyjoe.com/episode185. Get CE from the podcast at pharmacyjoe.com/ce. In this episode I ll: 1. Discuss an article about antibiotic delays for septic patients. 2. Answer the drug information question “Can protease inhibitors be used in necrotizing fasciitis?” 3. Share a resource for ACPE CE credits. The post 185: Antibiotics in the ambulance to avoid emergency department delays, protease inhibitors for necrotizing fasciitis, and a simple way to get ACPE credits appeared first on Critical Care Resources by Pharmacy Joe.
Apr 27, 2017
184: What is the analgesic ceiling dose of ketorolac?
7:01
Show notes at pharmacyjoe.com/episode184. In this episode, I will discuss the analgesic ceiling dose of ketorolac. The post 184: What is the analgesic ceiling dose of ketorolac? appeared first on Critical Care Resources by Pharmacy Joe.
Apr 24, 2017
183: Piperacillin-tazobactam pharmacokinetics in critically ill patients, how quick do you need dantrolene in MH, and false positive urine drug screens
7:19
Show notes at pharmacyjoe.com/episode183. In this episode I ll: 1. Discuss an article about piperacillin-tazobactam pharmacokinetics in critically ill patients. 2. Answer the drug information question “How quickly must dantrolene be accessible to treat a case of malignant hyperthermia (MH)?” 3. Share a resource about false positive urine drug screens. The post 183: Piperacillin-tazobactam pharmacokinetics in critically ill patients, how quick do you need dantrolene in MH, and false positive urine drug screens appeared first on Critical Care Resources by Pharmacy Joe.
Apr 20, 2017
182: Alternative anticoagulation strategies for continuous renal replacement therapy during the calcium shortage
6:15
Show notes at pharmacyjoe.com/episode182. In this episode, I ll discuss alternative anticoagulation strategies for continuous renal replacement therapy during the calcium shortage. The post 182: Alternative anticoagulation strategies for continuous renal replacement therapy during the calcium shortage appeared first on Critical Care Resources by Pharmacy Joe.
Apr 17, 2017
181: Antibiotic de-escalation in septic patients, is linezolid ever bacteriocidal, and financial advice for pharmacists by a pharmacist
4:46
Show notes at pharmacyjoe.com/episode181. In this episode I ll: 1. Discuss an article about antibiotic de-escalation in septic patients. 2. Answer the drug information question Is linezolid ever bacteriocidal?” 3. Share a resource about financial advice for pharmacists by a pharmacist. The post 181: Antibiotic de-escalation in septic patients, is linezolid ever bacteriocidal, and financial advice for pharmacists by a pharmacist appeared first on Critical Care Resources by Pharmacy Joe.
Apr 13, 2017
180: Pain assessment and treatment in ICU patients unable to communicate verbally
5:08
Show notes at pharmacyjoe.com/episode180. In this episode, I ll discuss three different pain assessments to use in ICU patients who are unable to verbally communicate pain. The post 180: Pain assessment and treatment in ICU patients unable to communicate verbally appeared first on Critical Care Resources by Pharmacy Joe.
Apr 10, 2017
179: Pharmacists decrease infection-related mortality almost as much as vitamin C, thrombolytics for PE if the patient is on apixaban, and idstewardship.com
7:33
Show notes at pharmacyjoe.com/episode179. In this episode I ll: 1. Discuss an article about antimicrobial stewardship and empiric antibiotic timing. 2. Answer the drug information question Should a patient on apixaban at home who presents with massive PE receive thrombolytic therapy? 3. Share a resource for infectious disease pharmacotherapy. The post 179: Pharmacists decrease infection-related mortality almost as much as vitamin C, thrombolytics for PE if the patient is on apixaban, and idstewardship.com appeared first on Critical Care Resources by Pharmacy Joe.
Apr 06, 2017
178: Healthcare-Associated Ventriculitis and Meningitis Guidelines
7:05
Show notes at pharmacyjoe.com/episode178. In this episode, I’ll discuss the IDSA Healthcare-Associated Ventriculitis and Meningitis Guidelines. The post 178: Healthcare-Associated Ventriculitis and Meningitis Guidelines appeared first on Critical Care Resources by Pharmacy Joe.
Apr 03, 2017
177: Vitamin C, hydrocortisone, and thiamine for severe sepsis and septic shock
14:58
Show notes at pharmacyjoe.com/episode177. In this episode, I ll discuss the recent study of vitamin C, hydrocortisone, and thiamine for severe sepsis and septic shock. The post 177: Vitamin C, hydrocortisone, and thiamine for severe sepsis and septic shock appeared first on Critical Care Resources by Pharmacy Joe.
Mar 30, 2017
176: Double anaerobic coverage
4:58
Show notes at pharmacyjoe.com/episode176. In this episode, I’ll discuss double anaerobic coverage. The post 176: Double anaerobic coverage appeared first on Critical Care Resources by Pharmacy Joe.
Mar 27, 2017
175: Effectiveness of conivaptan and tolvaptan in neurocritically ill patients, carbamazepine plus oxcarbazepine, and a resource that helps justify alternate dosing schedules for meropenem and cefepime
6:25
Show notes at pharmacyjoe.com/episode175. In this episode I ll: 1. Discuss an article about the effectiveness of conivaptan and tolvaptan in neurocritically ill patients. 2. Answer the drug information question “Is concomitant carbamazepine and oxcarbazepine therapy always a therapeutic duplication?” 3. Share a resource that helps justify alternate dosing schedules for meropenem and cefepime. The post 175: Effectiveness of conivaptan and tolvaptan in neurocritically ill patients, carbamazepine plus oxcarbazepine, and a resource that helps justify alternate dosing schedules for meropenem and cefepime appeared first on Critical Care Resources by Pharmacy Joe.
Mar 23, 2017
174: Tapering medications in the ICU
6:58
Show notes at pharmacyjoe.com/episode174. In this episode, I ll discuss medications commonly tapered in the ICU.   The post 174: Tapering medications in the ICU appeared first on Critical Care Resources by Pharmacy Joe.
Mar 20, 2017
173: Ciraparantag/PER977 to reverse edoxaban, how to relower serum sodium if it is corrected too fast, and a resource for intranasal medication delivery
6:57
Show notes at pharmacyjoe.com/episode173. In this episode I ll: 1. Discuss an article about the anticoagulant reversal agent ciraparantag / PER977. 2. Answer the drug information question “How can serum sodium be re-lowered if hyponatremia is corrected too fast?” 3. Share a resource about intranasal medication delivery. The post 173: Ciraparantag/PER977 to reverse edoxaban, how to relower serum sodium if it is corrected too fast, and a resource for intranasal medication delivery appeared first on Critical Care Resources by Pharmacy Joe.
Mar 16, 2017
172: Should SSRIs and SNRIs be discontinued in the setting of active bleeding?
0:00
Show notes at pharmacyjoe.com/episode172. In this episode, I ll discuss whether selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs) should be discontinued in the setting of active bleeding. The post 172: Should SSRIs and SNRIs be discontinued in the setting of active bleeding? appeared first on Critical Care Resources by Pharmacy Joe.
Mar 13, 2017
171: Push-dose norepinephrine, methylene blue for vasoplegia, and a resource for hereditary angioedema
7:25
Show notes at pharmacyjoe.com/episode171. In this episode I ll: 1. Discuss an article on push-dose norepinephrine. 2. Answer the drug information question What is the dose of methylene blue for cardiac surgery related vasoplegia? 3. Share a resource for hereditary angioedema. The post 171: Push-dose norepinephrine, methylene blue for vasoplegia, and a resource for hereditary angioedema appeared first on Critical Care Resources by Pharmacy Joe.
Mar 09, 2017
170: When to use (and when not to use) tranexamic acid in critically ill patients
0:00
Show notes at pharmacyjoe.com/episode170. In this episode, I ll discuss when to use (and when not to use) tranexamic acid in critically ill patients. The post 170: When to use (and when not to use) tranexamic acid in critically ill patients appeared first on Critical Care Resources by Pharmacy Joe.
Mar 06, 2017
169: Platelet transfusion and hospital acquired infection, buprenorphine for methadone overdose, and a resource for toxicology emergencies
5:31
Show notes at pharmacyjoe.com/episode169. In this episode I ll: 1. Discuss an article about platelet transfusion and hospital acquired infection. 2. Answer the drug information question Can buprenorphine be used in opioid overdose? 3. Share a resource for guidance on toxicologic emergencies. The post 169: Platelet transfusion and hospital acquired infection, buprenorphine for methadone overdose, and a resource for toxicology emergencies appeared first on Critical Care Resources by Pharmacy Joe.
Mar 02, 2017
168: The case for temporarily holding lithium upon admission to the Medical/Surgical ICU
4:41
Show notes at pharmacyjoe.com/episode168. In this episode, I ll discuss ICU complications that could increase the risk of lithium toxicity. The post 168: The case for temporarily holding lithium upon admission to the Medical/Surgical ICU appeared first on Critical Care Resources by Pharmacy Joe.
Feb 27, 2017
167: Sedative requirements in stimulant users, mannitol extravasation, and an ISMP anticoagulation resource
0:00
Show notes at pharmacyjoe.com/episode167. In this episode I ll: 1. Discuss an article about opioid and sedative requirements in patients that use stimulants. 2. Answer the drug information question “How do you treat mannitol extravasation?” 3. Share a resource from the Institute for Safe Medication Practices on anticoagulation safety. The post 167: Sedative requirements in stimulant users, mannitol extravasation, and an ISMP anticoagulation resource appeared first on Critical Care Resources by Pharmacy Joe.
