The Elective Rotation podcast

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المحتوى المقدم من The Elective Rotation. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة The Elective Rotation أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.

Thursdays in Juvie: A Podcast by Advot

1
The Letter 52:53

منذ 8 weeks52:53

التشغيل لاحقا

قوائم

إعجاب

احب

52:53

A young girl in juvie receives a letter from her favorite writer, whose past resembles her own (03:30). Luis Rodriguez, author of Always Running: La Vida Loca Gang Days in L.A , joins us for a very special episode of "Thursdays In Juvie" (09:13). . Luis Rodriguez is an award-winning author and Poet Laureate of Los Angeles. Rodriguez' accolades include: the Carl Sandburg Literary Award, a New York Times Notable Book recognition, a Lannan Foundation Fellowship, a Poetry Center Book Award, the PEN Oakland Josephine Miles Literary Award, and the Paterson Poetry Prize. His children’s books, América Is Her Name (Curbstone Books, 1996) and It Doesn’t Have to Be This Way: A Barrio Story (Children’s Book Press, 1999), were awarded The Paterson Prize for Books on Young People, two Skipping Stones Honor Awards, and a Parent’s Choice Book Award. (Poetry Foundation) . Thursdays in Juvie is brought to you by Advot. Advot is a nonprofit that uses arts education to empower system-impacted youth. To learn more, visit: https://www.advot.org . . . Executive Producers: Sara Acevedo, Naomi Ackerman Editor: Brendan Flavin Music: Patrick Burns Audio Engineers: Kennia Almonte, Calista Pineda Special thanks to the Boyle Heights Arts Conservatory and Tia Chucha's Centro Cultural & Bookstore…

The Elective Rotation

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The Elective Rotation - the #1 Hospital Pharmacy podcast - is created for YOU Pharmacy Nation! If you are a Pharmacy Student, Resident, Pharmacist, Nurse, Physician, or Critical Care Practitioner in a hospital, intensive care unit (ICU) or emergency department looking to improve your practice, The Elective Rotation delivers expert critical care and hospital pharmacy content from a Board Certified Pharmacotherapy Specialist. Episodes are published every Monday and Thursday at 3AM EST. Find the show notes at pharmacyjoe.com.

100 حلقات

The Elective Rotation

updated منذ 8 أعوام

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100 حلقات

كل الحلقات

1
Episode 193: Allometric vancomycin dosing, how long to give steroids be given for severe alcoholic hepatitis, and an allometric vancomycin dosing calculator 7:40

منذ 8 years7:40

7:40

Show notes at pharmacyjoe.com/episode193. In this episode I’ll: 1. Discuss an article about allometric dosing of vancomycin. 2. Answer the drug information question “How long should steroids be given for severe alcoholic hepatitis?" 3. Share a resourc

1
Episode 111: PPIs increase the risk and severity of hospital-acquired CDiff, will IV lipids work for liposomal bupivacaine toxicity, and a resource to polish up your CV 6:47

منذ 9 years6:47

6:47

Show notes at pharmacyjoe.com/episode 111 In this episode I’ll: 1. Discuss an article about the risk and severity of Clostridium difficile Infection with PPIs. 2. Answer the drug information question “Will IV fat emulsion work for cardiac toxicity c

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Episode 110 Treatment of Coagulase-Negative Staphylococci Infection.mp3 6:30

منذ 9 years6:30

6:30

Show notes at pharmacyjoe.com/episode110 In this episode I'll discuss the treatment of coagulase-negative staphylococci infection.

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Episode 109: Should high dose heparin be used to prevent VTE in obese patients, do the new quinolone warnings affect ICU patients, and a resource to help apply the new sepsis definitions 8:02

منذ 9 years8:02

8:02

Show notes at pharmacyjoe.com/episode109 In this episode I’ll: 1. Discuss an article about using high dose heparin for VTE prophylaxis in obese patients. 2. Answer the drug information question “Do the new FDA quinolone warnings for mild infections

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Episode 108: Treatment of Drug-Induced Torsades 5:48

منذ 9 years5:48

5:48

Show notes at pharmacyjoe.com/episode108 In this episode, I’ll discuss the treatment of drug-induced Torsades. When responding to code blue, rapid response calls, and other medical emergencies, take the stairs instead of the elevator whenever possible

