The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
222 episodes — Page 1 of 5
1140: Get ready to use a lot more tranexamic acid…
1139: Lipid Dose Differs Depending on Drug Causing the Toxicity
1138: MRSA Nasal Swabs Work, But Only if You Use them…
1137: More critical medications are going to be pushed into the prehospital setting
1136: Why does ketamine occassionally cause post-induction hemodynamic collapse?
1135: Norepinephrine vs phenylephrine in traumatic brain injury – which is best?
1134: IVP Cefepime Pharmacokinetics in Critically Ill Patients With Sepsis Are Highly Variable
1133: Can fondaparinux be useful in critically ill patients with severe renal dysfunction?
1132: Beware ketamine infusions in your transplant patients
1131: Effects of obesity on SC and IM medication administration
1130: A study that proves what we’ve always felt about adenosine 6 vs 12mg for SVT
1129: Do we need to worry about torsades from low-dose ondansetron in peri-operative patients?
1128: What is the best vasopressor to use in post-resuscitation shock?
1127: Oxacillin seems safer than nafcillin (retrospective data)
1126: Does nebulized ketamine work for pain as well as IV?
1126: How well does nebulized ketamine work for pain compared with IV?
1125: What are the risk factors for serious and general opioid-related adverse drug events?
1124: Get ready for patients to come into the ED with vasopressors already infusing
1123: What blood gas parameters indicate possible methemoglobinemia?
1122: Well isn’t that convenient? (Sodium bicarb for severe hyponatremia)
1121: What if it is just the depth of sedation, not the choice of sedative that causes delirium?
1120: Here is something to prioritize for ED patients with Parkinson’s
Show notes at pharmacyjoe.com/episode1120 In this episode, I’ll discuss the importance of timely ordering and administration of antiparkinsonian medications for patients in the ED.
1119: The problem with hypo-osmolar solutions in neurological patients
Show notes at pharmacyjoe.com/episode1119 In this episode, I’ll discuss the problem with hypo-osmolar solutions in neurological patients.
1118: These two sepsis guideline updates will need hospital pharmacists to help implement
Show notes at pharmacyjoe.com/episode1118 In this episode, I’ll discuss the impact two new recommendations in the Surviving Sepsis guidelines on hospital pharmacy practice.
1117: What is the impact of achieving an aggressive PK/PD target for beta-lactams in critically ill patients?
Show notes at pharmacyjoe.com/episode1117 In this episode, I’ll discuss the impact of achieving an aggressive PK/PD target for beta-lactams in critically ill patients.
1116: If the lab can keep secrets from others, maybe the pharmacy should too?
Show notes at pharmacyjoe.com/episode1116 In this episode, I’ll discuss suppressing unnecessary allergy alerts for beta-lactams with dissimilar side chains.
1115: The extremely rare case when a very hypotonic solution may be indicated
Show notes at pharmacyjoe.com/episode1115 In this episode, I’ll discuss the rare case when a very hypotonic solution may be indicated.
1114: Saving $$$ With Oral Phosphate Replacement Instead of IV For Critically Ill Patients With Mild to Moderate Hypophosphatemia
Show notes at pharmacyjoe.com/episode1114 In this episode, I’ll discuss oral vs IV phosphate replacement for critically ill patients with mild to moderate hypophosphatemia.
1113: Ceftriaxone to Prevent Pneumonia After Out of Hospital Cardiac Arrest
Show notes at pharmacyjoe.com/episode1113 In this episode, I’ll discuss the impact of ceftriaxone on the development of pneumonia and noninfectious outcomes after out-of-hospital cardiac arrest.
1112: The Safety and Efficacy of Spraying Stuff Into the Lungs to Prevent Bleeding
Show notes at pharmacyjoe.com/episode1112 In this episode, I’ll discuss endobronchial instillation of epinephrine, cold saline, and saline to prevent bleeding in patients undergoing endobronchial biopsy.
1111: How to judge whether a journal is reputable?
Show notes at pharmacyjoe.com/episode1111 In this episode, I’ll discuss how to judge whether a journal is reputable.
1110: Is it time to rethink oral beta-lactams for some complicated UTI cases?
Show notes at pharmacyjoe.com/episode1110 In this episode, I’ll discuss oral beta-lactams for complicated UTIs.
1109: Is Days of Antibiotic Spectrum Coverage a Better metric for Antibiotic Stewardship?
Show notes at pharmacyjoe.com/episode1109 In this episode, I’ll discuss a novel metric for antibiotic stewardship.