Feb 23, 2017
166: Mannitol for elevated ICP (intracranial pressure)
0:00
Show notes at pharmacyjoe.com/episode166. In this episode, I ll discuss how to administer mannitol for elevated intracranial pressure. The post 166: Mannitol for elevated ICP (intracranial pressure) appeared first on Critical Care Resources by Pharmacy Joe.
Feb 20, 2017
165: Valproate protein binding in critically ill patients, onset of angioedema after starting an ACE inhibitor, and the perfect writing instrument
0:00
Show notes at pharmacyjoe.com/episode165. In this episode I ll: 1. Discuss an article about valproic acid protein binding. 2. Answer the drug information question How long after starting an ACE inhibitor does angioedema occur? 3. Share a resource I use for writing notes. The post 165: Valproate protein binding in critically ill patients, onset of angioedema after starting an ACE inhibitor, and the perfect writing instrument appeared first on Critical Care Resources by Pharmacy Joe.
Feb 16, 2017
164: Drug induced pancreatitis
0:00
Show notes at pharmacyjoe.com/episode164. In this episode, I ll discuss drug-induced pancreatitis.   The post 164: Drug induced pancreatitis appeared first on Critical Care Resources by Pharmacy Joe.
Feb 13, 2017
163: Apixaban vs warfarin in severe renal impairment, methylprednisolone for intraoperative spinal cord injury, and a resource for CMS – TJC quality measures
0:00
Show notes at pharmacyjoe.com/episode163. In this episode I ll: 1. Discuss an article comparing apixaban with warfarin in patients with severe renal impairment. 2. Answer the drug information question Should high dose methylprednisolone be given for intraoperative spinal cord injury?” 3. Share a resource for understanding CMS quality measures. The post 163: Apixaban vs warfarin in severe renal impairment, methylprednisolone for intraoperative spinal cord injury, and a resource for CMS – TJC quality measures appeared first on Critical Care Resources by Pharmacy Joe.
Feb 09, 2017
162: What to do when you have a negative interaction with a member of the care team
0:00
Show notes at pharmacyjoe.com/episode162. In this episode, I ll discuss how I learned to handle the occasional negative interaction with a member of the care team. I ll also share two ways to avoid them from happening in the first place. The post 162: What to do when you have a negative interaction with a member of the care team appeared first on Critical Care Resources by Pharmacy Joe.
Feb 06, 2017
161: qSOFA in ED patients, folic acid vs folinic acid as cofactor therapy in methanol toxicity, and a FOAMed parody
0:00
Show notes at pharmacyjoe.com/episode161. In this episode I ll: 1. Discuss an article about using the qSOFA score in adult emergency department patients. 2. Answer the drug information question Can leucovorin be substituted for folic acid as cofactor therapy in the treatment of methanol toxicity? 3. Share a resource that brings some humor to the world […] The post 161: qSOFA in ED patients, folic acid vs folinic acid as cofactor therapy in methanol toxicity, and a FOAMed parody appeared first on Critical Care Resources by Pharmacy Joe.
Feb 02, 2017
160: Three reasons why 1 clinical pharmacist on the unit = 2 in the office
0:00
Show notes at pharmacyjoe.com/episode160. In this episode, I ll discuss three reasons why 1 clinical pharmacist on the unit = 2 in the office. The post 160: Three reasons why 1 clinical pharmacist on the unit = 2 in the office appeared first on Critical Care Resources by Pharmacy Joe.
Jan 30, 2017
159: Updated sepsis guidelines
0:00
Show notes at pharmacyjoe.com/episode159. In this episode, I ll discuss the updated sepsis guidelines from the 2016 Surviving Sepsis Campaign. The post 159: Updated sepsis guidelines appeared first on Critical Care Resources by Pharmacy Joe.
Jan 26, 2017
158: Career transitions within pharmacy from community (retail) to hospital pharmacist and from staff to clinical pharmacist
0:00
Show notes at pharmacyjoe.com/episode158. In this episode, I ll discuss how to transition from community (retail) to hospital pharmacist and from staff to clinical pharmacist. The post 158: Career transitions within pharmacy from community (retail) to hospital pharmacist and from staff to clinical pharmacist appeared first on Critical Care Resources by Pharmacy Joe.
Jan 23, 2017
157: Procalcitonin is associated with improved outcomes, cefepime dosing strategies in CRRT, and a resource for aggregating literature
0:00
Show notes at pharmacyjoe.com/episode157. In this episode I ll: 1. Discuss an article about procalcitonin effects on patient outcomes. 2. Answer the drug information question “Is cefepime 1g q6h just as good as 2g q8h for patients receiving continuous renal repalcement therapy?” 3. Share a resource for aggregating journal articles. The post 157: Procalcitonin is associated with improved outcomes, cefepime dosing strategies in CRRT, and a resource for aggregating literature appeared first on Critical Care Resources by Pharmacy Joe.
Jan 19, 2017
156: How to evaluate drug interactions
0:00
Show notes at pharmacyjoe.com/episode156. In this episode, I ll discuss how to evaluate drug interactions. The post 156: How to evaluate drug interactions appeared first on Critical Care Resources by Pharmacy Joe.
Jan 16, 2017
155: Early discontinuation of antibiotics in VAP, relative bradycardia in drug fever, and a way to gain more minutes before 9am in your day
0:00
Show notes at pharmacyjoe.com/episode155. In this episode I ll: 1. Discuss an article about early discontinuation of antibiotics in VAP. 2. Answer the drug information question Does relative bradycardia predict drug fever?” 3. Share a resource to gain more minutes before 9am in your day. The post 155: Early discontinuation of antibiotics in VAP, relative bradycardia in drug fever, and a way to gain more minutes before 9am in your day appeared first on Critical Care Resources by Pharmacy Joe.
Jan 12, 2017
154: One equation hospital pharmacists should use every day (and it s not Cockcroft-Gault)
0:00
Show notes at pharmacyjoe.com/episode154. In this episode, I’ll discuss a formula I use to prioritize my daily activities. The post 154: One equation hospital pharmacists should use every day (and it s not Cockcroft-Gault) appeared first on Critical Care Resources by Pharmacy Joe.
Jan 09, 2017
153: Daptomycin dose in VRE bacteremia, SCDs plus chemoprophylaxis for VTE prevention, and a resource for QTc prolonging medications
0:00
Show notes at pharmacyjoe.com/episode153. 1. Discuss an article about 3 different dosing strategies for daptomycin in VRE bacteremia. 2. Answer the drug information question Should sequential compression devices be combined with chemoprophylaxis for venous thromboembolism prevention in critically ill patients? 3. Share a resource for QT prolonging medications. The post 153: Daptomycin dose in VRE bacteremia, SCDs plus chemoprophylaxis for VTE prevention, and a resource for QTc prolonging medications appeared first on Critical Care Resources by Pharmacy Joe.
Jan 05, 2017
152: Ockham’s Razor vs. Hickam’s Dictum
0:00
Show notes at pharmacyjoe.com/episode152. In this episode, I ll discuss Ockham s Razor vs. Hickam s Dictum. The post 152: Ockham’s Razor vs. Hickam’s Dictum appeared first on Critical Care Resources by Pharmacy Joe.
Jan 02, 2017
151: Ketorolac ceiling dose, paralytics for shivering, and a resource for interpreting laboratory data
0:00
Show notes at pharmacyjoe.com/episode151. In this episode I ll: 1. Discuss an article about the ceiling dose of ketorolac. 2. Answer the drug information question Should bolus or continuous paralytics be used to prevent shivering in therapeutic hypothermia? 3. Share a resource for interpreting laboratory data. The post 151: Ketorolac ceiling dose, paralytics for shivering, and a resource for interpreting laboratory data appeared first on Critical Care Resources by Pharmacy Joe.
Dec 29, 2016
Episode 150: Treatment of intracranial hemorrhage after thrombolytic therapy
0:00
Show notes at pharmacyjoe.com/episode150. In this episode, I ll discuss the treatment of intracranial hemorrhage after thrombolytic therapy. The post Episode 150: Treatment of intracranial hemorrhage after thrombolytic therapy appeared first on Critical Care Resources by Pharmacy Joe.
Dec 26, 2016
149: Comparing types of antibiotic stewardship interventions, acute amiodarone lung toxicity, and free emergency medicine talks
0:00
Show notes at pharmacyjoe.com/episode149. In this episode I ll: 1. Discuss an article comparing two types of antibiotic stewardship interventions. 2. Answer the drug information question Can amiodarone cause acute pulmonary toxicity? 3. Share a resource for listening to free emergency medicine talks. The post 149: Comparing types of antibiotic stewardship interventions, acute amiodarone lung toxicity, and free emergency medicine talks appeared first on Critical Care Resources by Pharmacy Joe.
Dec 22, 2016
148: Interference of oral Xa inhibitors with heparin Xa assays
0:00
Show notes at pharmacyjoe.com/episode148. In this episode, I’ll discuss interference of oral Xa inhibitors with heparin Xa assays. The post 148: Interference of oral Xa inhibitors with heparin Xa assays appeared first on Critical Care Resources by Pharmacy Joe.
Dec 19, 2016
147: Corticosteroids in severe sepsis, albuterol and hypokalemia, and a resource for learning about critical care pharmacy
0:00
Show notes at pharmacyjoe.com/episode147. In this episode I ll: 1. Discuss an article about the use of corticosteroids in patients with severe sepsis. 2. Answer the drug information question Does nebulized albuterol cause hypokalemia at therapeutic asthma doses? 3. Share a resource for learning about critical care pharmacy. The post 147: Corticosteroids in severe sepsis, albuterol and hypokalemia, and a resource for learning about critical care pharmacy appeared first on Critical Care Resources by Pharmacy Joe.
Dec 15, 2016
146: Pulmonary embolism response teams (PERT)
0:00
Show notes at pharmacyjoe.com/episode146. In this episode, I ll discuss pulmonary embolism response teams. The post 146: Pulmonary embolism response teams (PERT) appeared first on Critical Care Resources by Pharmacy Joe.
