Pharmacy Joe

FEBRUARY 7, 2024

Episode 894: Correction of hypokalemia in a hyponatremic patient makes inadvertent overcorrection of hyponatremia more likely Subscribe on iTunes , Android , or Stitcher Shout out to “Pharmacy Alex” for inspiring this episode! During the correction of hyponatremia, care is taken to not correct the serum sodium too quickly.

Inpatient 52

Inpatient Compounding 52

Pharmacy Joe

APRIL 30, 2023

Episode 813: Can you give lactated ringer’s solution to a patient with elevated lactate? Subscribe on iTunes , Android , or Stitcher Lactated ringers is considered a suitable fluid for resuscitation in sepsis. To access my free download area with 20 different resources to help you in your practice, go to pharmacyjoe.com/free.

Inpatient 52

Inpatient 52

Pharmacy Joe

JANUARY 31, 2024

Subscribe on iTunes , Android , or Stitcher Extravasation is a complication of IV therapy that refers to the infiltration of tissues with a medication that is an irritant or vesicant. In this episode, I’ll discuss when to use a cold or warm compress to treat extravasation. To get immediate access, go to pharmacyjoe.com/academy.

Hospitals 52

Hospitals Inpatient 52

Pharmacy Joe

JANUARY 31, 2024

Subscribe on iTunes , Android , or Stitcher Extravasation is a complication of IV therapy that refers to the infiltration of tissues with a medication that is an irritant or vesicant. In this episode, I’ll discuss when to use a cold or warm compress to treat extravasation. To get immediate access, go to pharmacyjoe.com/academy.

Hospitals 52

Hospitals Inpatient 52

Pharmacy Joe

SEPTEMBER 20, 2023

episode854 Subscribe on iTunes , Android , or Stitcher During salicylate toxicity, the movement of salicylate into brain, liver, and other tissues is exacerbated by a low serum pH. This period of apnea can lower the blood pH and precipitate immediate clinical deterioration in a patient with salicylate toxicity.

Inpatient 98

Inpatient Hospitals 98

Pharmacy Joe

MAY 12, 2024

In this episode, I’ll discuss what if it is not the sedative class that causes delirium – just the depth of sedation? Episode 921: What if it is not the sedative class that causes delirium - just the depth of sedation? The mean number of delirium-free days was just under 10.

Inpatient 40

Inpatient 40

The Thyroid Pharmacist

DECEMBER 29, 2023

I can’t believe that it’s been over 10 years since I started the thyroidpharmacist.com blog in 2013, and now 2023 is almost over. As we head into New Year’s Eve, I wanted to send a quick note to wish you a happy and healthy New Year, as well as share a few updates! Around this time of year, I tend to be very introspective.

Adverse Reactions 54

Adverse Reactions Immunity Immunization Diabetes 54

Pharmacy Joe

FEBRUARY 11, 2024

Subscribe on iTunes , Android , or Stitcher Critical Care Medicine has published in 2017 Experts Consensus Recommendations for the Management of Calcium Channel Blocker Poisoning in Adults. In this episode, I’ll discuss why glucagon is not recommended in the calcium channel blocker poisoning guidelines.

Hospitals 52

Hospitals Inpatient 52

Pharmacy Joe

APRIL 7, 2024

Episode 911: But They Have Altered Mental Status So We Have To Treat Subscribe on iTunes , Android , or Stitcher Perhaps one of the most frustrating scenarios dealing with antimicrobial stewardship is that of a patient with asymptomatic bacteriuria (meaning no systemic signs of infection) but altered mental status.

Inpatient 59

Inpatient Hospitals 59

Pharmacy Joe

SEPTEMBER 10, 2023

Subscribe on iTunes , Android , or Stitcher Stridor is an abnormal inspiratory sound and is a sign of airway obstruction that requires immediate attention. Stridor can be caused by a mass or foreign body in the upper airway, or by laryngeal edema. Episode 851: Why Is Racemic Epinephrine Nebulized To Help Treat Stridor?

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

SEPTEMBER 10, 2023

Subscribe on iTunes , Android , or Stitcher Stridor is an abnormal inspiratory sound and is a sign of airway obstruction that requires immediate attention. Stridor can be caused by a mass or foreign body in the upper airway, or by laryngeal edema. Episode 851: Why Is Racemic Epinephrine Nebulized To Help Treat Stridor?

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

FEBRUARY 18, 2024

Subscribe on iTunes , Android , or Stitcher QTc prolongation is a known side effect of antipsychotic use. It is important to note that patients with a history of torsades de pointes and QT prolongation were excluded from the study, so the results can only be applied to low-risk patients.

