The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
Episodes
919: The problem with hypo-osmolar solutions in neurological patients
06 May 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode919. In this episode, I’ll discuss the problem with hypo-osmolar solutions in neurological patients.
918: What Happens If You Give a Cephalosporin to a Patient With Moderate, Severe, or Unknown Beta-Lactam Allergy?
02 May 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode918. In this episode, I’ll discuss the impact of giving a full-dose cephalosporin challenge to patients wit...
917: What is the impact of achieving an aggressive PK/PD target for beta lactams in critically ill patients?
29 Apr 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode917. In this episode, I’ll discuss the impact of achieving an aggressive PK/PD target for beta lactams in c...
916: The 4 categories of interventions to treat medication overdose and why antidote is not #1
25 Apr 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode916. In this episode, I’ll discuss the 4 categories of interventions to treat medication overdose and why a...
915: The rare case when a very hypotonic solution may be indicated
22 Apr 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode915. In this episode, I’ll discuss the rare case when a very hypotonic solution may be indicated.
914: Does Oral Phosphate Replacement Work as Well as IV For Critically Ill Patients With Mild to Moderate Hypophosphatemia?
18 Apr 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode914. In this episode, I’ll discuss oral vs IV phosphate replacement for critically ill patients with mild t...
913: Is there an efficacy tradeoff when reducing apixaban dose in patients with end-stage renal disease?
15 Apr 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode913. In this episode, I’ll discuss the efficacy tradeoff when reducing apixaban dose in patients with end-s...
912: Are Standard Doses of Apixaban as Effective as Warfarin in Patients With Severe Obesity?
11 Apr 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode912. In this episode, I’ll discuss whether standard doses of apixaban are as effective as warfarin in sever...
911: But They Have Altered Mental Status So We Have To Treat
08 Apr 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode911. In this episode, I’ll discuss the risk of bacteremia in patients with asymptomatic bacteriuria and alt...
910: How to judge whether a journal is reputable?
04 Apr 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode910. In this episode, I’ll discuss how to judge whether a journal is reputable.
909: Is this a better metric for antibiotic stewardship?
01 Apr 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode909. In this episode, I’ll discuss a novel metric for antibiotic stewardship.
908: Finally, All the VTE Recommendations In One Document!
28 Mar 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode908. In this episode, I’ll discuss the consolidated CHEST guidelines on antithrombotic therapy for venous t...
907: What predicts critical care pharmacist intervention – patient acuity or medication regimen complexity?
25 Mar 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode907. In this episode, I’ll discuss what predicts critical care pharmacist intervention – patient acui...
906: Does Using Ketamine for Induction Have a Lower Mortality Rate Than Etomidate?
21 Mar 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode906. In this episode, I’ll discuss the mortality rate for critically ill patients when ketamine vs etomidat...
905: Does It Matter Which Antibiotic You Give First?
18 Mar 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode905. In this episode, I’ll discuss which antibiotic should be given first in sepsis – the beta-lactam...
904: Do Patients Taking Beta-Blockers Require Increased Doses of Epinephrine for Anaphylaxis?
14 Mar 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode904. In this episode, I’ll discuss whether patients taking beta-blockers require increased doses of epineph...
903: Does the Number of Learners Trained Per Year Influence the Chances of an Inpatient Pharmacist Experiencing Burning Out?
11 Mar 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode903. In this episode, I’ll discuss the association between number of learners trained per year and rates of...
902: The analgesic ceiling dose of ibuprofen applies to ED patients too
07 Mar 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode902. In this episode, I’ll discuss the analgesic ceiling dose of ibuprofen in ED patients.
901: Why Ketamine and Propofol Don’t Belong in the Same Syringe
04 Mar 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode901. In this episode, I’ll discuss why I think ketamine and propofol don’t belong in the same syringe...
Episode 900: The Benefits of Using Fixed-Dose Prothrombin Complex Concentrate for the Emergent Reversal of Vitamin K Antagonists
29 Feb 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode900. In this episode, I’ll discuss uisng fixed-dose PCC for warfarin reversal.
899: Glucocorticoids Have No Role Reversing the Acute Symptoms of Anaphylaxis. Here’s Why:
26 Feb 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode899. In this episode, I’ll discuss why glucocorticoids have no role in reversing the acute symptoms of anap...
898: Knowing When Non-Medication Therapies Are First-Line Is Critical
22 Feb 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode898. In this episode, I’ll discuss the impact of giving epinephrine before defibrillation to in-hospital ca...
897: Is It Necessary To Monitor QTc of ICU Patients Receiving Antipsychotics for Delirium?
19 Feb 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode897. In this episode, I’ll discuss whether ICU patients benefit from daily QTc interval monitoring during a...
Episode 896: Just How Bad Are PPIs When Continued Post-ICU Stay Without Indication?
15 Feb 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode896. In this episode, I’ll discuss the effect of unnecessary long-term continuation of newly initiated stre...
895: Why is glucagon not recommended in the calcium channel blocker poisoning guidelines?
12 Feb 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode895. In this episode, I’ll discuss why glucagon is not recommended in the calcium channel blocker poisoning...
894: Correction of hypokalemia in a hyponatremic patient makes inadvertent overcorrection of hyponatremia more likely
08 Feb 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode894. In this episode, I’ll discuss how correction of hypokalemia in a hyponatremic patient makes inadverten...
893: Should Fludrocortisone Always Be Added to Hydrocortisone in Patients With Septic Shock?
05 Feb 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode893. In this episode, I’ll discuss adding fludrocortisone to hydrocortisone to treat patients with septic s...
892: Should hot or cold compresses be used to treat extravasation?
01 Feb 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode892. In this episode, I’ll discuss when to use a cold or warm compress to treat extravasation.
891: The Half-Dose Alteplase Study You’ve Always Wanted
29 Jan 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode891. In this episode, I’ll discuss an article comparing half-dose to full-dose alteplase for pulmonary embo...
890: How to Succeed at Journal Club Without Really Trying
25 Jan 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode890. In this episode, I’ll discuss how to guarantee you pick a great article for the journal club.
889: Which beta-blockers should be dialyzed to treat toxicity?
22 Jan 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode889. In this episode, I’ll discuss which beta-blockers should be dialyzed to treat toxicity.
888: The Effects of Fluid Overload On the Pharmacokinetics of Extended Infusion Meropenem in Critically Ill Patients with Sepsis
18 Jan 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode888. In this episode, I’ll discuss how fluid overload affects the pharmacokinetics of extended infusion mer...
887: Long Term Outcomes of Haloperidol Use in the Agents Intervening against Delirium in the ICU Trial
15 Jan 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode887. In this episode, I’ll discuss a pre-planned analysis of long term outcomes of haloperidol use in the Agent...
Episode 886: The ACEP Clinical Policy For Severe Agitation
11 Jan 2024
Contributed by Lukas
Show notes at pharmacyjoe.com/episode886. In this episode, I’ll discuss the ACEP clinical policy on adult patients presenting to the ED with severe ...