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The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

222 episodes — Page 3 of 5

1042: Early Norepinephrine Use in Septic Shock is Associated with Reduced Mortality

Show notes at pharmacyjoe.com/episode1042. In this episode, I’ll discuss early vs delayed norepinephrine use in patients with septic shock.

Jul 10, 20254 min

Episode 1041: Predicting Which Overdose Patients With Prolonged QTc Will Have Ventricular Dysrhythmia

Show notes at pharmacyjoe.com/episode1041. In this episode, I’ll discuss which overdose patients with prolonged QTc are most likely to experience ventricular dysrhythmia.

Jul 7, 20254 min

1040 (fixed): Every Hospital Pharmacist Should Know About This Rare Disease Resource

Show notes at pharmacyjoe.com/episode1040. In this episode, I’ll discuss a resource for taking care of patients with a rare disease.

Jul 3, 20253 min

1039: What Potassium Levels Are Associated With In-Hospital Cardiac Arrest?

Show notes at pharmacyjoe.com/episode1039. In this episode, I’ll discuss hyper and hypokalemia thresholds that are associated with in-hospital cardiac arrest.

Jun 30, 20253 min

1038: The Case of the Transdermal Antidote

Show notes at pharmacyjoe.com/episode1038. In this episode, I’ll discuss treating diphenhydramine overdose in the absence of physostigmine.

Jun 26, 20252 min

1037: Hypotension After Intubation – Is It the Sedative Dose That Matters?

Show notes at pharmacyjoe.com/episode1037. In this episode, I’ll discuss whether there is an association between the sedative dose and postintubation hypotension and rapid sequence intubation.

Jun 23, 20253 min

1036: Proof That Sodium Bicarbonate Actual Does Something Meaningful?

Show notes at pharmacyjoe.com/episode1036. In this episode, I’ll discuss sodium bicarbonate to treat metabolic acidosis in ICU patients.

Jun 19, 20253 min

1035: Don’t Let IV Medications Shift A Patient Out of Ketosis

Show notes at pharmacyjoe.com/episode1035. In this episode, I’ll discuss things a pharmacist should keep in mind when managing a patient with a caustic ingestion.

Jun 16, 20254 min

1034: Pharmacy Considerations When Managing Caustic Ingestion

Show notes at pharmacyjoe.com/episode1034. In this episode, I’ll discuss things a pharmacist should keep in mind when managing a patient with a caustic ingestion.

Jun 12, 20253 min

1033: Doxycycline Might Not Be As Good As We Thought…

Show notes at pharmacyjoe.com/episode1033. In this episode, I’ll discuss outcomes with doxycycline vs azithromycin for community-acquired pneumonia.

Jun 9, 20253 min

1032: Five ICU Signals That Should Make Your Pharmacy Spidey-Sense Tingle

Show notes at pharmacyjoe.com/episode1032. In this episode, I’ll discuss five circumstances that should make an ICU pharmacist stop what they are doing to investigate further.

Jun 5, 20255 min

1031: How Long Does it Take for IM Medications to Work in Acute Agitation?

Show notes at pharmacyjoe.com/episode1031. In this episode, I’ll discuss expectations for the onset of action of IM medications used for acute agitation.

Jun 2, 20255 min

1030: Adding dexmedetomidine to lidocaine for topical application to prevent cough during extubation

Show notes at pharmacyjoe.com/episode1030. In this episode, I’ll discuss adding dexmedetomidine to lidocaine for topical application to prevent cough during extubation of thyroidectomy patients.

May 29, 20253 min

1029: A Systematic Review of the Ketorolac Dose Ceiling for ED Analgesia

Show notes at pharmacyjoe.com/episode1029. In this episode, I’ll discuss a systematic review of the ketorolac dose ceiling for ED analgesia.

May 26, 20252 min

1028: Three ways to tell the difference between serotonin syndrome and neuroleptic malignant syndrome

Show notes at pharmacyjoe.com/episode1028. In this episode, I’ll discuss three ways to tell the difference between serotonin syndrome and neuroleptic malignant syndrome.

May 22, 20253 min

1027: Probiotics in the ICU – How Bad Can It Get?

Show notes at pharmacyjoe.com/episode1027. In this episode, I’ll discuss probiotic-associated central venous catheter bloodstream infections in the ICU.

May 19, 20253 min

1026: Is the Low-Dose Ketamine In the Room With Us Right Now?

Show notes at pharmacyjoe.com/episode1026. In this episode, I’ll discuss hallucinations from low-dose ketamine use in the ICU.