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Episode 107: Banana Bags in ICU Patients, Should Pharmacists Program And Start IV Pumps, and DailyMed 9:06

منذ 9 years9:06

9:06

Show notes at pharmacyjoe.com/episode107 In this episode, I'll: 1. Discuss an article about the use of banana bags in ICU patients. 2. Answer the drug information question "If a pharmacist programs an IV pump for infusion, does that count as administrati

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Episode 106: How Pharmacists Can Improve Their Working Relationships With Physicians 8:54

منذ 9 years8:54

8:54

Show notes at pharmacyjoe.com/episode106 IIn this episode I'll discuss how pharmacists can improve their working relationships with physicians. Thank you so much for helping to make my book A Pharmacist’s Guide to Inpatient Medical Emergencies the #1

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Episode 105: Voriconazole therapeutic monitoring, how long to continue CPR after IV push alteplase, and a free 30 day trial to Pharmacist?s Letter 8:04

منذ 9 years8:04

8:04

Show notes at pharmacyjoe.com/episode105 In this episode I'll: 1. Discuss an article about therapeutic drug monitoring of voriconazole. 2. Answer the drug information question "When alteplase is given for massive PE in a patient undergoing cardiopulmonar

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Episode 104: Updated IDSA HAP / VAP Guidelines 9:53

منذ 9 years9:53

9:53

Show notes at pharmacyjoe.com/episode104 I’ve ordered the proof copy for my book, A Pharmacist’s Guide to Inpatient Medical Emergencies and I look forward to hitting the final publish button very soon! To see the cover you can go to: clinicalpharmac

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Episode 103: Epinephrine increases mortality in septic shock, phenytoin induced hypothermia, and two pharmacology refresher resources 8:02

منذ 9 years8:02

8:02

Show notes at pharmacyjoe.com/episode103 In this episode I'll: 1. Discuss an article about increased mortality from epinephrine in cardiogenic shock. 2. Answer the drug information question "Can phenytoin cause hypothermia" 3. Share two resources for st

1
Episode 102: Dexmedetomidine to clonidine transition 7:12

منذ 9 years7:12

7:12

Show notes at pharmacyjoe.com/episode102 In this episode I'll discuss how to transition from dexmedetomidine to clonidine. Dexmedetomidine is an IV alpha-2A adrenergic agonist. It has sedative effects and is used for the management of pain, agitation, a

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Episode 101: Propofol for toxin related seizures, whether to stop SSRIs in GI bleeds, and a critical care resource 7:17

منذ 9 years7:17

7:17

Show notes at pharmacyjoe.com/episode101 In this episode I'll: 1. Discuss an article about using propofol for toxin-related seizures. 2. Answer the drug information question "Should SSRIs be stopped in a patient with GI bleeding?" 3. Share a resource fo

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Episode 100: Critical Care Pharmacist Workflow And PGY-1 Pharmacy Resident Orientation 8:54

منذ 9 years8:54

8:54

Show notes at pharmacyjoe.com/episode100 In this episode I’ll discuss my ICU workflow as a critical care pharmacist. I'll also share how I orient PGY-1 pharmacy residents to my critical care pharmacy rotation. Workflow There is a basic workflow to t

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Episode 99: Guidelines on acute kidney injury in ICU, IV push antibiotics in sepsis, and a workflow diagram resource 10:41

منذ 9 years10:41

10:41

Show notes at pharmacyjoe.com/episode99 In this episode I’ll: 1. Discuss a new guideline on Acute kidney injury in ICU patients. 2. Answer the drug information question “What do you think about IV push antibiotics in sepsis?" 3. Share a resource for

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Episode 98: Is there a pro-ketamine bias in the #FOAMed community? 7:04

منذ 9 years7:04

7:04

Show notes at pharmacyjoe.com/episode98 In this episode I'll discuss whether there is a pro-ketamine bias in the #FOAMed community. Click here if you'd like to help me pick the title for my new book about inpatient medical emergencies for pharmacists.

