The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
222 episodes — Page 2 of 5
1092: Should hot or cold compresses be used to treat extravasation?
Show notes at pharmacyjoe.com/episode1092 In this episode, I’ll discuss when to use a cold or warm compress to treat extravasation.
1091: What is iatrogenic hyperchloremia and what is so bad about it?
Show notes at pharmacyjoe.com/episode1091 In this episode, I’ll discuss iatrogenic hyperchloremia.
1090: Potential reasons for an unexpected positive urine barbituate screen
Show notes at pharmacyjoe.com/episode1090 In this episode, I’ll discuss potential reasons for an unexpected positive urine barbiturate screen.
1089: More support for the IDSA’s position on the CAP guidelines
Show notes at pharmacyjoe.com/episode1089 In this episode, I’ll discuss a study that addresses the controversy over giving patients with viral infections antibiotics in the Community Acquired Pneumonia guidelines.
1088: All My Antibiotics: The CAP Guideline Drama
Show notes at
1087: Make sure newbie hospital pharmacists (and students) know this about vancomycin by multiple routes of administration
Show notes at pharmacyjoe.com/episode1087. In this episode, I’ll discuss whether it is ever appropriate for a patient to be on vancomycin by more than one route of administration.
1086: Having trouble getting IV levetiracetam approved? Try this study…
Show notes at pharmacyjoe.com/episode1086. In this episode, I’ll discuss the efficacy of IV push levetiracetam over slow IV infusions.
1085: Do Neurologically Intact Patients With Traumatic ICH on Anticoagulants Need to be Reversed?
Show notes at pharmacyjoe.com/episode1085. In this episode, I’ll discuss whether the reversal of anticoagulants is necessary for neurologically intact patients with traumatic intracranial hemorrhage.
1084: What patient phenotypes are most affected by delays in antibiotic therapy?
Show notes at pharmacyjoe.com/episode1084. In this episode, I’ll discuss what phenotype of patients are most affected by delays in antibiotic therapy.
1083: Takeaways for the pharmacist on best practices in airway management in critically ill adults
Show notes at pharmacyjoe.com/episode1083. In this episode, I’ll discuss best practices in airway management in critically ill adults.
1082: Can the insulin dose for hyperkalemia be 5 units in overweight patients too?
Show notes at pharmacyjoe.com/episode1082. In this episode, I’ll discuss the dose of insulin to treat hyperkalemia.
1081: Just Because We Can Doesn’t Mean We Should: Anti-Xa Monitoring In VTE Prophylaxis
Show notes at pharmacyjoe.com/episode1081. In this episode, I’ll discuss anti-Xa monitoring of enoxaparin in VTE prophylaxis.
1080: Gabapentin for alcohol withdrawal reduces benzo use but does it matter?
Show notes at pharmacyjoe.com/episode1080. In this episode, I’ll discuss using gabapentin to reduce benzodiazepine use in patients hospitalized with alcohol withdrawal.
1079: Time to rethink the conversion of oral methadone to IV?
Show notes at pharmacyjoe.com/episode1079. In this episode, I’ll discuss the bioavailability of methadone.
1078: Here Is How You Can Predict Hypotension From Propofol
Show notes at pharmacyjoe.com/episode1078. In this episode, I’ll discuss the prediction of hypotension from propofol when used as an ICU sedative.
1077: Sedation and Analgesia Statements From the AHA/NCS Scientific Statement on Critical Care Management of Patients After Cardiac Arrest
Show notes at pharmacyjoe.com/episode1077. In this episode, I’ll discuss the AHA/NCS scientific statement on critical care management of patients after cardiac arrest.
1076: Five changes to the ACLS guidelines that hospital pharmacists should know about
Show notes at pharmacyjoe.com/episode1076. In this episode, I’ll discuss 5 changes to the ACLS guidelines that hospital pharmacists should know about.
1075: The Safety of Diuretics to Reduce Fluid Balance in Critically Ill Patients
Show notes at pharmacyjoe.com/episode1075. In this episode, I’ll discuss whether diuretics are safe for reducing fluid balance in critically ill patients.
