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October 14, 2019
Show notes at pharmacyjoe.com/episode442. In this episode, I ll discuss whether recent laxative use should preclude testing for C diff.
October 10, 2019
Show notes at pharmacyjoe.com/episode441. In this episode, I’ll discuss a tip to predict pharmacotherapy needs in rapid response or emergent situations.
October 7, 2019
Show notes at pharmacyjoe.com/episode440. In this episode, I’ll discuss the intraosseous route in critically ill adults.
October 3, 2019
Show notes at pharmacyjoe.com/episode439. In this episode, I ll discuss the most common triggers for a rapid response call.
September 30, 2019
Show notes at pharmacyjoe.com/episode438. In this episode, I ll discuss whether DOACs ever require bridging.
September 26, 2019
Show notes at pharmacyjoe.com/episode437. In this episode, I ll discuss whether oral vancomycin use for C diff increases the risk of VRE.
September 23, 2019
Show notes at pharmacyjoe.com/episode436. In this episode, I ll discuss an article about rebound hypertension from dexmedetomidine.
September 19, 2019
Show notes at pharmacyjoe.com/episode435. In this episode, I ll discuss what antibiotic to use in a patient with severe appendicitis and severe penicillin allergy.
September 16, 2019
Show notes at pharmacyjoe.com/episode434. In this episode, I ll discuss the types and causes of drug-induced liver injury.
September 12, 2019
Show notes at pharmacyjoe.com/episode433. In this episode, I ll discuss how often midodrine use continues after a patient leaves the ICU.
September 9, 2019
Show notes at pharmacyjoe.com/episode432. In this episode, I ll discuss how long patients need to be monitored in the ICU after receiving alteplase for acute ischemic stroke.
September 5, 2019
Show notes at pharmacyjoe.com/episode431. In this episode, I’ll discuss when octreotide can be discontinued in patients with variceal bleeding.
September 2, 2019
Show notes at pharmacyjoe.com/episode430. In this episode, I ll discuss how to become a peer reviewer for a medical journal.
August 29, 2019
Show notes at pharmacyjoe.com/episode429. In this episode, I ll discuss the treatment of fulminant C. diff.
August 26, 2019
Show notes at pharmacyjoe.com/episode428. In this episode, I’ll discuss the different types of statistical data.
August 22, 2019
Show notes at pharmacyjoe.com/episode427. In this episode, I ll discuss topical lidocaine for wound vac dressing changes.
August 19, 2019
Show notes at pharmacyjoe.com/episode426. In this episode, I ll discuss an article about the impact of total body weight on rate of acute kidney injury in patients treated with piperacillin tazobactam and vancomycin.
August 15, 2019
Show notes at pharmacyjoe.com/episode425. In this episode, I ll discuss why hypotonic or dextrose-based solutions are avoided in patients with acute ischemic stroke.
August 12, 2019
Show notes at pharmacyjoe.com/episode424. In this episode, I ll discuss deresuscitation of patients in the ICU.
August 8, 2019
Show notes at pharmacyjoe.com/episode423. In this episode, I ll discuss why the adenosine dose is reduced by 50% when it is given in a central line.
August 5, 2019
Show notes at pharmacyjoe.com/episode422. In this episode, I ll discuss an article about using gabapentin for severe alcohol withdrawal.
August 1, 2019
Show notes at pharmacyjoe.com/episode421. In this episode, I’ll discuss why steroids are given in myxedema coma.
July 29, 2019
Show notes at pharmacyjoe.com/episode420. In this episode, I ll discuss the paradox of steroids in rapidly worsening myasthenia gravis.
July 25, 2019
Show notes at pharmacyjoe.com/episode419. In this episode, I ll discuss when the acute ischemic stroke guidelines recommend stopping alteplase mid-infusion.
July 22, 2019
Show notes at pharmacyjoe.com/episode418. In this episode, I ll discuss an article about the adverse effects of medications given for acute agitation in the ED.
July 18, 2019
Show notes at pharmacyjoe.com/episode417. In this episode, I ll discuss why you don t need to know the cause of severe, symptomatic hyponatremia before treating it.
July 15, 2019
Show notes at pharmacyjoe.com/episode416. In this episode, I ll discuss the final 4 questions of a recent survey of intensive care professionals about clinically relevant pharmacokinetic knowledge on antibiotic dosing. This is part 3 of a 3 part series that began with episode 414.
July 11, 2019
Show notes at pharmacyjoe.com/episode415. In this episode, I ll discuss questions 6, 7 and 8 of a recent survey of intensive care professionals about clinically relevant pharmacokinetic knowledge on antibiotic dosing. This is part 2 of a 3 part series that began with episode 414.
