Pharmacy Joe

MAY 5, 2024

This is referred to as “volume regulatory decrease” However when the blood-brain barrier is disrupted and/or cerebral edema is present from intracranial bleeding, the brain cell’s ability to regulate extra water is impaired. This is often the case in patients with acute ischemic stroke.

Hospitals 52

Hospitals Inpatient 52

Pharmacy Joe

OCTOBER 18, 2023

The hypokalemic effects of digoxin fab fragments can also be compounded if the patient with digoxin toxicity presented with hyperkalemia and insulin and/or sodium bicarbonate were given to lower potassium levels before the diagnosis of digoxin toxicity was made. To get immediate access, go to pharmacyjoe.com/academy.

Immunity 52

Immunity Immunization Hospitals Inpatient 52

Pharmacy Joe

OCTOBER 18, 2023

The hypokalemic effects of digoxin fab fragments can also be compounded if the patient with digoxin toxicity presented with hyperkalemia and insulin and/or sodium bicarbonate were given to lower potassium levels before the diagnosis of digoxin toxicity was made. To get immediate access, go to pharmacyjoe.com/academy.

Immunity 52

Immunity Immunization Hospitals Inpatient 52

Pharmacy Joe

JANUARY 24, 2024

Episode 890: How to Succeed at Journal Club Without Really Trying Subscribe on iTunes , Android , or Stitcher There are two important criteria that are essential to fulfill when presenting an article to a journal club: 1. The article should be of high quality 2. To get immediate access go to pharmacyjoe.com/academy.

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

MAY 7, 2023

A recent abstract presented at the CHEST Congress and published in the Journal CHEST June 2020 highlighted this clinical dilemma. The authors describe the case of a 54-year-old male with a history of shellfish allergy who presented to the emergency department with dyspnea, dysphagia and urticaria shortly after ingesting shellfish.

Inpatient 52

Inpatient 52

Pharmacy Joe

MAY 7, 2023

A recent abstract presented at the CHEST Congress and published in the Journal CHEST June 2020 highlighted this clinical dilemma. The authors describe the case of a 54-year-old male with a history of shellfish allergy who presented to the emergency department with dyspnea, dysphagia and urticaria shortly after ingesting shellfish.

Inpatient 52

Inpatient 52

Pharmacy Joe

JUNE 28, 2023

However, a low heparin anti-Xa level may be clinically useful to identify patients that do not have relevant concentrations of Xa inhibitors present. If you like this post, check out my book – A Pharma cist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. <–

Inpatient 52

Inpatient 52

Pharmacy Joe

JUNE 28, 2023

However, a low heparin anti-Xa level may be clinically useful to identify patients that do not have relevant concentrations of Xa inhibitors present. If you like this post, check out my book – A Pharma cist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. <–

Inpatient 52

Inpatient 52

Pharmacy Joe

JUNE 25, 2023

While these two syndromes are very similar in presentation, they can usually be differentiated by looking at three specific things: 1. If you like this post, check out my book – A Pharma cist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. <–

Inpatient 52

Inpatient 52

Pharmacy Joe

JUNE 25, 2023

While these two syndromes are very similar in presentation, they can usually be differentiated by looking at three specific things: 1. If you like this post, check out my book – A Pharma cist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. <–

Inpatient 52

Inpatient 52

Pharmacy Joe

SEPTEMBER 20, 2023

For this reason, physicians will generally avoid intubation unless hypoventilation is present in these patients. If you like this post, check out my book – A Pharmacist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. <–

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

AUGUST 23, 2023

The authors reviewed the literature for similar cases and present 13 additional reports as well as an argument for their dosing strategy rather than the typical recommendations for protamine use found in the prescribing information or tertiary references. They were discharged home on apixaban 5 mg twice daily.

Inpatient 98

Inpatient 98

Pharmacy Joe

JANUARY 7, 2024

Unlike IV metronidazole, which achieves therapeutic levels in the colon when inflammation is present, vancomycin does not reach the colon when given intravenously. It is for that reason that oral vancomycin is used, especially when treating severe and fulminant C diff.

Inpatient 40

Inpatient Hospitals 40

Pharmacy Joe

JANUARY 7, 2024

Unlike IV metronidazole, which achieves therapeutic levels in the colon when inflammation is present, vancomycin does not reach the colon when given intravenously. It is for that reason that oral vancomycin is used, especially when treating severe and fulminant C diff.

Inpatient 40

Inpatient Hospitals 40

Pharmacy Joe

MAY 31, 2023

Most patients do not present with coma but rather severe hypothyroidism with altered consciousness, confusion, or lethargy. If you like this post, check out my book – A Pharma cist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. <–

Inpatient 59

Inpatient Hospitals 59

Pharmacy Joe

FEBRUARY 7, 2024

Some patients, such as those with severe vomiting or diarrhea, present with both hyponatremia and hypokalemia. If you like this post, check out my book – A Pharmacist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. <–

Inpatient 52

Inpatient Compounding 52

Pharmacy Joe

FEBRUARY 7, 2024

Some patients, such as those with severe vomiting or diarrhea, present with both hyponatremia and hypokalemia. If you like this post, check out my book – A Pharmacist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. <–

Inpatient 52

Inpatient Compounding 52

Pharmacy Joe

JANUARY 21, 2024

The panel made a similar recommendation for sotalol poisoning – when refractory bradycardia and hypotension and/or recurrent torsade de pointe are present in a patient who also has kidney impairment, dialysis was recommended. No recommendation could be made if kidney impairment is not present.