Dec 12, 2016
145: Prospective data supporting extended infusion piperacillin-tazobactam, how to wean a naloxone infusion, and a resource for toxicology concerns
0:00
Show notes at pharmacyjoe.com/episode145. In this episode I ll: 1. Discuss an article about extended vs. intermittent infusion of piperacillin/tazobactam in critically ill patients. 2. Answer the drug information question How should a naloxone infusion be weaned?” 3. Share a resource for researching toxicology concerns with medications. The post 145: Prospective data supporting extended infusion piperacillin-tazobactam, how to wean a naloxone infusion, and a resource for toxicology concerns appeared first on Critical Care Resources by Pharmacy Joe.
Dec 08, 2016
144: The three ongoing trials that will bring clarity to the question of when to use stress ulcer prophylaxis
0:00
Show notes at pharmacyjoe.com/episode144. In this episode, I’ll discuss the three ongoing trials that will bring clarity to the question of when to use stress ulcer prophylaxis. The post 144: The three ongoing trials that will bring clarity to the question of when to use stress ulcer prophylaxis appeared first on Critical Care Resources by Pharmacy Joe.
Dec 05, 2016
143: Linezolid in patients on CRRT, should insulin detemir be given once or twice daily, and a resource for researching the hepatotoxicity potential of a given medication
0:00
Show notes at pharmacyjoe.com/episode143. In this episode I ll: 1. Discuss an article about the effects of continuous renal replacement therapy on linezolid. 2. Answer the drug information question Should insulin detemir be given once or twice daily? 3. Share a resource for researching the hepatotoxicity potential of a given medication. I am proud to announce […] The post 143: Linezolid in patients on CRRT, should insulin detemir be given once or twice daily, and a resource for researching the hepatotoxicity potential of a given medication appeared first on Critical Care Resources by Pharmacy Joe.
Dec 01, 2016
142: Amiodarone induced hepatotoxicity
0:00
Show notes at pharmacyjoe.com/episode142. In this episode, I ll discuss amiodarone-induced hepatotoxicity. The post 142: Amiodarone induced hepatotoxicity appeared first on Critical Care Resources by Pharmacy Joe.
Nov 28, 2016
141: Volatile agents for ICU sedation, IV vs oral antihypertensives in stroke, and reversal of antithrombotics in intracranial hemorrhage guidelines
0:00
Show notes at pharmacyjoe.com/episode141. In this episode I ll: 1. Discuss an article about using inhaled volatile agents for ICU sedation. 2. Answer the drug information question “Should IV or oral antihypertensives be used for severe hypertension in the immediate period after acute ischemic stroke?” 3. Share a resource for reversal of antithrombotics in intracranial hemorrhage. The post 141: Volatile agents for ICU sedation, IV vs oral antihypertensives in stroke, and reversal of antithrombotics in intracranial hemorrhage guidelines appeared first on Critical Care Resources by Pharmacy Joe.
Nov 24, 2016
140: Dexmedetomidine & etomidate are better than ketamine
0:00
Show notes at pharmacyjoe.com/episode140. In this episode, I’ll discuss scenarios where dexmedetomidine & etomidate are better than ketamine.   The post 140: Dexmedetomidine & etomidate are better than ketamine appeared first on Critical Care Resources by Pharmacy Joe.
Nov 21, 2016
139: Apnea from ketamine used for delayed sequence intubation, posaconazole induced hypokalemia, and the content outline for the BCCCP examEpisode 139: Apnea from ketamine used for delayed sequence intubation, posaconazole induced hypokalemia, and the content outline for the BCCCP exam
0:00
Show notes at pharmacyjoe.com/episode139. In this episode I ll: 1. Discuss an article about delayed sequence intubation. 2. Answer the drug information question Can posaconazole cause hypokalemia? 3. Share a resource for the Board Certified Critical Care Pharmacy (BCCCP) exam. The post 139: Apnea from ketamine used for delayed sequence intubation, posaconazole induced hypokalemia, and the content outline for the BCCCP examEpisode 139: Apnea from ketamine used for delayed sequence intubation, posaconazole induced hypokalemia, and the content outline for the BCCCP exam appeared first on Critical Care Resources by Pharmacy Joe.
Nov 17, 2016
138: The role of sodium bicarbonate in critically ill patients
0:00
Show notes at pharmacyjoe.com/episode138. In this episode, I ll discuss the role of sodium bicarbonate in critically ill patients. The post 138: The role of sodium bicarbonate in critically ill patients appeared first on Critical Care Resources by Pharmacy Joe.
Nov 14, 2016
137: Piperacillin-tazobactam induced acute kidney injury, tapering steroids in septic shock, an antibiotic sensitivity overview
0:00
Show notes at pharmacyjoe.com/episode137. In this episode I ll: 1. Discuss an article about the combination of vancomycin and piperacillin-tazobactam and the development of acute kidney injury. 2. Answer the drug information question When using steroids for the treatment of septic shock, should they be abruptly stopped or tapered? 3. Share a resource for remembering antibiotic […] The post 137: Piperacillin-tazobactam induced acute kidney injury, tapering steroids in septic shock, an antibiotic sensitivity overview appeared first on Critical Care Resources by Pharmacy Joe.
Nov 10, 2016
136: Can midodrine be used to wean IV vasopressors?
0:00
Show notes at pharmacyjoe.com/episode136. In this episode, I will discuss the use of midodrine to wean ICU patients off of vasopressor infusions. The post 136: Can midodrine be used to wean IV vasopressors? appeared first on Critical Care Resources by Pharmacy Joe.
Nov 07, 2016
135: Levosimendan in sepsis, intubating a severe pulmonary hypertension patient, and how to become a journal peer reviewer
0:00
Show notes at pharmacyjoe.com/episode135. In this episode I ll: 1. Discuss an article about levosimendan in sepsis. 2. Answer the drug information question Should catecholamines be started before intubating a patient with severe pulmonary hypertension? 3. Share a resource about how to become a peer-reviewer for a medical journal. The post 135: Levosimendan in sepsis, intubating a severe pulmonary hypertension patient, and how to become a journal peer reviewer appeared first on Critical Care Resources by Pharmacy Joe.
Nov 03, 2016
134: Stress ulcer prophylaxis in critically ill patients – where are the guidelines?
0:00
Show notes at pharmacyjoe.com/episode134. In this episode, I ll discuss stress ulcer prophylaxis in critically ill patients.   The post 134: Stress ulcer prophylaxis in critically ill patients – where are the guidelines? appeared first on Critical Care Resources by Pharmacy Joe.
Oct 31, 2016
133: IV acetaminophen causes hypotension, basal PCA rates in opioid naive patients, and a resource for extracting ICD-10 codes from natural language
0:00
Show notes at pharmacyjoe.com/episode133. In this episode I ll: 1. Discuss an article about the hemodynamic effects of IV acetaminophen in critically ill patients. 2. Answer the drug information question “When should an opioid naive patient receive a continuous basal rate on patient-controlled analgesia?” 3. Share a resource for easily extracting ICD-10 codes from natural text. The post 133: IV acetaminophen causes hypotension, basal PCA rates in opioid naive patients, and a resource for extracting ICD-10 codes from natural language appeared first on Critical Care Resources by Pharmacy Joe.
Oct 27, 2016
132: Treatment of calcium channel blocker overdose in adult patients
0:00
Show notes at pharmacyjoe.com/episode132. In this episode, I ll discuss the treatment of calcium channel blocker overdose in adult patients. The post 132: Treatment of calcium channel blocker overdose in adult patients appeared first on Critical Care Resources by Pharmacy Joe.
Oct 24, 2016
131: Calcium replacement may be harmful, sulfamethoxazole-trimethoprim dosing in morbid obesity, and a resource for switching to anti-XA heparin monitoring
0:00
Show notes at pharmacyjoe.com/episode131. In this episode I ll: 1. Discuss an article about the adverse outcomes of calcium administration in critically ill patients. 2. Answer the drug information question What dose of sulfamethoxazole/trimethoprim should be used to treat stenotrophomonas in a super-morbidly obese patient?” 3. Share a resource I’ve used to convert heparin protocols to […] The post 131: Calcium replacement may be harmful, sulfamethoxazole-trimethoprim dosing in morbid obesity, and a resource for switching to anti-XA heparin monitoring appeared first on Critical Care Resources by Pharmacy Joe.
Oct 20, 2016
130: Lithium toxicity
0:00
Show notes at pharmacyjoe.com/episode130. In this episode, I’ll discuss lithium toxicity. The post 130: Lithium toxicity appeared first on Critical Care Resources by Pharmacy Joe.
Oct 17, 2016
129: Predicting dexmedetomidine-associated hypotension, long term side effects from metronidazole, and a resource for patient safety in critical care
0:00
Show notes at pharmacyjoe.com/episode129. In this episode I ll: 1. Discuss an article about dexmedetomidine-associated hypotension in critically ill patients. 2. Answer the drug information question What side effects occur with long-term use of metronidazole? 3. Share a resource for patient safety in critical care. The post 129: Predicting dexmedetomidine-associated hypotension, long term side effects from metronidazole, and a resource for patient safety in critical care appeared first on Critical Care Resources by Pharmacy Joe.
Oct 13, 2016
128: How to prepare a knowledge-based in-service or continuing pharmacy education lecture
7:25
Show notes at pharmacyjoe.com/episode128. In this episode, I ll describe the steps that I follow to create knowledge-based in-services or continuing pharmacy education lectures.   The post 128: How to prepare a knowledge-based in-service or continuing pharmacy education lecture appeared first on Critical Care Resources by Pharmacy Joe.