July 8, 2019
Show notes at pharmacyjoe.com/episode414. In this episode, I ll discuss a recent survey of intensive care professionals about clinically relevant pharmacokinetic knowledge on antibiotic dosing.
July 4, 2019
Show notes at pharmacyjoe.com/episode413. In this episode, I ll discuss why moxifloxacin doesn t cover urinary tract infections.
July 1, 2019
Show notes at pharmacyjoe.com/episode412. In this episode, I ll discuss famotidine as a potential cause of delirium.
June 27, 2019
As a reminder, to not lose the chance to lock in the lowest possible pricing for the Hospital Pharmacy Academy, join before it increases this Friday June 28, 2019 at pharmacyjoe.com/academy. Show notes at pharmacyjoe.com/episode411. In this episode, I ll discuss potential reasons for an unexpected positive urine barbiturate screen.
June 24, 2019
As a reminder, to not lose the chance to lock in the lowest possible pricing for the Hospital Pharmacy Academy, join before it increases this Friday June 28, 2019 at pharmacyjoe.com/academy. Show notes at pharmacyjoe.com/episode410. In this episode, I ll discuss potential reasons for a false heparin anti-Xa level.
June 20, 2019
Show notes at pharmacyjoe.com/episode409. In this episode, I’ll discuss octreotide’s role in treating variceal bleeding.
June 17, 2019
Show notes at pharmacyjoe.com/episode408. In this episode, I ll discuss an article about using dexmedetomidine in critically ill patients.
June 13, 2019
Show notes at pharmacyjoe.com/episode407. In this episode, I’ll discuss the drug interaction between sugammadex and oral contraceptives.
June 10, 2019
Show notes at pharmacyjoe.com/episode406. In this episode, I ll talk about how to use naloxone for opioid overdose in the inpatient setting.
June 6, 2019
In this episode, I will discuss whether intermittent boluses of pantoprazole be used to treat acute GI bleeding rather than continuous infusions. Show notes at pharmacyjoe.com/episode405.
June 3, 2019
In this episode, I ll discuss giving alteplase for acute ischemic stroke during pregnancy. Show notes at pharmacyjoe.com/episode404.
May 30, 2019
In this episode, I ll discuss the effect of beta-blocker therapy on dobutamine. Show notes at pharmacyjoe.com/episode403.
May 27, 2019
In this episode, I ll discuss an article about when to draw a free phenytoin level. Show notes at pharmacyjoe.com/episode402.
May 23, 2019
Show notes at pharmacyjoe.com/episode401. In this episode, I ll discuss predictors of oversedation in hospitalized patients.
May 20, 2019
Show notes at pharmacyjoe.com/episode400. IIn this episode, I ll discuss acetazolamide s use as a respiratory stimulant in ICU patients.
May 16, 2019
Show notes at pharmacyjoe.com/episode399. In this episode, I ll discuss the biggest risk to using phenobarbital monotherapy for severe alcohol withdrawal.
May 13, 2019
Show notes at pharmacyjoe.com/episode398. In this episode I ll: 1. Discuss an article about the safety and efficacy of apixaban in patients at extremes of body weight. 2. Answer a drug information question about the diagnosis of adrenocortical insufficiency without using Cortosyn.
May 9, 2019
Show notes at pharmacyjoe.com/episode397. In this episode, I’ll discuss the state of research for hydrocortisone, ascorbic acid, and thiamine (HAT Rx) for sepsis.
May 6, 2019
Show notes at pharmacyjoe.com/episode396 In this episode, I’ll discuss the use of methylene blue for the treatment of refractory anaphylaxis without hypotension.
May 2, 2019
Show notes at pharmacyjoe.com/episode395. In this episode I ll: discuss PGY-1 Learning Activities and the 6 levels of Bloom s Learning Taxonomy
April 29, 2019
Show notes at http://pharmacyjoe.com/episode394 In this episode I ll: 1. Discuss an article about the use of ketamine for agitation in patients with schizophrenia 2. Answer the drug information question “Can oral and IV vancomycin be given at the same time to the same patient?”
April 25, 2019
Show notes at http://pharmacyjoe.com/episode393 In this episode, I’ll discuss why IV dextrose is given to patients with DKA.
April 22, 2019
Show notes at http://pharmacyjoe.com/episode392 In this episode, I’ll discuss how to remember antibiotic spectrum of activity.
April 18, 2019
Show notes at http://pharmacyjoe.com/episode391 In this episode, I’ll discuss whether 100 mg of micafungin is enough for critically ill obese patients.