1074: Data supporting cefazolin in MSSA bacteremia was weak (until now)
Show notes at pharmacyjoe.com/episode1074. In this episode, I’ll discuss the evidence supporting using cefazolin for MSSA bacteremia.
1073: How an ED or ICU pharmacist can help prevent awareness with paralysis
Show notes at pharmacyjoe.com/episode1073. In this episode, I’ll discuss 5 steps an ED or ICU pharmacist can take to prevent awareness with paralysis.
1072: Which is the greater risk – osmotic demyelination or cerebral edema?
Show notes at pharmacyjoe.com/episode1072. In this episode, I’ll discuss the balance between the risk of cerebral edema from severe hyponatremia vs osmotic demyelination from overly rapid sodium correction.
1071: Can a nasal MRSA screen be useful for choosing antibiotics in critically ill patients with an intra abdominal infection?
Show notes at pharmacyjoe.com/episode1071. In this episode, I’ll discuss whether a nasal MRSA screen is useful for choosing antibiotics in critically ill patients with an intraabdominal infection.
1070: Another Phenobarbital for Alcohol Withdrawal Study That Completely Misses the Point
Show notes at pharmacyjoe.com/episode1070. In this episode, I’ll discuss respiratory depression from phenobarbital when used for alcohol withdrawal syndrome.
1069: How ED Pharmacist Intervention Can Double Antibiotic-Free Days
Show notes at pharmacyjoe.com/episode1069. In this episode, I’ll discuss a pharmacist-driven deprescribing protocol for negative urine and sexually transmitted infection cultures in the emergency department.
1068: Which Is Better to Treat Diabetic Ketoacidosis – A One or Two Bag Method?
Show notes at pharmacyjoe.com/episode1068. In this episode, I’ll discuss using one vs two bag protocols for the treatment of diabetic ketoacidosis.
1067: The IDSA’s 4 Step Approach to Choosing Empiric Therapy to Treat Complicated UTI
Show notes at pharmacyjoe.com/episode1067. In this episode, I’ll discuss recent guidelines about complicated UTI treatment.
1066: Can Empiric Posaconazole Prevent Influenza-Associated Pulmonary Aspergillosis?
Show notes at pharmacyjoe.com/episode1066. In this episode, I’ll discuss empiric posaconazole to prevent influenza-associated pulmonary aspergillosis.
1065: Do Inhaled Antibiotics Prevent VAP?
Show notes at pharmacyjoe.com/episode1065. In this episode, I’ll discuss inhaled antibiotics to prevent VAP.
1064: Pharmacist’s Letter Fills the Gap Left by ISMP with a Do Not Crush List
Show notes at pharmacyjoe.com/episode1064. In this episode, I’ll discuss “Do Not Crush” medication lists.
1063: Should you worry about hypotension when giving IV furosemide for acute decompsensated heart failure?
Show notes at pharmacyjoe.com/episode1063. In this episode, I’ll discuss the risk of hypotension when giving IV furosemide for acute decompensated heart failure.
1062: Hemodynamic changes after using a dexmedetomidine loading dose in ED patients
Show notes at pharmacyjoe.com/episode1062. In this episode, I’ll discuss hemodynamic changes after using a dexmedetomidine loading dose in ED patients.
1061: Beware of the Diluent! A Case Report of Seizure From Esmolol In Sterile Water
Show notes at pharmacyjoe.com/episode1061. In this episode, I’ll discuss a case report of seizures precipitated by esmolol in sterile water formulation.
1060: Aiming for high-normal potassium to reduce VTach in patients with an ICD
Show notes at pharmacyjoe.com/episode1060. In this episode, I’ll discuss aiming for high-normal potassium to reduce sustained ventricular tachycardia in patients with an ICD.
1059: Three Important Parts of the SCCM Rapid Sequence Intubation Guidelines
Show notes at pharmacyjoe.com/episode1059. In this episode, I’ll discuss the SCCM Rapid Sequence Intubation Guidelines.