Oct 10, 2016
127: Chloride content effect on patient outcomes, treatment for severe, complicated c diff, and medication identification
4:44
Show notes at pharmacyjoe.com/episode127. In this episode I ll: 1. Discuss an article about the effect of chloride content during fluid resuscitation. 2. Answer the drug information question What therapy is recommended for severe, complicated C. diff. infection? 3. Share a resource for identifying medications. The post 127: Chloride content effect on patient outcomes, treatment for severe, complicated c diff, and medication identification appeared first on Critical Care Resources by Pharmacy Joe.
Oct 06, 2016
126: Anti-xa vs aPTT for heparin infusion monitoring
6:36
Show notes at pharmacyjoe.com/episode126. In this episode, I ll discuss using Anti-Xa vs. aPTT for heparin infusion monitoring. The post 126: Anti-xa vs aPTT for heparin infusion monitoring appeared first on Critical Care Resources by Pharmacy Joe.
Oct 03, 2016
125: Adjusted weight dosing of heparin in obese patients, how long is glucose needed after high dose insulin therapy is stopped, and a resource for studying intensive care topics
6:20
Show notes at pharmacyjoe.com/episode125. 1. Discuss an article about using adjusted body weight for heparin dosing in obese patients. 2. Answer the drug information question How long is glucose therapy required after using high-dose insulin for beta-blocker or calcium channel blocker overdose? 3. Share a resource for studying intensive care topics. The post 125: Adjusted weight dosing of heparin in obese patients, how long is glucose needed after high dose insulin therapy is stopped, and a resource for studying intensive care topics appeared first on Critical Care Resources by Pharmacy Joe.
Sep 29, 2016
124: Causes of fever in critically ill patients
6:18
Show notes at pharmacyjoe.com/episode124. In this episode I’ll discuss causes of fever in critically ill patients. The post 124: Causes of fever in critically ill patients appeared first on Critical Care Resources by Pharmacy Joe.
Sep 26, 2016
123: Impact of reported penicillin allergy, nafcillin and hyperbilirubinemia, and a resource for creating images for use in your ICU education materials
5:46
Show notes at pharmacyjoe.com/episode123. In this episode I ll: 1. Discuss an article about the impact of reported penicillin allergies. 2. Answer the drug information question Can nafcillin cause hyperbilirubinemia?” 3. Share a resource for creating images for use in ICU education materials, protocols, and presentations. The post 123: Impact of reported penicillin allergy, nafcillin and hyperbilirubinemia, and a resource for creating images for use in your ICU education materials appeared first on Critical Care Resources by Pharmacy Joe.
Sep 22, 2016
122: Using analgosedation in critically ill patients
6:24
Show notes at pharmacyjoe.com/episode122. In this episode, I ll discuss using analgosedation in critically ill patients. The post 122: Using analgosedation in critically ill patients appeared first on Critical Care Resources by Pharmacy Joe.
Sep 19, 2016
121: andexanet-alpha-for-reversal-of-rivaroxaban-and-apixaban-cryptococcal-meningitis-treatment-and-pharmertoxguys-resources
7:37
Show notes at pharmacyjoe.com/episode121. In this episode I ll: 1. Discuss an article about the factor Xa reversal agent andexanet alpha. 2. Answer the drug information question What is the treatment for cryptococcal meningitis in a non-HIV infected, non-transplant patient?” 3. Share a resource for lectures and handouts by a board certified toxicologist. The post 121: andexanet-alpha-for-reversal-of-rivaroxaban-and-apixaban-cryptococcal-meningitis-treatment-and-pharmertoxguys-resources appeared first on Critical Care Resources by Pharmacy Joe.
Sep 15, 2016
120: Should critically ill patients with Legionella pneumonia receive double antibiotic coverage?
5:49
Show notes at pharmacyjoe.com/episode120. In this episode, I’ll discuss whether critically ill patients with Legionella pneumonia should receive double antibiotic coverage. The post 120: Should critically ill patients with Legionella pneumonia receive double antibiotic coverage? appeared first on Critical Care Resources by Pharmacy Joe.
Sep 12, 2016
119: Antibiotic exposure and infection with resistant organisms, repeat PCC dosing in rivaroxaban bleed patients, and an evidence-based healthcare resource
6:58
Show notes at pharmacyjoe.com/episode119. In this episode I ll: 1. Discuss an article about the effects of antibiotic exposure and infection with resistant organisms. 2. Answer the drug information question “Should a second dose of 4-factor PCC be given to a patient who has refractory bleeding from rivaroxaban?” 3. Share a resource for evidence-based healthcare. The post 119: Antibiotic exposure and infection with resistant organisms, repeat PCC dosing in rivaroxaban bleed patients, and an evidence-based healthcare resource appeared first on Critical Care Resources by Pharmacy Joe.
Sep 08, 2016
118: How should dexmedetomidine be used in severe alcohol withdrawal?
0:00
Show notes at pharmacyjoe.com/episode118. In this episode I ll discuss how to use dexmedetomidine in severe alcohol withdrawal. Call for listeners to submit practice resources Every odd-numbered episode I share a resource that I use in my daily practice. I would love to hear from you on what resources you use, so I can share with […] The post 118: How should dexmedetomidine be used in severe alcohol withdrawal? appeared first on Critical Care Resources by Pharmacy Joe.
Sep 05, 2016
117: Factors associated with delay in antimicrobials in septic shock, what diltiazem dose to use in rapid AFib, and an ICU delirium resource
9:05
Show notes at pharmacyjoe.com/episode117. In this episode I ll: 1. Discuss an article about delays in antimicrobial therapy in patients with septic shock. 2. Have a recent pharmacy student of mine answer the drug information question What dose of IV diltiazem should be used to treat rapid Afib? 3. Share a resource for assessing, preventing, and […] The post 117: Factors associated with delay in antimicrobials in septic shock, what diltiazem dose to use in rapid AFib, and an ICU delirium resource appeared first on Critical Care Resources by Pharmacy Joe.
Sep 01, 2016
116: Lord of the Penicillin (Allergy) Dance
8:10
Show notes at pharmacyjoe.com/episode116. In this episode, I ll discuss penicillin allergy and cross-reactivity. The post 116: Lord of the Penicillin (Allergy) Dance appeared first on Critical Care Resources by Pharmacy Joe.
Aug 29, 2016
115: Oral vancomycin prophylaxis for C. Diff, fentanyl fluconazole interaction, and a free drug information resource
7:38
Show notes at pharmacyjoe.com/episode115. In this episode I ll: 1. Discuss an article about using oral vancomycin to prevent recurrent Clostridium difficile infection. 2. Answer the drug information question Is the interaction between fentanyl and fluconazole significant for critical care patients?” 3. Share a resource for free drug information. The post 115: Oral vancomycin prophylaxis for C. Diff, fentanyl fluconazole interaction, and a free drug information resource appeared first on Critical Care Resources by Pharmacy Joe.
Aug 25, 2016
114: Three Productivity Hacks for Busy Hospital Pharmacists
6:36
Show notes at pharmacyjoe.com/episode114. In this episode, I ll share my three best productivity hacks for busy hospital pharmacists. The post 114: Three Productivity Hacks for Busy Hospital Pharmacists appeared first on Critical Care Resources by Pharmacy Joe.
Aug 22, 2016
113: Early vasopressin vs norepinephrine in septic shock, treatments for refractory reactive airway disease, and a resource for Pharmacy Nation
0:00
Show notes at pharmacyjoe.com/episode113. 1. Discuss an article comparing early vasopressin to norepinephrine in septic shock. 2. Answer the drug information question What options can be used in steroid-refractory severe reactive airway disease? 3. Share a new resource for Pharmacy Nation. The post 113: Early vasopressin vs norepinephrine in septic shock, treatments for refractory reactive airway disease, and a resource for Pharmacy Nation appeared first on Critical Care Resources by Pharmacy Joe.
Aug 18, 2016
112: Serotonin syndrome from linezolid plus fentanyl and the clinical relevance in critically ill patients
7:43
Show notes at pharmacyjoe.com/episode112. In this episode I ll discuss the clinical relevance of the linezolid-fentanyl drug interaction in critically ill patients. The post 112: Serotonin syndrome from linezolid plus fentanyl and the clinical relevance in critically ill patients appeared first on Critical Care Resources by Pharmacy Joe.
Aug 15, 2016
111: PPIs increase the risk and severity of hospital-acquired CDiff, will IV lipids work for liposomal bupivacaine toxicity, and a resource to polish up your CV
6:47
Show notes at pharmacyjoe.com/episode111. In this episode I ll: 1. Discuss an article about the risk and severity of Clostridium difficile Infection with PPIs. 2. Answer the drug information question Will IV fat emulsion work for cardiac toxicity caused by liposomal bupivacaine” 3. Share a resource for polishing up your CV. The post 111: PPIs increase the risk and severity of hospital-acquired CDiff, will IV lipids work for liposomal bupivacaine toxicity, and a resource to polish up your CV appeared first on Critical Care Resources by Pharmacy Joe.
Aug 11, 2016
110: Treatment of Coagulase-Negative Staphylococci Infection
6:30
Show notes at pharmacyjoe.com/episode110. In this episode I’ll discuss the treatment of coagulase-negative staphylococci infection. The post 110: Treatment of Coagulase-Negative Staphylococci Infection appeared first on Critical Care Resources by Pharmacy Joe.
Aug 08, 2016
109: Should high dose heparin be used to prevent VTE in obese patients, do the new quinolone warnings affect ICU patients, and a resource to help apply the new sepsis definitions
8:01
Show notes at pharmacyjoe.com/episode109. In this episode I ll: 1. Discuss an article about using high dose heparin for VTE prophylaxis in obese patients. 2. Answer the drug information question Do the new FDA quinolone warnings for mild infections change how they should be used in the ICU?” 3. Share a resource to help apply the […] The post 109: Should high dose heparin be used to prevent VTE in obese patients, do the new quinolone warnings affect ICU patients, and a resource to help apply the new sepsis definitions appeared first on Critical Care Resources by Pharmacy Joe.
