The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
245 episodes — Page 2 of 5
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.
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.
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.
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.
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.