1108: If Your Hospital Does Therapeutic Plasma Exchange, Keep In Mind This Interaction With Enoxaparin
Show notes at pharmacyjoe.com/episode1108 In this episode, I’ll discuss the effects of therapeutic plasma exchange on enoxaparin half-life.
1107: What Makes a Critical Care Pharmacist Take Action – Patient Acuity or Medication Regimen Complexity?
Show notes at pharmacyjoe.com/episode1107 In this episode, I’ll discuss what predicts critical care pharmacist intervention – patient acuity or medication regimen complexity?
1106: New AHA Stroke Guideline Contraindications to Thrombolytics
Show notes at pharmacyjoe.com/episode1106 In this episode, I’ll discuss the 2026 AHA Stroke Guideline changes to how contraindications to thrombolytics are presented.
1105: Does it Matter if You Give Vancomycin Before the Beta-Lactam?
Show notes at pharmacyjoe.com/episode1105 In this episode, I’ll discuss which antibiotic should be given first in sepsis – the beta-lactam or the vancomycin?
1104: Does Taking Beta-Blockers Mean Increased Doses of Epinephrine are Required for Anaphylaxis Treatment?
Show notes at pharmacyjoe.com/episode1104 In this episode, I’ll discuss whether patients taking beta-blockers require increased doses of epinephrine for anaphylaxis.
1103: These Antibiotics Are Really Getting Under My Skin! (Subcutaneous Antibiotics?!)
Show notes at pharmacyjoe.com/episode1103 In this episode, I’ll discuss the use of subcutaneous antibiotics.
1102a: At this single center, linezolid plus serotonergic agents was judged to be likely safe
Show notes at pharmacyjoe.com/episode1102 In this episode, I’ll discuss linezolid-associated serotonin toxicity in patients receiving linezolid and concomitant serotonergic agents.
1101: Inpatient Pharmacist Burnout: How many learners is too many?
Show notes at pharmacyjoe.com/episode1101 In this episode, I’ll discuss the association between number of learners trained per year and rates of burnout among inpatient pharmacists.
1100: Safety of Tenecteplase in Patients With Stroke Mimics
Show notes at pharmacyjoe.com/episode1100 In this episode, I’ll discuss the safety of tenecteplase in patients with stroke mimics.
1099: Glucocorticoids Have No Role Reversing the Acute Symptoms of Anaphylaxis. Here’s Why:
Show notes at pharmacyjoe.com/episode1099 In this episode, I’ll discuss why glucocorticoids have no role in reversing the acute symptoms of anaphylaxis.
1098: Pharmacists Should Know When Electricity is Better Than Epinephrine
Show notes at pharmacyjoe.com/episode1098 In this episode, I’ll discuss the impact of giving epinephrine before defibrillation to in-hospital cardiac arrest (IHCA) patients with shockable rhythms.
1097: Do All ICU Patients Receiving Antipsychotics for Delirium Need QTc Monitoring?
Show notes at pharmacyjoe.com/episode1097 In this episode, I’ll discuss whether ICU patients benefit from daily QTc interval monitoring during antipsychotic use for delirium.
1096: Why is glucagon not given a strong recommendation to treat beta blocker or calcium channel blocker poisoning?
Show notes at pharmacyjoe.com/episode1096 In this episode, I’ll discuss why glucagon is not given a strong recommendation in the AHA guidelines for cardiopulmonary resuscitation.
1095: Does Routine Magnesium Supplementation in ICU Patients Reduce Tachyarrhythmias?
Show notes at pharmacyjoe.com/episode1095 In this episode, I’ll discuss whether routine magnesium supplementation of ICU patients reduces tachyarrhythmia incidence.
e1094: Keep This Trick Up Your Sleeve For Intrathecal Baclofen Withdrawal
Show notes at pharmacyjoe.com/episode1094 In this episode, I’ll discuss a case report on the management of intrathecal baclofen withdrawal.
1094: Keep This Trick Up Your Sleeve For Intrathecal Baclofen Withdrawal
Show notes at pharmacyjoe.com/episode1094 In this episode, I’ll discuss a case report on the management of intrathecal baclofen withdrawal.
1093: If You Like Half-Dose Alteplase for PE, Here is the Study You’ve Always Wanted
Show notes at pharmacyjoe.com/episode1093 In this episode, I’ll discuss an article comparing half-dose to full-dose alteplase for pulmonary embolism.