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The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

245 episodes — Page 3 of 5

1065: Do Inhaled Antibiotics Prevent VAP?

Show notes at pharmacyjoe.com/episode1065. In this episode, I’ll discuss inhaled antibiotics to prevent VAP.

Sep 29, 20253 min

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.

Sep 25, 20254 min

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.

Sep 22, 20253 min

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.

Sep 18, 20252 min

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.

Sep 15, 20252 min

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.

Sep 11, 20254 min

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.

Sep 8, 20254 min

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.

Sep 4, 20253 min

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.

Sep 1, 20253 min

1056: Rapid administration of antiseizure medications

Show notes at pharmacyjoe.com/episode1056. In this episode, I’ll discuss the rapid administration of antiseizure medications.

Aug 28, 20253 min

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.

Aug 25, 20254 min

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.

Aug 21, 20254 min

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.

Aug 18, 20255 min

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).

Aug 14, 20253 min

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.

Aug 11, 20254 min

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.

Aug 7, 20254 min

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.

Aug 4, 20252 min

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.

Jul 31, 20253 min

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.

Jul 28, 20254 min

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.

Jul 24, 20254 min

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.

Jul 21, 20255 min

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.

Jul 17, 20254 min

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.

Jul 14, 20254 min

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