April 15, 2019
Show notes at pharmacyjoe.com/episode390. In this episode, I ll discuss the role for tranexamic acid in the treatment of epistaxis.
April 11, 2019
Show notes at pharmacyjoe.com/episode389. In this episode, I ll discuss whether to use phentolamine to treat dobutamine extravasation.
April 8, 2019
Show notes at pharmacyjoe.com/episode388. In this episode, I ll discuss an article about enhanced renal clearance in patients with hemorrhagic stroke.
April 4, 2019
Show notes at pharmacyjoe.com/episode387. In this episode, I ll discuss using the 1 minute preceptor method for pharmacy residents.
April 1, 2019
Show notes at pharmacyjoe.com/episode386. In this episode, I ll discuss an article about drug order in rapid sequence intubation.
March 28, 2019
Show notes at pharmacyjoe.com/episode385. In this episode, I ll discuss starting vasopressin at the same time as norepinephrine for patients in septic shock.
March 25, 2019
Show notes at pharmacyjoe.com/episode384. In this episode, I will discuss how I would treat Wernicke s Encephalopathy if I were completely out of IV thiamine.
March 21, 2019
Show notes at pharmacyjoe.com/episode383. In this episode, I ll discuss whether a short course of antibiotics for critically ill patients with postoperative intra-abdominal infection is just as good as a standard course.
March 18, 2019
Show notes at pharmacyjoe.com/episode382. In this episode, I ll discuss 2 Clinical Rules for Predicting ED Patients at High Risk of an Adverse Drug Event.
March 14, 2019
Show notes at pharmacyjoe.com/episode381. In this episode, I’ll discuss which IM medication is the best first-line treatment for acute agitation in patients presenting to the emergency department.
March 11, 2019
Show notes at pharmacyjoe.com/episode380. In this episode, I ll discuss the 4 clinical teaching roles for residency preceptors.
March 7, 2019
Show notes at pharmacyjoe.com/episode379. In this episode, I’ll discuss an alternative scoring system for predicting the risk of augmented renal clearance.
March 4, 2019
Show notes at pharmacyjoe.com/episode378. In this episode I ll: 1. Discuss an article about the safety of high-dose IV labetalol 2. Answer the drug information question “Why is oral ketorolac restricted to patients that are continuing a 5-day course that started as parenteral therapy?”
February 28, 2019
Show notes at pharmacyjoe.com/episode377. In this episode, I’ll discuss how to predict the risk of cardiac arrest after intubation.
February 25, 2019
Show notes at pharmacyjoe.com/episode376. In this episode, I’ll discuss the updated Top 100 Drug Interactions reference book.
February 21, 2019
Show notes at pharmacyjoe.com/episode375. In this episode, I ll discuss whether patients with liver disease and prolonged PT/INR levels still need VTE prophylaxis.
February 18, 2019
Show notes at pharmacyjoe.com/episode374. In this episode I ll: 1. Discuss a review article about musculoskeletal toxicities in patients receiving concomitant statin and daptomycin therapy 2. Answer the drug information question “Is there any benefit in de-escalating ceftriaxone to cefazolin?”
February 14, 2019
Show notes at pharmacyjoe.com/episode373. In this episode, I’ll discuss if linezolid can be used to inhibit bacterial toxin production in necrotizing fasciitis.
February 11, 2019
Show notes at pharmacyjoe.com/episode372. In this episode, I’ll discuss fentanyl-induced chest wall rigidity.
February 7, 2019
Show notes at pharmacyjoe.com/episode371. Can patients with an iodine allergy receive amiodarone?
February 4, 2019
Show notes at pharmacyjoe.com/episode370. In this episode I ll: 1. Discuss an article about the presence of an emergency medicine pharmacist during critical care trauma patient resuscitation. 2. Answer the drug information question Should probiotics be given via NG tube to ICU patients?” 3. Share a tip for responding to inpatient medical emergencies.
January 31, 2019
In this episode, I’ll discuss whether IV acetaminophen causes hypotension. Show notes at pharmacyjoe.com/episode369.
January 28, 2019
Show notes at pharmacyjoe.com/episode368. In this episode, I ll discuss peripheral IV administration of 3% sodium chloride solution.
January 24, 2019
In this episode, I’ll discuss how much insulin should be used to treat hyperkalemia. Show notes at pharmacyjoe.com/episode367.
January 21, 2019
Show notes at pharmacyjoe.com/episode366. In this episode I ll: 1. Discuss an article about using metronidazole in mild Clostridium difficile infection. 2. Answer the drug information question “What is captisol-based amiodarone?” 3. Share a tip for responding to inpatient medical emergencies.