May 15, 20254 min

1025: Does the Definition of Oliguria Need to Change?

Show notes at pharmacyjoe.com/episode1025. In this episode, I’ll discuss an alternative definition of oliguria.

May 12, 20253 min

1024: Adjuvant Midodrine Lowers Norepinephrine Dose But Not Length of Stay in Patients With Septic Shock

Show notes at pharmacyjoe.com/episode1024. In this episode, I’ll discuss the use of adjuvant midodrine in patients with septic shock.

May 8, 20254 min

1023: The Dose of Inhaled Tranexamic Acid For Nonmassive Hemoptysis

Show notes at pharmacyjoe.com/episode1023. In this episode, I’ll discuss the dose of inhaled tranexamic acid used for nonmassive hemoptysis.

May 5, 20252 min

1022: Can Animal Data Inform the Ideal Rate of Correction for Acute Hypernatremia?

Show notes at pharmacyjoe.com/episode1022. In this episode, I’ll discuss animal data on the rate of correction for acute hypernatremia.

May 1, 20253 min

1021: How Long Is the Duration of DOAC Interference With Heparin Anti-Xa Levels?

Show notes at pharmacyjoe.com/episode1021. In this episode, I’ll discuss the duration of DOAC interference with heparin anti-Xa levels.

Apr 28, 20254 min

1020: How to Predict Which Critically Ill DKA Patients Will Fail the Transition from IV to SubQ Insulin

Show notes at pharmacyjoe.com/episode1020. In this episode, I’ll discuss how to predict failure of insulin transition in critically ill patients with diabetic ketoacidosis.

Apr 24, 20252 min

1019: Normal Saline Vs. Balanced Crystalloids – Could the First Few Liters Be the Ones That Matter Most?

Show notes at pharmacyjoe.com/episode1019. In this episode, I’ll discuss whether the composition of the first few liters of resuscitation fluid is most important for patients with sepsis.

Apr 21, 20254 min

1018: Balancing Risk vs Benefit – Andexanet vs. Prothrombin Complex Concentrate for Reversal of Factor Xa Inhibitor-Related Intracranial Hemorrhage

Show notes at pharmacyjoe.com/episode1018. In this episode, I’ll discuss andexanet vs. prothrombin complex concentrate for reversal of factor Xa inhibitor-related intracranial hemorrhage.

Apr 17, 20254 min

1017: Tips for providing effective feedback to PGY-1 residents

Show notes at pharmacyjoe.com/episode1017. In this episode, I’ll discuss 10 tips for providing effective feedback to PGY-1 residents.

Apr 14, 20253 min

1016: Melatonin for Sleep Disruption in the ICU But You Pick the Dose

Show notes at pharmacyjoe.com/episode1016. In this episode, I’ll discuss the use of melatonin in ICU patients.

Apr 10, 20252 min

1015: What To Do If Mannitol Extravasates

Show notes at pharmacyjoe.com/episode1015. In this episode, I’ll discuss mannitol extravasation.

Apr 7, 20252 min

1014: Using Thrombin Time to Transition Patients from Dabigatran to Unfractionated Heparin

Show notes at pharmacyjoe.com/episode1014. In this episode, I’ll discuss using thrombin time to transition patients from dabigatran to unfractionated heparin.

Apr 3, 20254 min

1013: A Setback For the Use of Inhaled Sedation in the ICU

Show notes at pharmacyjoe.com/episode1013. In this episode, I’ll discuss inhaled sedation for ICU patients with acute respiratory distress syndrome.

Mar 31, 20253 min

1012: Strong evidence in support of 7 days antibiotics for gram negative bacteremia

Show notes at pharmacyjoe.com/episode1012. In this episode, I’ll discuss 7 vs 14 days of antibiotic therapy for gram-negative bacteremia.

Mar 27, 20253 min

1011: High Dose Insulin For Massive Caffeine Overdose

Show notes at pharmacyjoe.com/episode1011. In this episode, I’ll discuss high-dose insulin euglycemic therapy in the treatment of a patient with massive caffeine overdose.

Mar 24, 20252 min

1010: Does Dexmedetomidine Improve Vasopressor Sensitivity in Refractory Septic Shock?

Show notes at pharmacyjoe.com/episode1010. In this episode, I’ll discuss the use of dexmedetomidine to reduce vasopressor resistance in refractory septic shock.

Mar 20, 20253 min

1009: The Dose For Methylene Blue to Treat Acquired Methemoglobinemia

Show notes at pharmacyjoe.com/episode1009. In this episode, I’ll discuss the dose of methylene blue for the treatment of acquired methemoglobinemia.