The Elective Rotation

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Episode 24: Mechanical ventilation tips for pharmacists 36:57

منذ 9 years36:57

36:57

show notes at pharmacyjoe.com/episode24 I’m excited to have my first guest here on The Elective Rotation Podcast. In this episode we’ll be talking with the one of the most talented and patient focused respiratory therapists I know. He is also a treme

The Elective Rotation

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23: Sensitivity, specificity and predictive value of medical tests 7:37

منذ 9 years7:37

7:37

Show notes at pharmacyjoe.com/episode23 In this episode, I’ll give real world patient care examples of how to remember and apply the concepts of sensitivity, specificity and predictive value as they relate to medical tests. I struggled with rememberin

The Elective Rotation

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Episode 22 Treatment of acute methemoglobinemia 9:03

منذ 9 years9:03

9:03

Show notes at pharacyjoe.com/episode22 Methemoglobinemia is a potentially life-threatening form of functional anemia. There are two types of methemoglobinemia - congenital and acquired. In this episode I’ll discuss the recognition and treatment of acqu

The Elective Rotation

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How to participate and give pharmacy recommendations on ICU rounds 12:10

منذ 9 years12:10

12:10

Show notes at pharmacyjoe.com/episode21 In episode 20, I discussed how I prepare for ICU rounds. In this episode I’ll be talking about how ICU rounds are structured and how I participate in ICU rounds, including when and how I present my recommendations

The Elective Rotation

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Preparation for ICU rounds on a critical care pharmacy rotation 13:19

منذ 9 years13:19

13:19

Show notes at pharmacyjoe.com/episode20 Most of my pharmacy students are surprised that I look at medications last in my pre-rounding review of ICU patients. I am constantly tweaking and improving my method for pre-rounding on ICU patients. Here is my c

The Elective Rotation

1
When and how to write a pharmacy progress note 11:55

منذ 9 years11:55

11:55

show notes at pharmacyjoe.com/episode19 In this episode I’ll share the decision making process I use to decide when and how to write a pharmacy progress note. When to write a pharmacy progress note? Not all communication is appropriate for a progress

The Elective Rotation

1
sedation of the acutely agitated patient when intubation is prohibited 10:43

منذ 9 years10:43

10:43

show notes at pharmacyjoe.com/episdoe18 The methods I am going to discuss in this episode are not first line or even second line therapies for controlling acute agitation. I use them rarely - as in a few times per year or less. But in some difficult si

The Elective Rotation

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When to IV push alteplase 13:38

منذ 9 years13:38

13:38

Show notes at pharmacyjoe.com/episode17 Have you already joined the Pharmacy Nation slack group to collaborate and communicate with other pharmacists in real time? If not, send yourself an invite at pharmacynation.org! In this episode I’ll cover when

The Elective Rotation

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How to use ketamine in the critical care setting 16:45

منذ 9 years16:45

16:45

Show notes at http://www.pharmacyjoe.com/episode16 There is a lot of buzz around the use of ketamine in the critical care setting, and for good reason. But a lot of providers are unfamiliar with and hesitant to use the drug. In this episode I’ll high

The Elective Rotation

1
Pharmacist Assisted Intubation 15:31

منذ 9 years15:31

15:31

Show notes at pharmacyjoe.com/episode15 If one of us is not already at the bedside, pharmacists at my institution are frequently called by critical care providers to assist with intubation procedures in critically ill patients. This episode will provide

The Elective Rotation

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Sux vs. Roc AND Why Roc Only Rocks When A Pharmacist is in the House 14:15

منذ 9 years14:15

14:15

Show notes at pharmacyjoe.com/episode14 The Debate For over a decade there has been a debate on whether it is better to use succinylcholine (Sux) or rocuronium (Roc) for rapid sequence intubation (RSI) in emergency settings. I'm surprised when reading

The Elective Rotation

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Antibiotic Dosing in CRRT 9:07

منذ 9 years9:07

9:07

In today's episode we will discuss three topics regarding antibiotic dosing in CRRT (continuous renal replacement therapy). 1. Review CRRT antibiotic dosing rules 2. Review CRRT antibiotic dosing exceptions 3. Discuss the prevelance of antibiotic underdo