Inpatient 52

Inpatient 52

Pharmacy Joe

APRIL 7, 2024

Episode 911: But They Have Altered Mental Status So We Have To Treat Subscribe on iTunes , Android , or Stitcher Perhaps one of the most frustrating scenarios dealing with antimicrobial stewardship is that of a patient with asymptomatic bacteriuria (meaning no systemic signs of infection) but altered mental status.

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

AUGUST 2, 2023

Episode 840: A Rare Disease Resource Every Hospital Pharmacist Should Know About Subscribe on iTunes , Android , or Stitcher There exists a large number of rare diseases that any given hospital pharmacist might encounter once in their practice, if at all. Two examples of this are Porphyria and Myasthenia Gravis.

Hospitals 52

Hospitals Inpatient 52

Pharmacy Joe

AUGUST 2, 2023

Episode 840: A Rare Disease Resource Every Hospital Pharmacist Should Know About Subscribe on iTunes , Android , or Stitcher There exists a large number of rare diseases that any given hospital pharmacist might encounter once in their practice, if at all. Two examples of this are Porphyria and Myasthenia Gravis.

Hospitals 52

Hospitals Inpatient 52

Pharmacy Joe

AUGUST 30, 2023

Episode 848: Treatment of norepinephrine extravasation Subscribe on iTunes , Android , or Stitcher Central line access is often preferred for vasopressor administration due to the risk of extravasation. The term infiltration is meant for when the medication in the extravenous space is not expected to cause tissue damage.

Inpatient 52

Inpatient 52

Pharmacy Joe

AUGUST 30, 2023

Episode 848: Treatment of norepinephrine extravasation Subscribe on iTunes , Android , or Stitcher Central line access is often preferred for vasopressor administration due to the risk of extravasation. The term infiltration is meant for when the medication in the extravenous space is not expected to cause tissue damage.

Inpatient 52

Inpatient 52

Pharmacy Joe

OCTOBER 1, 2023

Episode 857: How low can the dose of ketamine for analgesia in the ED go? Subscribe on iTunes , Android , or Stitcher Low dose ketamine for analgesia is generally considered to be doses of 0.5 To access my free download area with 20 different resources to help you in your practice, go to pharmacyjoe.com/free. mg/kg IV or less.

Inpatient 52

Inpatient 52

Pharmacy Joe

DECEMBER 25, 2022

In this episode, I’ll discuss famotidine as a potential cause of delirium. Episode 777: Can famotidine cause ICU delerium? Subscribe on iTunes , Android , or Stitcher Depending on which meta-analysis you read, famotidine is an option for stress ulcer prophylaxis in ICU patients. diff infection or pneumonia.

Adverse Reactions 52

Adverse Reactions Inpatient Dosage Hospitals 52

Pharmacy Joe

SEPTEMBER 20, 2023

Episode 854: The Danger of Intubation in the Setting of Salicylate Toxicity Subscribe on iTunes , Android , or Stitcher During salicylate toxicity, the movement of salicylate into brain, liver, and other tissues is exacerbated by a low serum pH. This may blunt the effects on pH from apnea and prevent clinical deterioration.

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

SEPTEMBER 21, 2022

In this episode, I’ll discuss medication-related causes of elevated serum lactate. Episode 750: Medication-related causes of elevated serum lactate Subscribe on iTunes , Android , or Stitcher Lactate levels are frequently evaluated in critically ill patients.

Inpatient 52

Inpatient Diabetes Hospitals 52

Pharmacy Joe

SEPTEMBER 21, 2022

In this episode, I’ll discuss medication-related causes of elevated serum lactate. Episode 750: Medication-related causes of elevated serum lactate Subscribe on iTunes , Android , or Stitcher Lactate levels are frequently evaluated in critically ill patients.

Inpatient 52

Inpatient Diabetes Hospitals 52

Pharmacy Joe

JANUARY 21, 2024

Subscribe on iTunes , Android , or Stitcher Beta-blocker toxicity is often severe, causing bradycardia, hypotension, and cardiogenic shock. In this episode, I’ll discuss which beta-blockers should be dialyzed to treat toxicity. Episode 889: Which beta-blockers should be dialyzed to treat toxicity?

Hospitals 52

Hospitals Inpatient 52

Pharmacy Joe

MAY 7, 2023

Subscribe on iTunes , Android , or Stitcher Epinephrine is a treatment for disease states that can cause elevated lactate such as anaphylaxis and sepsis, but epinephrine also has a known side effect of raising lactic acid levels. Episode 815: Does Lactic Acidosis From Epinephrine Always Mean a Poor Outcome?

Inpatient 52

Inpatient 52

Pharmacy Joe

MAY 7, 2023

Subscribe on iTunes , Android , or Stitcher Epinephrine is a treatment for disease states that can cause elevated lactate such as anaphylaxis and sepsis, but epinephrine also has a known side effect of raising lactic acid levels. Episode 815: Does Lactic Acidosis From Epinephrine Always Mean a Poor Outcome?

