In this episode, I’ll discuss medication-related causes of elevated serum lactate. Subscribe on iTunes, Android, or Stitcher Lactate levels are frequently evaluated in critically ill patients. Tissue hypoperfusion is most commonly identified as a cause of elevated lactate. However, when tissue hypoperfusion is ruled out as a cause of elevated lactate, medication-induced causes should be […]

In this episode, I’ll discuss when double anaerobic coverage makes sense. To get a free pdf of my visual critical care antibiotic guide to help you easily remember spectrum of activity, go to pharmacyjoe.com/abx If you like this post, check out my book – A Pharmacist’s Guide to Inpatient Medical Emergencies: How to respond to code […]

In this episode I’ll: 1. Discuss an article about inhaled tranexamic acid for hemoptysis. 2. Answer the drug information question “Can milrinone be used in patients on CRRT?” 3. Share a tip for responding to inpatient medical emergencies. Subscribe on iTunes, Android, or Stitcher Article Inhaled Tranexamic Acid for Hemoptysis Treatment Lead author: Ori Wand […]

In this episode, I’ll discuss what to expect when calling poison control to discuss a toxicology case. Evidence at this link. Members of my Hospital Pharmacy Academy have access to a training video on recognizing toxidromes and general overdose management.  To sign up to access this and over 50 other in-depth hospital pharmacy training videos […]

In this episode, I’ll discuss three drug interactions every critical care pharmacist should know how to manage: 1. Linezolid and fentanyl (serotonin syndrome) 2. Metoclopramide and olanzapine (neuroleptic malignant syndrome) 3. Levofloxacin and sotalol (torsades) Subscribe on iTunes, Android, or Stitcher Linezolid and fentanyl (serotonin syndrome) Many clinical decision support systems list linezolid and fentanyl […]

In this episode, I’ll discuss why the maximum dose of IV labetatol is 300 mg. Evidence at this link. Members of my Hospital Pharmacy Academy have access to my masterclass training and example protocol on High Dose Insulin Euglycemia For Calcium Channel Blocker / Beta Blocker Overdose.  To sign up to access this and over 50 other […]

In this episode I’ll: 1. Discuss an article about using piperacillin-tazobactam in ESBL infection. 2. Answer the drug information question “Should adjunctive dexamethasone be given to adults with bacterial meningitis if they have already received at least 1 dose of antibiotics?” 3. Share a tip for responding to inpatient medical emergencies. Subscribe on iTunes, Android, […]

In this episode, I’ll discuss using cyproheptadine in mild to moderate serotonin syndrome. Evidence at this link. For more on how to approach serotonin syndrome and other inpatient medical emergencies from a pharmacist’s point of view, get my book, a pharmacist’s guide to inpatient medical emergencies at clinicalpharmacybooks.com. <– Previous Post         […]

In this episode, I’ll discuss the role of proactive desmopressin in the treatment of severe hyponatremia. Subscribe on iTunes, Android, or Stitcher One of the risks of treating severe hyponatremia (serum sodium <120 mEq/L) is osmotic demyelination syndrome (ODS) resulting from overly rapid correction of the serum sodium. An overly rapid correction is an increase […]

In this episode, I’ll discuss how to determine the electricity “dose” on the peripheral nerve stimulator. For more on how to use, dose and monitor neuromuscular blockers from a pharmacist’s point of view check out the training video in the Hospital Pharmacy Academy. To sign up go to pharmacyjoe.com/academy. If you like this post, check […]

In this episode I’ll: 1. Discuss an article comparing two lidocaine administration techniques. 2. Answer the drug information question “Can vasopressors be given via the intraosseous route?” 3. Share a tip for responding to inpatient medical emergencies. Subscribe on iTunes, Android, or Stitcher Article Comparison of Two Lidocaine Administration Techniques on Perceived Pain From Bedside […]

In this episode, I’ll discuss what you can do when the analgesic effect of an opioid does not last the entire dosing interval. Members of my Hospital Pharmacy Academy have access to my new training on my Approach to a Pharmacy Pain Management Consult. To access this and 55 other high-quality training videos go to […]