The Elective Rotation

1
How to Evaluate QTc drug interactions 15:36

منذ 9 years15:36

15:36

Evaluating QTc drug interactions Prolonged QTc interval leading to torsades. It is the adverse medication event that keeps pharmacists awake at night. In this episode I will explain how, as a hospital-based pharmacist, I evaluate drug interactions that c

The Elective Rotation

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Making patient focused risk benefit assessments 8:15

منذ 9 years8:15

8:15

Why Is My Patient In the ICU and How Sick Are They? The topic for today’s show is PharmacyJoe-ism #7: making patient focused risk benefit assessments. My ability to do this greatly improved when I started to explicitly and on a basic level think about

The Elective Rotation

1
The Pharmacist and the ECG Should Be Friends 16:36

منذ 9 years16:36

16:36

As the expert in drug therapy, you need to know how different drugs exert their effects on the electrical system of the heart. Pharmacist review of the ECG is relatively straight forward compared to other professions. We should be able to identify the rh

The Elective Rotation

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How To Talk Like A Physician And Get A Physician To Listen Like A Pharmacist - Critical Care Pharmacy Podcast Episode 9 13:23

منذ 9 years13:23

13:23

Today I’m going to pull the curtain back and show you how I trained myself to have successful verbal communications with physicians, and get my interventions accepted. We’ll go over: Expected acceptance rates First impressions of your conversation

The Elective Rotation

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Episode 97: Sedative choice and infection risk, phentolamine vs terbutaline for extravasation, and crowd sourced medical lecture notes 6:32

منذ 9 years6:32

6:32

Show notes at pharmacyjoe.com/episode97 In this episode I'll: 1. Discuss an article about sedation choice and infection risk. 2. Answer the drug information question "Is phentolamine superior to terbutaline for treatment of extravasation?" 3. Share a re

The Elective Rotation

1
Episode 96: Magnesium sulfate use in critical care 6:03

منذ 9 years6:03

6:03

Show notes at pharmacyjoe.com/episode96 In this episode I’ll discuss the use of magnesium sulfate in critical care. Shout out to listener “Pharmacy Alex” for suggesting this topic! When I think of magnesium in critical care, 3 uses come to mind:

The Elective Rotation

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Episode 95: Ketamine blow darts, amiodarone and contrast media cross-sensitivity, and antibiotic breakpoint information 7:51

منذ 9 years7:51

7:51

Show notes at pharmacyjoe.com/episode95 In this episode I'll: 1. Discuss evidence on the efficacy of ketamine IM for acute behavioral emergencies. 2. Answer the drug information question "Can a patient with an allergy to contrast media receive amiodaron

The Elective Rotation

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Episode 94: Flumazenil. Huh! What is it good for? (Almost) Absolutely nothing! or Does flumazenil cause seizures in benzodiazepine overdose? 6:49

منذ 9 years6:49

6:49

Show notes at pharmacyjoe.com/episode92 In this episode I’ll discuss how I provide analgesia & sedation to critically ill patients who have taken buprenorphine. Buprenorphine is an opioid partial agonist. It is used to treat acute & chronic pain, op

The Elective Rotation

1
Episode 93: High dose heparin for VTE prophylaxis, how much vitamin K to lower the INR, and a resource for anticoagulant lab assay interference 7:14

منذ 9 years7:14

7:14

Show notes at pharmacyjoe.com/episode93 In this episode I'll: 1. Discuss an article about high dose heparin for VTE prophylaxis in obese patients. 2. Answer a drug information question about vitamin K. 3. Share a resource for lab assay interference by n

The Elective Rotation

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Empiric Antibiotic Selection in the ICU - Critical Care Pharmacy Podcast Episode 8 13:41

منذ 9 years13:41

13:41

So much of antibiotic selection has to do with local resistance patterns, and it cannot be protocolized or generalized without that knowledge. That said I believe there are some principles of antibiotic selection in the ICU that are worth discussing in g

The Elective Rotation

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7 tips on How to stay current with medical literature 7:35

منذ 9 years7:35

7:35

Here are my 7 tips for how to stay current with medical literature: Pharmacist Letter / Subscriber's Letter Pubmed Alerts on saved searches Electronic delivery of journal table of contents Utilize your medical librarian Listen to a podcast Discuss new ar