January 17, 2019
Show notes at pharmacyjoe.com/episode365. In this episode, I ll discuss how many mcg of push-dose norepinephrine is needed to prevent hypotension.
January 14, 2019
Show notes at pharmacyjoe.com/episode364. In this episode, I’ll discuss the 2018 ACLS antiarrhythmic drug update.
January 10, 2019
Show notes at pharmacyjoe.com/episode363. In this episode, I ll discuss an antibiotic stewardship intervention that reduced infection-related mortality from 25% to 11%
January 7, 2019
Show notes at pharmacyjoe.com/episode362. In this episode I ll: 1. Discuss an article about the duration of therapy in gram-negative bacteremia. 2. Answer the drug information question Can cefazolin sensitivity be used to predict cephalexin sensitivity? 3. Share a tip for responding to inpatient medical emergencies.
January 3, 2019
Show notes at pharmacyjoe.com/episode361. In this episode, I ll discuss the 4 steps I consider for every medication overdose case.
December 31, 2018
Show notes at pharmacyjoe.com/episode360. In this episode, I’ll discuss a gram stain-based algorithm for antibiotic selection in patients with suspected VAP.
December 27, 2018
Show notes at pharmacyjoe.com/episode359. In this episode, I ll discuss how lactated ringers solution can play a role in managing a sodium bicarbonate shortage.
December 24, 2018
Show notes at pharmacyjoe.com/episode358. In this episode I ll: 1. Discuss an article about exposure to antibiotics and development of new resistance. 2. Answer the drug information question Can naloxone reverse oversedation from clonidine toxicity?” 3. Share a tip for responding to medical emergencies.
December 20, 2018
Show notes at pharmacyjoe.com/episode357. In this episode, I ll discuss Monte Carlo simulations.
December 17, 2018
Show notes at pharmacyjoe.com/episode356. In this episode, I ll discuss vancomycin dosing by AUC:MIC instead of trough level.
December 13, 2018
Show notes at pharmacyjoe.com/episode355. In this episode, I ll discuss whether giving an antibiotic IV push affects the pharmacodynamic exposure.
December 10, 2018
Show notes at pharmacyjoe.com/episode354. In this episode I ll: 1. Discuss an article about stress ulcer prophylaxis in the ICU. 2. Answer the drug information question “How long is the duration of chest wall rigidity from fentanyl?”
December 6, 2018
Show notes at pharmacyjoe.com/episode353. In this episode, I ll discuss the format I use to write a pharmacy progress note.
December 3, 2018
Show notes at pharmacyjoe.com/episode352. In this episode, I ll discuss using basal insulin in the treatment of diabetic ketoacidosis.
November 29, 2018
In this episode, I ll discuss what I think is the best way to memorize pharmacology. Show notes at pharmacyjoe.com/episode351.
November 26, 2018
In this episode I ll: 1. Discuss an article about the effect of propofol and dexmedetomidine on norepinephrine requirements in patients with septic shock. 2. Answer the drug information question “What is amantadine s role in traumatic brain injury?” 3. Share a tip for responding to inpatient medical emergencies. Show notes at pharmacyjoe.com/episode350.
November 22, 2018
Show notes at pharmacyjoe.com/episode349. In this episode, I ll discuss what to do about serum calcium during a massive transfusion.
November 19, 2018
Show notes at pharmacyjoe.com/episode348. In this episode I ll: 1. Discuss an article about de-escalating anti-MRSA therapy in culture-negative nosocomial pneumonia. 2. Answer the drug information question “Should low serum calcium be replaced by protocol in the ICU?” 3. Share a tip for responding to inpatient medical emergencies.
November 15, 2018
Show notes at pharmacyjoe.com/episode347. In this episode, I ll discuss medication-related causes of green urine.
November 12, 2018
Show notes at pharmacyjoe.com/episode346. In this episode, I ll discuss medication-related causes of elevated serum lactate.
November 8, 2018
Show notes at pharmacyjoe.com/episode345. In this episode, I ll discuss when double anaerobic coverage makes sense.
November 5, 2018
Show notes at pharmacyjoe.com/episode344. In this episode I ll: 1. Discuss an article about inhaled tranexamic acid for hemoptysis. 2. Answer the drug information question Can milrinone be used in patients on CRRT?” 3. Share a tip for responding to inpatient medical emergencies.
November 1, 2018
Show notes at pharmacyjoe.com/episode343. In this episode, I ll discuss what to expect when calling poison control to discuss a toxicology case.
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