Inpatient 52

Inpatient 52

Pharmacy Joe

AUGUST 6, 2023

Subscribe on iTunes , Android , or Stitcher Chronic medications, especially neuro-active ones, are often resumed in the ICU as soon as critically ill patients can tolerate them. This in turn enhances the reabsorption of lithium in the kidneys, impairs lithium excretion, and can lead to toxicity.

Inpatient 52

Inpatient 52

Pharmacy Joe

AUGUST 6, 2023

Subscribe on iTunes , Android , or Stitcher Chronic medications, especially neuro-active ones, are often resumed in the ICU as soon as critically ill patients can tolerate them. This in turn enhances the reabsorption of lithium in the kidneys, impairs lithium excretion, and can lead to toxicity.

Inpatient 52

Inpatient 52

Pharmacy Joe

JANUARY 30, 2022

In this episode, I’ll discuss if phentolamine the only thing you can use for vasopressor extravasation. Episode 683: Is phentolamine the only thing you can use for vasopressor extravasation? Infiltration can be done purposefully with therapeutic intent, such as when lidocaine is used to provide local anesthesia.

Inpatient 40

Inpatient Hospitals 40

Pharmacy Joe

SEPTEMBER 27, 2023

Episode 856: Treatment of Community-Acquired Pneumonia in immunocompromised patients Subscribe on iTunes , Android , or Stitcher Authors in the journal CHEST published a consensus statement on the Treatment of Community-Acquired Pneumonia in immunocompromised patients. influenza, M.

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

SEPTEMBER 27, 2023

Episode 856: Treatment of Community-Acquired Pneumonia in immunocompromised patients Subscribe on iTunes , Android , or Stitcher Authors in the journal CHEST published a consensus statement on the Treatment of Community-Acquired Pneumonia in immunocompromised patients. influenza, M.

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

JANUARY 19, 2022

In this episode, I’ll discuss what blood gas parameters can make you suspect methemoglobinemia. Episode 680: What blood gas parameters can make you suspect methemoglobinemia? Subscribe on iTunes , Android , or Stitcher Methemoglobin is formed when the ferrous irons of heme are oxidized to the ferric state.

Hospitals 40

Hospitals Inpatient 40

GMPSOP

JULY 14, 2023

What you will need are properly validated equipment cleaning procedures and a well-defined cleaning and verification regime in order to make sure your products are free from unnecessary contaminants. Equipment cleaning validation protocol was not discussed intensely in this article which was covered elsewhere in this blog.

Documentation 52

Documentation Labelling Pharmaceutical Manufacturing Packaging 52

Pharmacy Joe

AUGUST 10, 2022

Episode 738: Nebulized Tobramycin Vs Pseudomonas Gets an Evidence Boost Subscribe on iTunes , Android , or Stitcher Bronchiectasis is a chronic airway infection with exacerbations that can cause increases in sputum production/purulence, cough, hemoptysis, respiratory distress, and fatigue. These findings held at day 85 as well.

Inpatient 52

Inpatient 52

The Physician Pharmacist

JANUARY 1, 2022

For more information about Osteopathic physicians, check out , Part One of this blog series where we discuss an overview of Osteopathic Medicine and tackle Residency Match Rates. During your research, you may have come across some articles discussing lower salaries for osteopathic physicians. Meaning, if you compare all practicing M.D.

Medical Schools 52

Medical Schools 52

Pharmacy Joe

DECEMBER 4, 2022

Subscribe on iTunes , Android , or Stitcher Because of poor effects in patients with septic shock, phenylephrine is often thought of as a poor first-line vasopressor choice. However, not all causes of hypotension are equal and there may be circumstances where phenylephrine is preferred.

Hospitals 40

Hospitals Inpatient 40

Pharmacy Joe

DECEMBER 4, 2022

Subscribe on iTunes , Android , or Stitcher Because of poor effects in patients with septic shock, phenylephrine is often thought of as a poor first-line vasopressor choice. However, not all causes of hypotension are equal and there may be circumstances where phenylephrine is preferred.

Hospitals 40

Hospitals Inpatient 40

Pharmacy Joe

DECEMBER 25, 2022

In this episode, I’ll discuss famotidine as a potential cause of delirium. Episode 777: Can famotidine cause ICU delerium? Subscribe on iTunes , Android , or Stitcher Depending on which meta-analysis you read, famotidine is an option for stress ulcer prophylaxis in ICU patients. diff infection or pneumonia.

Adverse Reactions 40

Adverse Reactions Inpatient Dosage Hospitals 40