Aug 04, 2016
108: Treatment of Drug-Induced Torsades
5:48
Show notes at pharmacyjoe.com/episode108. In this episode, I ll discuss the treatment of drug-induced Torsades. The post 108: Treatment of Drug-Induced Torsades appeared first on Critical Care Resources by Pharmacy Joe.
Aug 01, 2016
107: Banana Bags in ICU Patients, Should Pharmacists Program And Start IV Pumps, and DailyMed
9:06
Show notes at pharmacyjoe.com/episode107. In this episode, I’ll: 1. Discuss an article about the use of banana bags in ICU patients. 2. Answer the drug information question “If a pharmacist programs an IV pump for infusion, does that count as administration?” 3. Share a resource that is a search engine containing a national compendium of […] The post 107: Banana Bags in ICU Patients, Should Pharmacists Program And Start IV Pumps, and DailyMed appeared first on Critical Care Resources by Pharmacy Joe.
Jul 28, 2016
106: How Pharmacists Can Improve Their Working Relationships With Physicians
8:53
Show notes at pharmacyjoe.com/episode106. In this episode I’ll discuss how pharmacists can improve their working relationships with physicians. The post 106: How Pharmacists Can Improve Their Working Relationships With Physicians appeared first on Critical Care Resources by Pharmacy Joe.
Jul 25, 2016
105: Voriconazole therapeutic monitoring, how long to continue CPR after IV push alteplase, and a free 30 day trial to Pharmacist s Letter
8:03
Show notes at pharmacyjoe.com/episode105. In this episode I’ll: 1. Discuss an article about therapeutic drug monitoring of voriconazole. 2. Answer the drug information question “When alteplase is given for massive PE in a patient undergoing cardiopulmonary resuscitation, how long should CPR be continued?” 3. Share one of my top resources for keeping up to date […] The post 105: Voriconazole therapeutic monitoring, how long to continue CPR after IV push alteplase, and a free 30 day trial to Pharmacist s Letter appeared first on Critical Care Resources by Pharmacy Joe.
Jul 21, 2016
104: Updated IDSA HAP / VAP Guidelines
9:52
Show notes at pharmacyjoe.com/episode104. In this episode I ll discuss highlights from the new IDSA/ATS HAP/VAP guidelines. The post 104: Updated IDSA HAP / VAP Guidelines appeared first on Critical Care Resources by Pharmacy Joe.
Jul 18, 2016
103: Epinephrine increases mortality in cardiogenic shock, phenytoin induced hypothermia, and two pharmacology refresher resources
8:02
Show notes at pharmacyjoe.com/episode103. In this episode I’ll: 1. Discuss an article about increased mortality from epinephrine in cardiogenic shock. 2. Answer the drug information question “Can phenytoin cause hypothermia” 3. Share two resources for students to learn the basics of pharmacology. The post 103: Epinephrine increases mortality in cardiogenic shock, phenytoin induced hypothermia, and two pharmacology refresher resources appeared first on Critical Care Resources by Pharmacy Joe.
Jul 14, 2016
102: Dexmedetomidine to clonidine transition
7:11
Show notes at pharmacyjoe.com/episode102. In this episode I’ll discuss how to transition from dexmedetomidine to clonidine. The post 102: Dexmedetomidine to clonidine transition appeared first on Critical Care Resources by Pharmacy Joe.
Jul 11, 2016
101: Propofol for toxin related seizures, whether to stop SSRIs in GI bleeds, and a critical care resource
7:17
Show notes at pharmacyjoe.com/episode101. In this episode I’ll: 1. Discuss an article about using propofol for toxin-related seizures. 2. Answer the drug information question “Should SSRIs be stopped in a patient with GI bleeding?” 3. Share a resource for critical care related information. The post 101: Propofol for toxin related seizures, whether to stop SSRIs in GI bleeds, and a critical care resource appeared first on Critical Care Resources by Pharmacy Joe.
Jul 07, 2016
100: Critical Care Pharmacist Workflow And PGY-1 Pharmacy Resident Orientation
8:54
Show notes at pharmacyjoe.com/episode100. In this episode I ll: 1. Discuss a new guideline on Acute kidney injury in ICU patients. 2. Answer the drug information question What do you think about IV push antibiotics in sepsis?” 3. Share a resource for creating workflow diagrams. The post 100: Critical Care Pharmacist Workflow And PGY-1 Pharmacy Resident Orientation appeared first on Critical Care Resources by Pharmacy Joe.
Jul 04, 2016
99: Guidelines on acute kidney injury in ICU, IV push antibiotics in sepsis, and a workflow diagram resource
10:41
Show notes at pharmacyjoe.com/episode99. In this episode I ll: 1. Discuss a new guideline on Acute kidney injury in ICU patients. 2. Answer the drug information question What do you think about IV push antibiotics in sepsis?” 3. Share a resource for creating workflow diagrams. The post 99: Guidelines on acute kidney injury in ICU, IV push antibiotics in sepsis, and a workflow diagram resource appeared first on Critical Care Resources by Pharmacy Joe.
Jun 30, 2016
98: Is there a pro-ketamine bias in the FOAMed community?
7:03
Show notes at pharmacyjoe.com/episode98. In this episode I’ll discuss whether there is a pro-ketamine bias in the FOAMed community. The post 98: Is there a pro-ketamine bias in the FOAMed community? appeared first on Critical Care Resources by Pharmacy Joe.
Jun 27, 2016
97: Sedative choice and infection risk, phentolamine vs terbutaline for extravasation, and crowd sourced medical lecture notes
6:32
Show notes at pharmacyjoe.com/episode97. In this episode I’ll: 1. Discuss an article about sedation choice and infection risk. 2. Answer the drug information question “Is phentolamine superior to terbutaline for treatment of extravasation?” 3. Share a resource for crowd-sourced medical lecture notes. The post 97: Sedative choice and infection risk, phentolamine vs terbutaline for extravasation, and crowd sourced medical lecture notes appeared first on Critical Care Resources by Pharmacy Joe.
Jun 23, 2016
96: Magnesium sulfate use in critical care
6:03
Show notes at pharmacyjoe.com/episode96. In this episode I ll discuss the use of magnesium sulfate in critical care. The post 96: Magnesium sulfate use in critical care appeared first on Critical Care Resources by Pharmacy Joe.
Jun 20, 2016
95: Ketamine blow darts, amiodarone and contrast media cross-sensitivity, and antibiotic breakpoint information
7:50
Show notes at pharmacyjoe.com/episode95. In this episode I’ll: 1. Discuss evidence on the efficacy of ketamine IM for acute behavioral emergencies. 2. Answer the drug information question “Can a patient with an allergy to contrast media receive amiodarone?” 3. Share a resource for antimicrobial stewards. The post 95: Ketamine blow darts, amiodarone and contrast media cross-sensitivity, and antibiotic breakpoint information appeared first on Critical Care Resources by Pharmacy Joe.
Jun 16, 2016
94: Flumazenil. Huh! What is it good for? (Almost) Absolutely nothing! or Does flumazenil cause seizures in benzodiazepine overdose?
6:48
Show notes at pharmacyjoe.com/episode94. In this episode I’ll discuss the use of flumazenil. The post 94: Flumazenil. Huh! What is it good for? (Almost) Absolutely nothing! or Does flumazenil cause seizures in benzodiazepine overdose? appeared first on Critical Care Resources by Pharmacy Joe.
Jun 13, 2016
93: High dose heparin for VTE prophylaxis, how much vitamin K to lower the INR, and a resource for anticoagulant lab assay interference
7:13
Show notes at pharmacyjoe.com/episode93. In this episode I’ll: 1. Discuss an article about high dose heparin for VTE prophylaxis in obese patients. 2. Answer a drug information question about vitamin K. 3. Share a resource for lab assay interference by non-vitamin K oral anticoagulants. The post 93: High dose heparin for VTE prophylaxis, how much vitamin K to lower the INR, and a resource for anticoagulant lab assay interference appeared first on Critical Care Resources by Pharmacy Joe.
Jun 09, 2016
92: How to provide analgesia and sedation for the critically ill patient on buprenorphine
7:32
Show notes at pharmacyjoe.com/episode92. In this episode I ll discuss how I provide analgesia & sedation to critically ill patients who have taken buprenorphine. The post 92: How to provide analgesia and sedation for the critically ill patient on buprenorphine appeared first on Critical Care Resources by Pharmacy Joe.
Jun 06, 2016
91: Imatinib for bleomycin lung toxicity, linezolid vs daptomycin for VRE bacteremia, and a resource for critical care drug dosing at extremes of body weight
6:27
Show notes at pharmacyjoe.com/episode91. In this episode I’ll: 1. Review an article about using imatinib for bleomycin interstitial pneumonitis. 2. Answer the drug information question “Should daptomycin or linezolid be used for VRE bacteremia?” 3. Share a resource provided by another pharmacist in the Pharmacy Nation slack group. The post 91: Imatinib for bleomycin lung toxicity, linezolid vs daptomycin for VRE bacteremia, and a resource for critical care drug dosing at extremes of body weight appeared first on Critical Care Resources by Pharmacy Joe.
Jun 02, 2016
90: 6 tips to help pharmacists respond to inpatient medical emergencies
7:02
Show notes at pharmacyjoe.com/episode90. In this episode I ll discuss 6 tips for pharmacists responding to inpatient medical emergencies. The post 90: 6 tips to help pharmacists respond to inpatient medical emergencies appeared first on Critical Care Resources by Pharmacy Joe.
