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Episode 918: What Happens If You Give a Cephalosporin to a Patient With Moderate, Severe, or Unknown Beta-Lactam Allergy?

Pharmacy Joe

A total of 184 patients met the criteria of presenting to the ED and being admitted for bacterial infection, having a reported beta-lactam allergy history that was moderate, severe, or unknown in nature, and who did not have a documented history of beta-lactam tolerance. She experienced a rash to the nafcillin as an inpatient.

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The Febrile Infant: Incorporating the 2021 American Academy of Pediatrics guidelines

ALiEM - Pharm Pearls

If LP is traumatic or pleocytosis is present, administer antibiotics and admit. Example: A 48-day-old infant presents with a fever of 100.6F, CRP of 22 mg/L, and otherwise normal procalcitonin, ANC, and UA. This requires a documented positive viral swab and not just a presentation consistent with a viral syndrome.

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Episode 872: What Happens If You Run Out of Penicillin G Benzathine?

Pharmacy Joe

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.

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Episode 872: What Happens If You Run Out of Penicillin G Benzathine?

Pharmacy Joe

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.

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Episode 749: Three reasons why 1 clinical pharmacist on the unit = 2 in the office

Pharmacy Joe

Certain aspects of the job require a quiet space to work, such as creating an in-service or presentation, or drafting a policy or procedure. But for the majority of the day, it is far more effective to be present on the nursing unit, elbow-to-elbow with patients and the care team. Here are three reasons why: 1.

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Episode 749: Three reasons why 1 clinical pharmacist on the unit = 2 in the office

Pharmacy Joe

Certain aspects of the job require a quiet space to work, such as creating an in-service or presentation, or drafting a policy or procedure. But for the majority of the day, it is far more effective to be present on the nursing unit, elbow-to-elbow with patients and the care team. Here are three reasons why: 1.

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Episode 661: Fentanyl Patch Safety in Hospitals

Pharmacy Joe

Transdermal fentanyl has no such feedback opportunity and a patient prescribed too high of a dose will continue to absorb it, presenting the opportunity for opioid overdose. Documentation within the medical record. This 3-step procedure includes: 1. Determination of indication 2. Review of prior opioid use 3.