Mar 17, 20252 min

1008: Why Does This Problem With Rocuronium Keep Coming Up?

Show notes at pharmacyjoe.com/episode1008. In this episode, I’ll discuss the time to delivery of sedation and analgesia after RSI using rocuronium vs succinylcholine.

Mar 13, 20254 min

1007: The New SCCM Sedation Guidelines Recommend Melatonin

Show notes at pharmacyjoe.com/episode1007. In this episode, I’ll discuss the SCCM’s updated guidelines on pain, agitation, delirium, immobility, and sleep and the new recommendation regarding melatonin.

Mar 10, 20253 min

1006: Any Port in a Storm (For a Little While At Least) – The Safety of Peripheral Vasopressors and Hypertonic Saline

Show notes at pharmacyjoe.com/episode1006. In this episode, I’ll discuss a review article on the safety of peripheral vasopressors and hypertonic saline.

Mar 6, 20254 min

1005: Does a pacemaker or implanted cardiac defibrillator suggest a higher or lower risk of medication-induced torsades?

Show notes at pharmacyjoe.com/episode1005. In this episode, I’ll discuss whether a pacemaker or implanted cardiac defibrillator (ICD) protects from medication-induced torsades.

Mar 3, 20252 min

1004: An Example of a Study Where the Forest is More Informative Than the Trees

Show notes at pharmacyjoe.com/episode1004. In this episode, I’ll discuss oral sedation strategies for young patients presenting to the ED with acute severe behavioral disturbance.

Feb 27, 20254 min

1003: The 3 Types of ICU Patients and Why They Matter for Making Patient Focused Risk:Benefit Assessments

Show notes at pharmacyjoe.com/episode1003. In this episode, I’ll discuss 3 types of ICU patients and why they matter for making patient-focused risk:benefit assessments.

Feb 24, 20253 min

1002: Less Opioid Consumption With Low-Dose Ketamine But at What Cost?

Show notes at pharmacyjoe.com/episode1002. In this episode, I’ll discuss some possible negative effects of using low-dose ketamine to achieve an opioid-sparing effect in critically ill patients.

Feb 20, 20253 min

1001: Saving Money on Oral Vancomycin Is Great For Inpatients But Can Cause Problems On Discharge

Show notes at pharmacyjoe.com/episode1001. In this episode, I’ll discuss the impact of compounded oral vancomycin liquid on hospital readmission for C diff infection.

Feb 17, 20253 min

1000: Should Pharmacists Be paying Attention to This Bacteremia Metric?

Show notes at pharmacyjoe.com/episode1000. In this episode, I’ll discuss time to positivity as a predictor of catheter-related bacteremia and mortality in adults with Pseudomonas aeruginosa bloodstream infection.

Feb 13, 20253 min

999: Is This Study a Breakthrough for Antimicrobial Stewardship?

Show notes at pharmacyjoe.com/episode999. In this episode, I’ll discuss whether delayed broad-spectrum antibiotics have an impact on clinical outcomes.

Feb 10, 20253 min

998: Why the NKF Says Its OK to Use Race-Free eGFR to Make Renal Dose Adjustments

Show notes at pharmacyjoe.com/episode998. In this episode, I’ll discuss why the NKF says its OK to use race-free eGFR to make renal dose adjustments.

Feb 6, 20254 min

997: The use of methylene blue for the treatment of refractory anaphylaxis without hypotension

Show notes at pharmacyjoe.com/episode997.

Feb 3, 20253 min

996: Tisdale Risk Score For Identifying ICU Patients at Risk of QTc Prolongation

Show notes at pharmacyjoe.com/episode996. In this episode, I’ll discuss whether the Tisdale Risk Score can be used to identify ICU patients at risk of QTc prolongation.

Jan 30, 20253 min

995: Expert Recommendations For Using Dialysis to Treat Ethylene Glycol Poisoning

Show notes at pharmacyjoe.com/episode995. In this episode, I’ll discuss when dialysis is recommended to be used to treat ethylene glycol poisoning.

Jan 27, 20253 min

994: When can octreotide be discontinued in patients with variceal bleeding?

Show notes at pharmacyjoe.com/episode994. In this episode, I’ll discuss when octreotide can be discontinued in patients with variceal bleeding.

Jan 23, 20251 min

993: Ketamine vs Ketorolac for Pain Management in ED Patients with Chest Trauma

Show notes at pharmacyjoe.com/episode993. In this episode, I’ll discuss ketamine vs ketorolac for pain management in ED patients with chest trauma.

Jan 20, 20254 min