May 30, 2016
89: Bloodless anemia treatment, antibiotics for necrotizing pancreatitis, and alternative rock to teach pathophysiology
7:50
Show notes at pharmacyjoe.com/episode89. In this episode I’ll: 1. Discuss an article about bloodless treatment of anemia. 2. Answer the drug information question “Which antibiotics should be given to a patient with necrotizing pancreatitis?” 3. Share a resource I use to teach pathophysiology. The post 89: Bloodless anemia treatment, antibiotics for necrotizing pancreatitis, and alternative rock to teach pathophysiology appeared first on Critical Care Resources by Pharmacy Joe.
May 26, 2016
88: Treatment of loperamide cardiac toxicity
6:15
Show notes at pharmacyjoe.com/episode88. In this episode, I ll discuss the treatment of loperamide toxicity. The post 88: Treatment of loperamide cardiac toxicity appeared first on Critical Care Resources by Pharmacy Joe.
May 23, 2016
87: Platelet transfusions may cause harm in ICH, why alteplase contraindications got changed, and a resource for learning how to recognize ECG rhythms
9:29
Show notes at pharmacyjoe.com/episode87. In this episode I’ll: 1. Discuss an article about using platelet infusions to treat intracerebral hemorrhage (ICH) from antiplatelet medications. 2. Answer the drug information question “Why were the contraindications to alteplase for acute ischemic stroke changed?” 3. Share a resource I used to learn how to recognize ECG rhythms. The post 87: Platelet transfusions may cause harm in ICH, why alteplase contraindications got changed, and a resource for learning how to recognize ECG rhythms appeared first on Critical Care Resources by Pharmacy Joe.
May 19, 2016
86: Updated intravenous lipid emulsion in drug toxicity guidelines
7:40
Show notes at pharmacyjoe.com/episode86. In this episode I ll discuss updated toxicology guidelines when using intravenous lipid emulsion (ILE) for drug toxicity. The post 86: Updated intravenous lipid emulsion in drug toxicity guidelines appeared first on Critical Care Resources by Pharmacy Joe.
May 16, 2016
85: Earplugs for preventing ICU delirium, dextrose solutions in ischemic stroke, and a great way to get your drug information questions answered
8:08
Show notes at pharmacyjoe.com/episode85. In this episode I’ll: 1. Share an article about using earplugs to reduce ICU delirium. 2. Answer the drug information question: “Should dextrose containing solutions be avoided in ischemic stroke patients?” 3. Share the resource I used to answer the drug information question. The post 85: Earplugs for preventing ICU delirium, dextrose solutions in ischemic stroke, and a great way to get your drug information questions answered appeared first on Critical Care Resources by Pharmacy Joe.
May 12, 2016
84: Chemical sedation for acute agitation
5:56
Show notes at pharmacyjoe.com/episode84. In this episode I’ll discuss chemical sedation for acute agitation. The post 84: Chemical sedation for acute agitation appeared first on Critical Care Resources by Pharmacy Joe.
May 09, 2016
83: Pharmacodynamics of fluid challenge, why is epinephrine added to lidocaine for injections, and a resource to stay up to date with FDA medwatch alerts
6:33
Show notes at pharmacyjoe.com/episode83. 1. Discuss an article on the pharmacodynamics of a fluid challenge. 2. Answer the drug information question “Why is epinephrine added to lidocaine for injection?” 3. Share a resource for staying up to date with FDA safety information. The post 83: Pharmacodynamics of fluid challenge, why is epinephrine added to lidocaine for injections, and a resource to stay up to date with FDA medwatch alerts appeared first on Critical Care Resources by Pharmacy Joe.
May 05, 2016
82: Cyanide poisoning
8:39
Show notes at pharmacyjoe.com/episode82. In this episode I’ll discuss cyanide toxicity. The post 82: Cyanide poisoning appeared first on Critical Care Resources by Pharmacy Joe.
May 02, 2016
81: Tigecycline for clostridium difficile, mycophenylate induced aveolar hemorrhage, and a warfarin dosing resource
8:07
Show notes at pharmacyjoe.com/episode81. In this episode, I ll: 1. Discuss an article about using tigecycline for clostridium difficile infection. 2. Answer the drug information question Has mycophenolate ever been associated with aveolar hemorrhage?” 3. Share a resource that can be used to determine a patient s warfarin dose. The post 81: Tigecycline for clostridium difficile, mycophenylate induced aveolar hemorrhage, and a warfarin dosing resource appeared first on Critical Care Resources by Pharmacy Joe.
Apr 28, 2016
80: Phenytoin dosage, adjustment, and monitoring
9:07
Show notes at pharmacyjoe.com/episode80. In this episode I ll discuss the drug phenytoin. The post 80: Phenytoin dosage, adjustment, and monitoring appeared first on Critical Care Resources by Pharmacy Joe.
Apr 25, 2016
79: Methylprednisolone shortage alternatives
8:48
Show notes at pharmacyjoe.com/episode79. In this episode I’ll discuss the methylprednisolone shortage. The post 79: Methylprednisolone shortage alternatives appeared first on Critical Care Resources by Pharmacy Joe.
Apr 21, 2016
78: Correlating mechanism of action to pathophysiology of disease
8:44
Show notes at pharmacyjoe.com/episode78. In this episode I ll discuss my secret to learning, recalling, and applying pharmacotherapy knowledge to patient care: correlating mechanism of action to the pathophysiology of disease. The post 78: Correlating mechanism of action to pathophysiology of disease appeared first on Critical Care Resources by Pharmacy Joe.
Apr 18, 2016
77: Acute kidney injury with vancomycin and piperacillin-tazobactam, hypotonic dextrose infusion for hypernatremia, and G6PD resources
8:58
Show notes at pharmacyjoe.com/episode77. In this episode I’ll: 1. Discuss an article that looks at the incidence of acute kidney injury in ICU patients receiving vancomycin and piperacillin-tazobactam 2. Answer the drug information question “Should 2.5% dextrose ever be infused?” 3. Share a resource about G6PD deficiency The post 77: Acute kidney injury with vancomycin and piperacillin-tazobactam, hypotonic dextrose infusion for hypernatremia, and G6PD resources appeared first on Critical Care Resources by Pharmacy Joe.
Apr 14, 2016
76: How to use dexmedetomidine for ICU sedation and ventilator weaning
6:21
Show notes at pharmacyjoe.com/episode76. In this episode I ll discuss how to use dexmedetomidine for sedation in the ICU. The post 76: How to use dexmedetomidine for ICU sedation and ventilator weaning appeared first on Critical Care Resources by Pharmacy Joe.
Apr 11, 2016
75: When will the FDA approve ciraparantag / PER977?
7:11
Show notes at pharmacyjoe.com/episode75. In this episode I’ll discuss the drug ciraparantag. The post 75: When will the FDA approve ciraparantag / PER977? appeared first on Critical Care Resources by Pharmacy Joe.
Apr 07, 2016
74: Monitoring continuous infusions of neuromuscular blocking agents (NMBAs)
7:41
Show notes at pharmacyjoe.com/episode74. In this episode I’ll discuss monitoring continuous infusions of neuromuscular blocking agents. The post 74: Monitoring continuous infusions of neuromuscular blocking agents (NMBAs) appeared first on Critical Care Resources by Pharmacy Joe.
Apr 04, 2016
73: Calcium correction in the ICU, IVIG dosing weight, and open access medical journals
7:31
Show notes at pharmacyjoe.com/episode73. In this episode I’ll: 1. Discuss an article about calcium correction in the ICU 2. Answer the drug information question “What weight should be used to calculate an initial dose of IV immune globulin (IVIG)?” 3. Share a resource about open access medical journals. The post 73: Calcium correction in the ICU, IVIG dosing weight, and open access medical journals appeared first on Critical Care Resources by Pharmacy Joe.
Mar 31, 2016
72: How to taper off a fentanyl infusion
7:26
Show notes at pharmacyjoe.com/episode72. In this episode I’ll discuss how to taper patients off a fentanyl infusion. The post 72: How to taper off a fentanyl infusion appeared first on Critical Care Resources by Pharmacy Joe.
Mar 28, 2016
71: Intensive care after intravenous thrombolysis, lyme disease prophyalxis in pregnant patients, and propofology
8:13
Show notes at pharmacyjoe.com/episode71. 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 […] The post 71: Intensive care after intravenous thrombolysis, lyme disease prophyalxis in pregnant patients, and propofology appeared first on Critical Care Resources by Pharmacy Joe.
Mar 24, 2016
70: Treatment of severe alcohol withdrawal
7:28
Show notes at pharmacyjoe.com/episode70. In this episode I ll discuss the treatment of severe alcohol withdrawal. The post 70: Treatment of severe alcohol withdrawal appeared first on Critical Care Resources by Pharmacy Joe.
Mar 21, 2016
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
7:40
Show notes at pharmacyjoe.com/episode69. 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 The post 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 appeared first on Critical Care Resources by Pharmacy Joe.
Mar 17, 2016
68: The fallacy of sugammadex rescue
7:29
Show notes at pharmacyjoe.com/episode68. In this episode I’ll discuss whether sugammadex can rescue your patient from a can t intubate, can t oxygenate scenario. The post 68: The fallacy of sugammadex rescue appeared first on Critical Care Resources by Pharmacy Joe.
Mar 14, 2016
67: Dexmedetomidine for agitated delirium, dexmedetomidine loading dose use, and how long to wait before a procedure after stopping apixaban, dabigatran, and rivaroxaban
8:22
Show notes at pharmacyjoe.com/episode67. 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 […] The post 67: Dexmedetomidine for agitated delirium, dexmedetomidine loading dose use, and how long to wait before a procedure after stopping apixaban, dabigatran, and rivaroxaban appeared first on Critical Care Resources by Pharmacy Joe.