The Elective Rotation

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Episode 6 Bonus Episode Alternatives To Phentolamine 4:27

منذ 9 years4:27

4:27

Phentolamine is no longer manufactured. Phentolamine has now made ASHP's list of drugs no longer available. This information is critical to communicate to emergency medicine and critical care practitioners, as the risk:benefit of peripheral vasopressor

The Elective Rotation

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Critical Care Hospital Pharmacy Podcast Episode 5 Vasopressor Review 9:45

منذ 9 years9:45

9:45

Shock is the syndrome that results when the cardiovascular system fails to maintain adequate tissue perfusion. The goal is to maintain hemodynamics while the cause of shock can be addressed. Fluids, vasopressors, and inotropes are the essential parts of

The Elective Rotation

1
Push Dose Pressors, They're Not Just For Anesthesia Anymore! 6:13

منذ 9 years6:13

6:13

Push Dose Pressors, They're Not Just For Anesthesia Anymore! I like preventing the complications of profound hypotension as much as anyone. Really, I do. It's why I suggest you focus so much on anticipating patient and provider needs during an emergenc

The Elective Rotation

1
Episode 92: How to provide analgesia and sedation for the critically ill patient on buprenorphine 7:32

منذ 9 years7:32

7:32

The Elective Rotation

1
Episode 91: Imatinib for bleomycin lung toxicity, linezolid vs daptomycin for VRE bacteremia, and a resource for critical care drug dosing at extremes of body weight 6:27

منذ 9 years6:27

6:27

Show notes at pharmacyjoe.com/episode91 In this episode I'll: 1. Review an article about using imatinib for bleomycin interstitial pneumonitis. 2. Answer the drug information question "Should daptomycin or linezolid be used for VRE bacteremia?" 3. Share

The Elective Rotation

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Episode 90: 6 tips to help pharmacists respond to medical emergencies 7:02

منذ 9 years7:02

7:02

Show notes at pharmacyjoe.com/episode90 In this episode I’ll discuss 6 tips for pharmacists responding to medical emergencies. After years of working in the central pharmacy, an opportunity arose to go to the floors for code blue and rapid response ca

The Elective Rotation

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Episode 89: Bloodless anemia treatment, antibiotics for necrotizing pancreatitis, and alternative rock to teach pathophysiology 7:50

منذ 9 years7:50

7:50

Show notes at pharmacyjoe.com/episode89 In this episode I'll: 1. Discuss an article about bloodless treatment of anemia. 2. Answer the drug information question "Which antibiotics should be given to a patient with necrotizing pancreatitis?" 3. Share a r

The Elective Rotation

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Episode 88: Treatment of loperamide cardiac toxicity 6:16

منذ 9 years6:16

6:16

Show notes at pharmacyjoe.com/episode88 In this episode, I’ll discuss the treatment of loperamide toxicity. Loperamide is often referred to as “the poor man’s methadone”. It has been used as both a drug of abuse and as a way of self-treating opi

The Elective Rotation

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Episode 87: Platelet transfusions may cause harm in ICH, why alteplase contraindications got changed, and a resource for learning how to recognize ECG rhythms 9:30

منذ 9 years9:30

9:30

Show notes at pharmacyjoe.com/episode87 In this episode I'll: 1. Discuss an article about using platelet infusions to treat intracerebral hemorrhage (ICH) from antiplatelet medications. 2. Answer the drug information question "Why were the contraindicat

The Elective Rotation

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Episode 86: Updated intravenous lipid emulsion in drug toxicity guidelines 7:41

منذ 9 years7:41

7:41

Show notes at pharmacyjoe.com/episode86 In this episode I’ll discuss updated toxicology guidelines when using intravenous lipid emulsion (ILE) for drug toxicity. In episode 30 I discussed the use of ILE for drug toxicity. In April the American Colle

The Elective Rotation

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Episode 85: Earplugs for preventing ICU delirium, dextrose solutions in ischemic stroke, and a great way to get your drug information questions answered 8:08

منذ 9 years8:08

8:08

Show notes at pharmacyjoe.com/episode85 In this episode I'll: 1. Share an article about using earplugs to reduce ICU delirium. 2. Answer the drug information question: "Should dextrose containing solutions be avoided in ischemic stroke patients?" 3. Sha

