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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 4 of 5

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

992: Should A C Diff Test Be Auto-Canceled With Recent Laxative Use?

Show notes at pharmacyjoe.com/episode992. In this episode, I’ll discuss whether recent laxative use should preclude testing for C diff.

Jan 16, 20255 min

991: What Dose of Steroids Prevents Post-Extubation Stridor and Re-Intubation?

Show notes at pharmacyjoe.com/episode991. In this episode, I’ll discuss what dose of steroids can prevent post-extubation stridor.

Jan 13, 20252 min

990: Lowest Effective Dose of Haloperidol for Agitation in Elderly Patients

Show notes at pharmacyjoe.com/episode990. In this episode, I’ll discuss the lowest effective dose of IV or IM haloperidol for elderly hospitalized patients with agitation.

Jan 9, 20254 min

989: How to Identify an ED Toxicology Patient at Risk of Delayed QTc Prolongation

Show notes at pharmacyjoe.com/episode989. In this episode, I’ll discuss delayed QTc prolongation in overdose patients.

Jan 6, 20253 min

988: Sugammadex vs. Neostigmine and Postoperative Delirium – If the Findings Were Reversed, There’s No Way This Abstract Would Be Written the Same Way

Show notes at pharmacyjoe.com/episode988. In this episode, I’ll discuss neostigmine plus anticholinergics vs sugammadex and the incidence of postoperative delirium.

Jan 2, 20253 min

987: What Is the Recommended Dose of Cefazolin For a CNS infection?

Show notes at pharmacyjoe.com/episode987. In this episode, I’ll discuss recommendations on the dose of cefazolin for a CNS infection.

Dec 30, 20244 min

986: Give the Beta-Lactam First Until an RCT Says Otherwise

Show notes at pharmacyjoe.com/episode986. In this episode, I’ll discuss whether the beta-lactam should be given before vancomycin in patients with sepsis that need both antibiotics.

Dec 26, 20243 min

985: Is the IV or Nebulized Route Better When Giving Tranexamic Acid for Hemoptysis?

Show notes at pharmacyjoe.com/episode985. In this episode, I’ll discuss the IV vs nebulized route for tranexamic acid to treat hemoptysis.

Dec 23, 20243 min

984: N-acetylcysteine in Acute Liver Failure Not Caused by Acetaminophen

Show notes at pharmacyjoe.com/episode984. In this episode, I’ll discuss N-acetylcysteine in non-acetaminophen-induced acute liver failure.

Dec 19, 20242 min

983: Four Potential Reasons for a False Heparin Anti-Xa Level

Show notes at pharmacyjoe.com/episode983. In this episode, I’ll discuss four potential reasons for a false heparin anti-Xa level.

Dec 16, 20244 min

982: Do Non-Benzo Psychotropic Medications Enhance Respiratory Depression From Opioids?

Show notes at pharmacyjoe.com/episode982. In this episode, I’ll discuss whether psychotropic medications other than benzodiazepines enhance respiratory depression from opioids.

Dec 12, 20244 min

981: Tranexamic Acid to Control Iatrogenic Bleeding During Flexible Bronchoscopy

Show notes at pharmacyjoe.com/episode981. In this episode, I’ll discuss tranexamic acid for controlling iatrogenic bleeding during flexible bronchoscopy.

Dec 9, 20244 min

980: Adjunctive Inhaled Antibiotics for ICU Patients with Pneumonia and Invasive Ventilation

Show notes at pharmacyjoe.com/episode980. In this episode, I’ll discuss adjunctive inhaled antibiotics for ICU patients with pneumonia and invasive ventilation.

Dec 5, 20243 min

979: Does aspiration pneumonia require different antibiotics than community acquired pneumonia?

Show notes at pharmacyjoe.com/episode979. In this episode, I’ll discuss why the CAP guidelines do not recommend treating most cases of suspected aspiration pneumonia with broadening antibiotic therapy.

Dec 2, 20245 min

978: The 4 Clinical Teaching Roles for Preceptors

Show notes at pharmacyjoe.com/episode978. In this episode, I’ll discuss the 4 clinical teaching roles for residency preceptors.

Nov 28, 20244 min

977: The Problem with Milrinone in CRRT

Show notes at pharmacyjoe.com/episode977. In this episode, I’ll discuss whether milrinone can be used in patients on CRRT.

Nov 25, 20243 min

976: Can 3% (hypertonic) sodium chloride ever be given via a peripheral IV?

Show notes at pharmacyjoe.com/episode976. In this episode, I’ll discuss peripheral IV administration of 3% sodium chloride solution.

Nov 21, 20245 min

975: 3 Steps to Become a Journal Peer Reviewer

Show notes at pharmacyjoe.com/episode975. In this episode, I’ll discuss how to become a peer reviewer for a medical journal.

Nov 18, 20244 min

974: It Turns Out Snorting Bupropion Is a Really Bad Idea

Show notes at pharmacyjoe.com/episode974. In this episode, I’ll discuss diffuse alveolar hemorrhage due to bupropion nasal inhalation.

Nov 14, 20243 min

973: A tip for predicting the pharmacotherapy needs of your patient in rapid response or emergent situations

Show notes at pharmacyjoe.com/episode973. In this episode, I’ll discuss a tip to predict pharmacotherapy needs in rapid response or emergent situations.

Nov 11, 20243 min

972: Two equally bad ways of treating acute pain in elderly ED patients?

Show notes at pharmacyjoe.com/episode972. In this episode, I’ll discuss an article comparing IV acetaminophen with IV hydromorphone for acute pain in elderly ED patients.

Nov 7, 20243 min

971: Is a Quinolone Really Superior to a Macrolide for Legionella Pneumonia?

Show notes at pharmacyjoe.com/episode971. In this episode, I’ll discuss whether a quinolone is really superior to a macrolide for legionella pneumonia.

Nov 4, 20243 min

970: Does it matter whether you give the paralytic or the sedative first during RSI?

Show notes at pharmacyjoe.com/episode970. In this episode, I’ll discuss paralytic first vs sedative first RSI and the chance of first attempt success.

Oct 31, 20244 min

969: How a pharmacist can ensure the best possible outcomes for status epilepticus

Show notes at pharmacyjoe.com/episode969. In this episode, I’ll discuss how a pharmacist can ensure the best possible outcomes for status epilepticus.

Oct 28, 20245 min

968: Linezolid Instead of Clindamycin for Toxin Inhibition

Show notes at pharmacyjoe.com/episode968. In this episode, I’ll discuss linezolid vs clindamycin for toxin inhibition in patients with invasive group A streptococcus infections.

Oct 24, 20242 min

967: Goldilocks and the Three Fluid Resuscitation Strategies for Sepsis and Septic Shock

Show notes at pharmacyjoe.com/episode967. In this episode, I’ll discuss moderate vs low and high volume IV fluid resuscitation in sepsis and septic shock.

Oct 21, 20244 min

966: Study Proves Sux vs Roc Debate Is Pointless

Show notes at pharmacyjoe.com/episode966. In this episode, I’ll discuss the use of succinylcholine vs rocuronium for tracheal intubation in emergency department patients.

Oct 17, 20244 min