Mar 10, 2016
66: Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS)
9:08
Show notes at pharmacyjoe.com/episode66. In this episode I’ll discuss diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS). The post 66: Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) appeared first on Critical Care Resources by Pharmacy Joe.
Mar 07, 2016
65: Continuous cefazolin in CABG, heparin with an epidural in place, and an update on my favorite drug interaction resource
8:36
Show notes at pharmacyjoe.com/episode65. 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 […] The post 65: Continuous cefazolin in CABG, heparin with an epidural in place, and an update on my favorite drug interaction resource appeared first on Critical Care Resources by Pharmacy Joe.
Mar 03, 2016
64: How to identify drug fever
8:43
Show notes at pharmacyjoe.com/episode64. In this episode I’ll discuss how I identify drug fever. The post 64: How to identify drug fever appeared first on Critical Care Resources by Pharmacy Joe.
Feb 29, 2016
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
8:40
Show notes at pharmacyjoe.com/episode63. 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 […] The post 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 appeared first on Critical Care Resources by Pharmacy Joe.
Feb 25, 2016
62: 6 tips to incorporate precepting advanced pharmacy practice experience students into your workflow
9:52
Show notes at pharmacyjoe.com/episode62. In this episode I ll share my top 6 tips to incorporate precepting advanced pharmacy practice experience (APPE) students into your workflow. The post 62: 6 tips to incorporate precepting advanced pharmacy practice experience students into your workflow appeared first on Critical Care Resources by Pharmacy Joe.
Feb 22, 2016
61: Toxicology of rivaroxaban and apixaban, compatibility of vancomycin and piperacillin-tazobactam, and a resource for taking care of critically ill pregnant patients
7:21
Show notes at pharmacyjoe.com/episode61. 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. The post 61: Toxicology of rivaroxaban and apixaban, compatibility of vancomycin and piperacillin-tazobactam, and a resource for taking care of critically ill pregnant patients appeared first on Critical Care Resources by Pharmacy Joe.
Feb 18, 2016
60: ACE inhibitor induced angioedema treatment
7:13
Show notes at pharmacyjoe.com/episode60. In this episode, I ll discuss the treatment of ACE inhibitor induced angioedema. The post 60: ACE inhibitor induced angioedema treatment appeared first on Critical Care Resources by Pharmacy Joe.
Feb 15, 2016
59: Vasopressors and unavoidable pressure ulcers, holding etanercept before surgery, and finding images of medication structures
6:42
Show notes at pharmacyjoe.com/episode59. In this episode I ll: 1. Discuss an article about vasopressors and pressure ulcers in critical care. 2. Answer the drug information question: “How long should I hold etanercept before surgery?” 3. Share a resource I use to obtain pictures of the chemical structure of medications. The post 59: Vasopressors and unavoidable pressure ulcers, holding etanercept before surgery, and finding images of medication structures appeared first on Critical Care Resources by Pharmacy Joe.
Feb 11, 2016
58: Patient controlled analgesia use in the ICU
14:13
Show notes at pharmacyjoe.com/episode58. In this episode I’ll discuss using patient controlled analgesia in ICU patients. The post 58: Patient controlled analgesia use in the ICU appeared first on Critical Care Resources by Pharmacy Joe.
Feb 08, 2016
57: Updated 10th edition CHEST guidelines for VTE disease, continuing CDI treatment, and smartwatches in healthcare
10:51
Show notes at pharmacyjoe.com/episode57. In this episode I’ll: 1. Review the updated CHEST guidelines on Antithrombotic Therapy for VTE Disease. 2. Answer the drug information question: “Can I continue metronidazole for prevention of recurrent clostridium difficile infection (CDI) in patients requiring antimicrobial therapy?” 3. Share a resource I wear around my wrist. The post 57: Updated 10th edition CHEST guidelines for VTE disease, continuing CDI treatment, and smartwatches in healthcare appeared first on Critical Care Resources by Pharmacy Joe.
Feb 04, 2016
56: Why the Cockcroft-Gault formula can t be used to calculate creatinine clearance
9:39
Show notes at pharmacyjoe.com/episode56. In this episode I ll discuss a long time pet peeve of mine – the Cockcroft Gault formula can be used to predict – not calculate – creatinine clearance. The post 56: Why the Cockcroft-Gault formula can t be used to calculate creatinine clearance appeared first on Critical Care Resources by Pharmacy Joe.
Feb 01, 2016
55: Sux vs roc in brain injury, stopping antibiotics in fecal microbiota transplant, and a resource for medical emergencies
9:38
Show notes at pharmacyjoe.com/episode55. In this episode I ll: 1. Discuss an article that found an increase in mortality when succinylcholine was used for rapid sequence intubation in patients with traumatic brain injury. 2. Answer the drug information question “Do antibiotics need to be stopped prior to fecal microbiota transplantation (FMT) to treat clostridium difficile infection?” […] The post 55: Sux vs roc in brain injury, stopping antibiotics in fecal microbiota transplant, and a resource for medical emergencies appeared first on Critical Care Resources by Pharmacy Joe.
Jan 28, 2016
54: Daptomycin use in adult critical care patients
8:31
Show notes at pharmacyjoe.com/episode54. In this episode I’ll discuss the use of daptomycin in the context of adult critically ill patients. The post 54: Daptomycin use in adult critical care patients appeared first on Critical Care Resources by Pharmacy Joe.
Jan 25, 2016
53: Pain assessment in the setting of ICU delirium
8:02
Show notes at pharmacyjoe.com/episode53. In this episode I ll: 1. Discuss an article about evaluating the presence of pain in patients with ICU delirium 2. Answer the drug information question: Does quetiapine reduce the duration of ICU delirium?” 3. Share a resource I use to find information about the prevention and treatment of ICU delrium The post 53: Pain assessment in the setting of ICU delirium appeared first on Critical Care Resources by Pharmacy Joe.
Jan 21, 2016
52: Treatment of inpatient hypoglycemia
8:06
Show notes at pharmacyjoe.com/episode52. In this episode I ll review the inpatient treatment of hypoglycemia. The post 52: Treatment of inpatient hypoglycemia appeared first on Critical Care Resources by Pharmacy Joe.
Jan 18, 2016
51: DDAVP for intracranial hemorrhage, re-exposure to heparin after HIT, and bacterial classification resources
9:55
Show notes at pharmacyjoe.com/episode51. In this episode I ll: 1. Discuss an article recommending DDAVP for intracranial hemorrhage from anti-platelet agents 2. Answer the drug information question: What should I use to treat a DVT in a patient on CRRT with a recent history of HIT?” 3. Share a resource I use to get an early […] The post 51: DDAVP for intracranial hemorrhage, re-exposure to heparin after HIT, and bacterial classification resources appeared first on Critical Care Resources by Pharmacy Joe.
Jan 14, 2016
50: Overdose scenarios in which supportive care is not enough acetaminophen, methanol, or ethylene glycol poisoning
9:28
Show notes at pharmacyjoe.com/episode50. 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 poisoning The post 50: Overdose scenarios in which supportive care is not enough acetaminophen, methanol, or ethylene glycol poisoning appeared first on Critical Care Resources by Pharmacy Joe.
Jan 11, 2016
49: Fixed dosing of 4 factor prothrombin complex concentrate, full dose subcutaneous heparin, and pneumotox.com
9:35
Show notes at pharmacyjoe.com/episode49. 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 disease The post 49: Fixed dosing of 4 factor prothrombin complex concentrate, full dose subcutaneous heparin, and pneumotox.com appeared first on Critical Care Resources by Pharmacy Joe.
Jan 07, 2016
48: Pharmacologic support in the treatment of 12 types of shock
9:16
Show notes at pharmacyjoe.com/episode48. In this episode I ll review the medications used to support the treatment of shock from 12 different etiologies. The post 48: Pharmacologic support in the treatment of 12 types of shock appeared first on Critical Care Resources by Pharmacy Joe.
Jan 04, 2016
47: Augmented renal clearance, endocarditis treatment, and tPA risk vs benefit
8:45
Show notes at pharmacyjoe.com/episode47. 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 […] The post 47: Augmented renal clearance, endocarditis treatment, and tPA risk vs benefit appeared first on Critical Care Resources by Pharmacy Joe.
Dec 31, 2015
46: Pharmacologic treatments for anaphylaxis
8:45
Show notes at pharmacyjoe.com/episode46. In this episode I’ll review the pharmacologic treatments for anaphylaxis. The post 46: Pharmacologic treatments for anaphylaxis appeared first on Critical Care Resources by Pharmacy Joe.
Dec 28, 2015
45: Melatonin decreases need for ICU sedation, NSAIDS and GI prophylaxis, and a myasthenia gravis resource
9:23
Show notes at pharmacyjoe.com/episode45. 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 […] The post 45: Melatonin decreases need for ICU sedation, NSAIDS and GI prophylaxis, and a myasthenia gravis resource appeared first on Critical Care Resources by Pharmacy Joe.
Dec 24, 2015
44: Status epilepticus management tips for the pharmacist
8:17
Show notes at pharmacyjoe.com/episode44. In this episode I’ll discuss the management priorities for a hospital pharmacist when caring for a patient with status epilepticus. The post 44: Status epilepticus management tips for the pharmacist appeared first on Critical Care Resources by Pharmacy Joe.
Dec 21, 2015
43: Can olanzapine be given IV? and the FOAMed subreddit
10:42
Show notes at pharmacyjoe.com/episode43. In this episode I ll: 1. Review an article I used to answer the drug information question Can olanzapine be given IV?” 2. Share a resource for finding free open access medical education content The post 43: Can olanzapine be given IV? and the FOAMed subreddit appeared first on Critical Care Resources by Pharmacy Joe.