The Elective Rotation

1
Episode 84 Chemical sedation for acute agitation 5:57

منذ 9 years5:57

5:57

Show notes at pharmacyjoe.com/episode84 In this episode I'll discuss chemical sedation for acute agitation. Chemical sedation is part of the array of options to treat acute agitation. Prevention strategies, verbal de-escalation techniques, and physical

The Elective Rotation

1
How to dose naloxone 11:27

منذ 9 years11:27

11:27

Show notes at http://pharmacyjoe.com/episode25 When it comes to direct antidotes for drug toxicity, there are only a handful. In this episode I’ll talk about when to give a lot of naloxone (Narcan), and when to give just a little bit. Naloxone is a pu

The Elective Rotation

1
TASCAM_0103S12 16:58

منذ 9 years16:58

16:58

Show notes at pharmacyjoe.com/episode26 The American Heart Association cardiopulmonary resuscitation guidelines have been updated for 2015! There are some interesting changes to the guidelines that pharmacists should know about, and I'll summarize them

The Elective Rotation

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new Episode 27 Choice of IV fluids dexmedetomidine drug fever and a great resource 7:51

منذ 9 years7:51

7:51

Show notes at pharmacyjoe.com/episode27 In this episode I will: 1. Review an article about the choice of IV fluids in ICU patients 2. Answer a drug information question: "Can dexmedetomidine cause a fever?" 3. Share a free resource I use to stay updated

The Elective Rotation

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episode 28: pharmacist pain management tips 14:54

منذ 9 years14:54

14:54

Show notes at pharmacyjoe.com/episode28 In this episode I'll share how I approach a "Pharmacy Pain Consult" at my hospital. I'll discuss how I titrate opioid doses when the patient has risk factors for respiratory depression. I'll also share the 4 most

The Elective Rotation

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episode 29 Idarucizumab for dabigatran reversal, rivaroxaban for PE with active cancer, and an evidence based guideline resource 13:06

منذ 9 years13:06

13:06

Show notes at pharmacyjoe.com/episode29 In this episode I will: 1. Review an article about idarucizumab for dabigatran reversal 2. Answer a drug information question: "Can I use rivaroxaban to treat a pulmonary embolism (PE) in a patient with active can

The Elective Rotation

1
episode 30: Intravenous lipid emulsion for the treatment of drug toxicity 9:47

منذ 9 years9:47

9:47

Show notes at pharmacyjoe.com/episode30 If you haven’t already joined the Pharmacy Nation slack group where pharmacists collaborate about patient care in real-time, sign up at pharmacynation.org. I hope you join me and the over 70 other Pharmacy Natio

The Elective Rotation

1
episode 31 Vanco dosing by AUC:MIC, heparin vs LMWH, and sleep hygiene resources 11:18

منذ 9 years11:18

11:18

Show notes at pharmacyjoe.com/episode31 In this episode, I will: Review an article about monitoring vancomycin by trough levels Answer a drug information question: Why do some of my trauma patients get heparin and some enoxaparin for DVT prophylaxis? S

The Elective Rotation

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episode32 Why normal saline makes hyponatremia worse in SIADH 12:59

منذ 9 years12:59

12:59

Show notes at pharmacyjoe.com/episode32 II’ve got to thank a critical care doc I work with - Pulmonology Tony - for taking the time to teach me about hyponatremia from SIADH several years ago. In this episode I’ll share with you what he taught me an

The Elective Rotation

1
TASCAM_0116S12 10:22

منذ 9 years10:22

10:22

Show notes at pharmacyjoe.com/episode33 In this episode I'll: 1. Review the FDA briefing documents for sugammadex 2. Answer a drug information question about dabigatran 3. Share a great resource I use for evaluating drug interactions Before we get to th

The Elective Rotation

1
TASCAM_0117S12 12:34

منذ 9 years12:34

12:34

Show notes at pharmacyjoe.com/episode34 In this episode I’ll: 1. Review how to recognize severe hyperkalemia 2. Review the 3 categories of hyperkalemia treatments and the order which they should be used 3. Discuss the nuances of each treatment Recogni

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