Hospitals 52

Hospitals Inpatient 52

Pharmacy Joe

OCTOBER 23, 2022

Subscribe on iTunes , Android , or Stitcher Some clinicians prefer phenobarbital over benzodiazepines for alcohol withdrawal patients presenting to the emergency department. Episode 759: Does phenobarbital offer a clinically meaningful advantage over benzodiazepines for alcohol withdrawal in the ED?

Hospitals 52

Hospitals Inpatient 52

Pharmacy Joe

MAY 31, 2023

Most patients do not present with coma but rather severe hypothyroidism with altered consciousness, confusion, or lethargy. If you like this post, check out my book – A Pharma cist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. <–

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

JANUARY 3, 2024

The cohort looked at data from 35 trauma centers and analyzed 654 patients who were on preinjury anticoagulation and presented with a minor traumatic ICH without neurologic deficits. To examine this possibility, a group of authors published a retrospective cohort study in Pharmacotherapy.

Hospitals 52

Hospitals Inpatient 52

Pharmacy Joe

JANUARY 3, 2024

The cohort looked at data from 35 trauma centers and analyzed 654 patients who were on preinjury anticoagulation and presented with a minor traumatic ICH without neurologic deficits. To examine this possibility, a group of authors published a retrospective cohort study in Pharmacotherapy.

Hospitals 52

Hospitals Inpatient 52

Pharmacy Joe

MARCH 1, 2023

If you like this post, check out my book – A Pharmacist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. <– To get access to my free download area with 20 different resources to help hospital pharmacists in their practice go to pharmacyjoe.com/free.

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

APRIL 16, 2023

On presentation to the ED she had a seizure and cardiac arrest. If you like this post, check out my book – A Pharma cist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. <–

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

APRIL 16, 2023

On presentation to the ED she had a seizure and cardiac arrest. If you like this post, check out my book – A Pharma cist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. <–

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

OCTOBER 1, 2023

They studied 49 patients age 18‐59 years presenting to the ED with acute moderate to severe pain. If you like this post, check out my book – A Pharmacist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. <– mg/kg IV ketamine for analgesia in the ED.

Inpatient 52

Inpatient 52

Pharmacy Joe

NOVEMBER 22, 2023

While supplies are supposed to be reserved and prioritized for these populations during the shortage, there is very real chance hospitals could run out and then have a patient that requires penicillin G benzathine present for treatment. There are several resources available to help if this scenario arises during the shortage.

Hospitals 52

Hospitals Inpatient Documentation 52

Pharmacy Joe

NOVEMBER 22, 2023

While supplies are supposed to be reserved and prioritized for these populations during the shortage, there is very real chance hospitals could run out and then have a patient that requires penicillin G benzathine present for treatment. There are several resources available to help if this scenario arises during the shortage.

Hospitals 52

Hospitals Inpatient Documentation 52

Pharmacy Joe

FEBRUARY 28, 2024

The authors make a suggestion that if the fixed dose of 2000 units is chosen for an institutional policy, that subgroup data could be used to justify an additional supplemental dose for patients weighing at least 80 kg, presenting with ICH, or an INR greater than 4.

Inpatient 52

Inpatient 52

Pharmacy Joe

FEBRUARY 28, 2024

The authors make a suggestion that if the fixed dose of 2000 units is chosen for an institutional policy, that subgroup data could be used to justify an additional supplemental dose for patients weighing at least 80 kg, presenting with ICH, or an INR greater than 4.

Inpatient 52

Inpatient 52

Pharmacy Joe

JUNE 22, 2022

Question 7 presented the same 4 antibiotics and asked: “How are these antibiotics cleared?” Question 8 presented a list of 5 conditions and asked: “What are risk factors for augmented renal clearance?” And for those with AUC:MIC goals, either the dose can be reduced or the dosing interval increased.

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

SEPTEMBER 28, 2022

The study was a multi-center randomized controlled trial of patients who presented with acute pancreatitis. The moderate fluid resuscitation group received a bolus of 10 mL/kg only if hypovolemia was present – otherwise they received no bolus, followed by 1.5 To sign up go to pharmacyjoe.com/academy.

Hospitals 52

Hospitals Inpatient 52

Pharmacy Joe

DECEMBER 7, 2022

All patients presented via the ED and have active hemoptysis but were hemodynamically stable. If you like this post, check out my book – A Pharmacist’s Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. <–

Inpatient 52

Inpatient Labelling Hospitals 52

Pharmacy Joe

OCTOBER 23, 2022

Subscribe on iTunes , Android , or Stitcher Some clinicians prefer phenobarbital over benzodiazepines for alcohol withdrawal patients presenting to the emergency department. Episode 759: Does phenobarbital offer a clinically meaningful advantage over benzodiazepines for alcohol withdrawal in the ED?

Hospitals 40

Hospitals Inpatient 40

Board Vitals - Pharmacist

APRIL 4, 2024

Study smarter, not harder, with AI-powered risk assessment data that provides insight into your most at-risk subjects and adaptive testing technology , which presents questions tailored to your current competency level. The ABPM Addiction Medicine Certification Exam is a challenging yet achievable milestone.

Inpatient 40

Inpatient 40

Pharmacy Joe

JANUARY 8, 2023

A group of authors recently published a retrospective cohort study based on a chart review of electronic records from the Virginia Poison Control Center to describe clinical outcomes after dexmedetomidine was given to patients who presented to the ED with an overdose and needed management of agitation.

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

SEPTEMBER 27, 2023

We suggest to extend empirical therapy beyond core respiratory pathogens when (1) risk factors for drug-resistant organisms or opportunistic pathogens are present and (2) the delay in waiting for identification of the pathogen for choosing empirical antimicrobial therapy will place the patient at increased risk of mortality.

Inpatient 52

Inpatient Hospitals 52