article thumbnail

Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM - Pharm Pearls

Inpatient wound care teams provided long-term support and a nutrition consult ordered protein, micronutrient, and vitamin supplementation. Clonidine is often added back to their regimens inpatient as their vital signs tolerate. The Necessity of a Trauma-Informed Paradigm in Substance Use Disorder Services. Cureus 16(9): e69274.

article thumbnail

Phenobarbital as First-Line Medication for Alcohol Withdrawal: Have You Switched From Benzodiazepines Yet?

ALiEM - Pharm Pearls

Author information T. In: StatPearls. StatPearls Publishing; 2023. Accessed April 16, 2023. Alcohol withdrawal. EMCrit Project. Published March 29, 2023. Accessed April 18, 2023.

Inpatient 246
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

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

ALiEM - Pharm Pearls

These guidelines were made possible by the recent PECARN, Step by Step, and other studies and the invaluable information they have provided [5-7]. Who’s included? Use of Procalcitonin Assays to Predict Serious Bacterial Infection in Young Febrile Infants [published correction appears in JAMA Pediatr. 2016 Jun 1;170(6):624].

Hospitals 360
article thumbnail

Pigtail catheter for pleural drainage: Tips to minimize complications

ALiEM - Pharm Pearls

In collaboration with the inpatient team, intrapleural thrombolytics were administered via the pigtail catheter did not resolve the issue. For loculated effusions and empyemas, an interdisciplinary inpatient discussion should weigh the pros and cons of intrapleural thrombolytics versus surgical drainage and pleurodesis.

Inpatient 183
article thumbnail

Episode 519: Additional compatibility information for IV hydrocortisone infusions

Pharmacy Joe

In this episode, I’ll discuss new compatibility information for IV hydrocortisone infusions. This was a well thought out physical compatibility study that provides practical information for clinicians who wish to administer hydrocortisone as a continuous infusion while minimizing the need for the placement of extra IV lines.

article thumbnail

SAEM Clinical Images Series: More Than Skin Deep

ALiEM - Pharm Pearls

Amyopathic dermatomyositis – specifically anti-melanoma differentiation-associated gene 5 (anti-MDA5) positive dermatomyositis as determined by subsequent inpatient auto-immunological workup. Laboratory Data CBC w/ differential : Normal BMP : Na 142, K 3.8, Cl 106, HCO3 24, BUN 16, Cr 0.44, Glu 112, Ca 8.5, PT/PTT/INR : 12.0s/32.2/1.04

Inpatient 200
article thumbnail

Episode 928: What is the best vasopressor to use in post-resuscitation shock?

Pharmacy Joe

While the study design is not the highest possible type of evidence, it would seem reasonable to prefer norepinephrine to treat post-resuscitative shock until a randomized prospective trial can provide more information on the ideal pressor to use.