1058: ESICM guideline on fluid therapy in adult critically ill patients: Part 3—fluid removal at de-escalation phase
Show notes at pharmacyjoe.com/episode1058. In this episode, I’ll discuss recent guidelines about fluid removal in critically ill patients.
1057: How low can the dose of ketamine for analgesia in the ED go?
Show notes at pharmacyjoe.com/episode1057. In this episode, I’ll discuss two doses of ketamine for analgesia in the ED.
1056: Rapid administration of antiseizure medications
Show notes at pharmacyjoe.com/episode1056. In this episode, I’ll discuss the rapid administration of antiseizure medications.
1055: Effect of phenylephrine push prior to continuous infusion norepinephrine in patients with septic shock
Show notes at pharmacyjoe.com/episode1055. In this episode, I’ll discuss the effect of phenylephrine push prior to continuous infusion norepinephrine in patients with septic shock.
1054: What is the optimal meropenem and piperacillin/tazobactam dosing regimen for critically ill patients receiving continuous renal replacement therapy?
Show notes at pharmacyjoe.com/episode1054. In this episode, I’ll discuss the optimal dosing regimen for meropenem and piperacillin/tazobactam in critically ill patients receiving continuous renal replacement therapy.
1053: The Sicker the Patient, the Worse Dexmedetomidine Performs?
Show notes at pharmacyjoe.com/episode1053. In this episode, I’ll discuss predicting the chance of successful sedation and the development of hypotension with dexmedetomidine.
1052: The Best and the Worst Antiemetics in the ED
Show notes at pharmacyjoe.com/episode1052. In this episode, I’ll discuss the most effective and safest therapies for nausea/emesis in adult patients presenting to the emergency department (ED).
1051: A Pharmacy-Driven Rapid Bacteremia Response Program
Show notes at pharmacyjoe.com/episode1051. In this episode, I’ll discuss a pharmacy-driven rapid bacteremia response program.
1050: Tranexamic Acid Might Need to be Given Sooner Than Once Thought to Help Trauma Patients
Show notes at pharmacyjoe.com/episode1050. In this episode, I’ll discuss tranexamic acid’s effects on mortality for trauma patients based on time given post-injury.
1049: If you can get your lab to do this with urine cultures you’ll use fewer antibiotics
Show notes at pharmacyjoe.com/episode1049. In this episode, I’ll discuss conditional reflex urine culturing for antibiotic stewardship.
1048: How often do opioid overdose patients also have benzodiazepine co-exposure?
Show notes at pharmacyjoe.com/episode1048. In this episode, I’ll discuss how often opioid overdose patients also have a benzodiazepine co-exposure.
1047: A Case of Massive Enoxaparin Overdose
Show notes at pharmacyjoe.com/episode1047. In this episode, I’ll discuss a case report of enoxaparin overdose.
1046: PPI Stewardship Is Especially Important In Patients With CKD
Show notes at pharmacyjoe.com/episode1046. In this episode, I’ll discuss the association of long-term proton pump inhibitor use with adverse events in patients with chronic kidney disease.
1045: Think Cefepime Has a Mortality Benefit Over Pip-Taz? Not So Fast Say These Authors…
Show notes at pharmacyjoe.com/episode1045. In this episode, I’ll discuss possible design flaws in a recent study that suggested cefepime has a mortality benefit over piperacillin-tazobactam.
1044: Converting inpatients from insulin glargine 300 units/mL to insulin detemir 100 units/mL without causing hypoglycemia
Show notes at pharmacyjoe.com/episode1044. In this episode, I’ll discuss converting inpatients from insulin glargine 300 units/mL to insulin detemir 100 units/mL without causing hypoglycemia.
1043: Three risk factors for not attaining target beta-lactam levels in ICU patients
Show notes at pharmacyjoe.com/episode1043. In this episode, I’ll discuss the risk factors for not attaining target beta-lactam levels in ICU patients.