Dec 17, 2015
42: Initial treatment of severe sepsis and septic shock tips for the pharmacist
10:42
Show notes at pharmacyjoe.com/episode42. In this episode I ll talk about tips for the pharmacist in the initial treatment of severe sepsis / septic shock. The post 42: Initial treatment of severe sepsis and septic shock tips for the pharmacist appeared first on Critical Care Resources by Pharmacy Joe.
Dec 14, 2015
41: Enoxaparin in morbid obesity, morphine in dialysis, and porphyria drug database
6:59
Show notes at pharmacyjoe.com/episode41. In this episode I’ll: 1. Review an article on monitoring enoxaparin with antifactor Xa levels in morbidly obese patients 2. Answer a drug information question about using morphine in a patient on dialysis 3. Share a great resource I use for researching which medications exacerbate porphyria The post 41: Enoxaparin in morbid obesity, morphine in dialysis, and porphyria drug database appeared first on Critical Care Resources by Pharmacy Joe.
Dec 10, 2015
40: Hyperthermia from serotonin syndrome vs malignant hyperthermia vs neuroleptic malignant syndrome
11:36
Show notes at pharmacyjoe.com/episode40. In this episode, I ll discuss the recognition and treatment of serotonin syndrome (SS), malignant hyperthermia (MH), and neuroleptic malignant syndrome (NMS). The post 40: Hyperthermia from serotonin syndrome vs malignant hyperthermia vs neuroleptic malignant syndrome appeared first on Critical Care Resources by Pharmacy Joe.
Dec 07, 2015
39: Parachute use to prevent death and trauma, IV compatibility tips, and candida score calculator
6:10
Show notes at pharmacyjoe.com/episode39. In this episode I’ll: 1. Discuss an article about evidence based medicine 2. Answer a drug information question about IV compatibility 3. Share a resource for calculating a patient’s Candida Score The post 39: Parachute use to prevent death and trauma, IV compatibility tips, and candida score calculator appeared first on Critical Care Resources by Pharmacy Joe.
Dec 03, 2015
38: Hypertensive emergency treatment choices
13:18
Show notes at pharmacyjoe.com/episode38. In this episode, I’ll cover treatment strategies for hypertensive emergencies.   The post 38: Hypertensive emergency treatment choices appeared first on Critical Care Resources by Pharmacy Joe.
Nov 30, 2015
37: Prolonged empiric antibiotics in ICU, eosinophilic nephritis, and a 4T score calculator
8:42
Show notes at pharmacyjoe.com/episode37. In this episode I’ll: 1. Discuss an article about prolonged empiric antibiotic therapy in adult ICUs 2. Answer a drug information question about eosinophilic nephritis 3. Share a 4T score calculator The post 37: Prolonged empiric antibiotics in ICU, eosinophilic nephritis, and a 4T score calculator appeared first on Critical Care Resources by Pharmacy Joe.
Nov 26, 2015
36: Pharmacotherapy for stridor in adult ICU patients
7:47
Show notes at pharmacyjoe.com/episode36. In this episode I ll review the definition, recognition, causes & pharmacotherapy treatments of stridor in critically ill adult patients. The post 36: Pharmacotherapy for stridor in adult ICU patients appeared first on Critical Care Resources by Pharmacy Joe.
Nov 23, 2015
35: Propofol related infusion syndrome, SCIP prophylaxis Q&A, and drug induced thrombocytopenia resource
15:08
Show notes at pharmacyjoe.com/episode35. In this episode I’ll: 1. Review an article on propofol related infusion syndrome 2. Answer a drug information question about surgical antibiotic prophylaxis 3. Share a great resource I use for investigating drug induced thrombocytopenia The post 35: Propofol related infusion syndrome, SCIP prophylaxis Q&A, and drug induced thrombocytopenia resource appeared first on Critical Care Resources by Pharmacy Joe.
Nov 19, 2015
34: Severe hyperkalemia treatment protect the heart, hide the potassium, remove it
12:33
Show notes at pharmacyjoe.com/episode34. In this episode I ll: 1. Review how to recognize severe hyperkalemia 2. Review the 3 categories of hyperkalemia treatments and the order which they should be used 3. Discuss the nuances of each treatment The post 34: Severe hyperkalemia treatment protect the heart, hide the potassium, remove it appeared first on Critical Care Resources by Pharmacy Joe.
Nov 16, 2015
33: Sugammadex FDA approval and dabigatran drug interactions
10:22
Show notes at pharmacyjoe.com/episode33. In this episode I’ll: 1. Review the FDA briefing documents for sugammadex 2. Answer a drug information question about dabigatran 3. Share a great resource I use for evaluating drug interactions The post 33: Sugammadex FDA approval and dabigatran drug interactions appeared first on Critical Care Resources by Pharmacy Joe.
Nov 12, 2015
32: Why normal saline makes hyponatremia worse in SIADH
12:59
Show notes at pharmacyjoe.com/episode32. In this episode I ll share with you what he taught me and I’ll: 1. Review the pathophysiology of hyponatremia from SIADH 2. Explain how normal saline makes it worse 3. Discuss basic treatment of severe, symptomatic hyponatremia from SIADH and what to do if you correct the sodium too fast The post 32: Why normal saline makes hyponatremia worse in SIADH appeared first on Critical Care Resources by Pharmacy Joe.
Nov 09, 2015
31: Vanco dosing by AUC:MIC, heparin vs LMWH, and sleep hygiene resources
11:18
Show notes at pharmacyjoe.com/episode31. In this episode, I will: Review an article about monitoring vancomycin by trough levels Answer a drug information question: Why do some of my trauma patients get heparin and some enoxaparin for DVT prophylaxis? Share sleep hygiene resources that I personally use. The post 31: Vanco dosing by AUC:MIC, heparin vs LMWH, and sleep hygiene resources appeared first on Critical Care Resources by Pharmacy Joe.
Nov 05, 2015
30: Intravenous lipid emulsion for the treatment of drug toxicity
9:47
Show notes at pharmacyjoe.com/episode30. In this episode I’ll 1. Discuss some cases of using IV lipid emulsion for drug toxicity 2. List which patient care areas in my institution are stocked with IV lipid emulsion 3. Review the dosing of IV lipid emulsion The post 30: Intravenous lipid emulsion for the treatment of drug toxicity appeared first on Critical Care Resources by Pharmacy Joe.
Nov 02, 2015
29: Idarucizumab for dabigatran reversal, rivaroxaban for PE with active cancer, and an evidence based guideline resource
13:05
Show notes at pharmacyjoe.com/episode29. In this episode I will: 1. Review an article about idarucizumab for dabigatran reversal 2. Answer a drug information question: “Can I use rivaroxaban to treat a pulmonary embolism (PE) in a patient with active cancer?” 3. Share a resource I use that is a collection of evidence based critical care […] The post 29: Idarucizumab for dabigatran reversal, rivaroxaban for PE with active cancer, and an evidence based guideline resource appeared first on Critical Care Resources by Pharmacy Joe.
Oct 29, 2015
28: Hospital pharmacist pain management tips
14:53
Show notes at pharmacyjoe.com/episode28. In this episode I’ll share how I approach a “Pharmacy Pain Consult” at my hospital. I’ll discuss how I titrate opioid doses when the patient has risk factors for respiratory depression. I’ll also share the 4 most common fixes to inadequate pain management. The post 28: Hospital pharmacist pain management tips appeared first on Critical Care Resources by Pharmacy Joe.
Oct 26, 2015
27: Choice of IV fluids, dexmedetomidine drug fever, and a great resource
7:50
Show notes at pharmacyjoe.com/episode27. In this episode I will: 1. Review an article about the choice of IV fluids in ICU patients 2. Answer a drug information question: “Have you seen dexmedetomidine drug fever?” 3. Share a free resource I use to stay updated with medical literature The post 27: Choice of IV fluids, dexmedetomidine drug fever, and a great resource appeared first on Critical Care Resources by Pharmacy Joe.
Oct 22, 2015
26: 2015 Cardiopulmonary resuscitation guidelines update
16:58
Show notes at pharmacyjoe.com/episode26. There are some interesting changes to the guidelines that pharmacists should know about and I’ll summarize them for you in this episode. The post 26: 2015 Cardiopulmonary resuscitation guidelines update appeared first on Critical Care Resources by Pharmacy Joe.
Oct 19, 2015
Episode 25: How to dose naloxone for opioid reversal
11:27
Show notes at pharmacyjoe.com/episode25. In this episode I ll talk about how to dose naloxone (Narcan) including when to give a lot and when to give just a little bit. The post Episode 25: How to dose naloxone for opioid reversal appeared first on Critical Care Resources by Pharmacy Joe.
Oct 15, 2015
24: Mechanical ventilation tips for pharmacists
36:56
Show notes at pharmacyjoe.com/episode24. In this episode we ll be talking with one of the most talented and patient focused respiratory therapists I know. The post 24: Mechanical ventilation tips for pharmacists appeared first on Critical Care Resources by Pharmacy Joe.
Oct 12, 2015
23: Sensitivity, specificity, and predictive values of medical tests
9:02
Show notes at pharmacyjoe.com/episode23. In this episode, I ll give real world patient care examples of how to remember and apply the concepts of sensitivity, specificity and predictive value as they relate to medical tests. The post 23: Sensitivity, specificity, and predictive values of medical tests appeared first on Critical Care Resources by Pharmacy Joe.
Oct 08, 2015
22: Treatment of methemoglobinemia
9:02
Show notes at pharmacyjoe.com/episode22. In this episode I ll discuss the recognition and treatment of acquired methemoglobinemia. The post 22: Treatment of methemoglobinemia appeared first on Critical Care Resources by Pharmacy Joe.
Oct 05, 2015