Pharmacy Joe

OCTOBER 25, 2023

ISMP encourages organizations to maintain, update, and periodically review a list of oral dosage forms that may require alteration through evaluation of package inserts, drug manufacturer inquiries, tertiary drug information resources, and primary literature.

Dosage 111

Dosage Inpatient Packaging Documentation 111

Pharmacy Joe

MAY 19, 2024

There is less data on the use of terbutaline and nitroglycerin but some published information does exist , especially in response to previous phentolamine shortages. Terbutaline is typically diluted to 1 mg in 10 mL of normal saline and infiltrated around the area of extravasation in a manner identical to phentolamine.

Inpatient 98

Inpatient Hospitals 98

Express Pharma

MAY 15, 2024

Based on the US Prescribing Information (USPI), in patients treated with Breyanzi in the third-line plus setting and included in the primary efficacy analysis set (n=94), the overall response rate (ORR) was 95.7 Patients in the TRANSCEND FL study were treated in the inpatient and outpatient setting. per cent (95 per cent CI: 89.5-98.8).

Inpatient 110

Inpatient 110

Pharmacy Joe

OCTOBER 6, 2024

Until better data is available pharmacists can use this information to select treatments and predict efficacy for patients with toxin-related status epilepticus. 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 97

Inpatient 97

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.

Inpatient 98

Inpatient 98

Pharmacy Joe

MARCH 27, 2024

When the 2nd update of the guidelines happened in 2021 , the practice continued, leaving important information and guidance statements spread across 3 documents. 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. <–

Documentation 98

Documentation Inpatient 98

Board Vitals - Pharmacist

JANUARY 2, 2023

The ABIM states that “The setting of the encounters reflect[s] current medical practice, so [roughly 75%] take place in an outpatient or emergency department setting…the remainder occur in inpatient settings, ranging from the intensive care unit to the nursing home.”. Take the ACP Internal Medicine In-Training Exam®.

Nursing Homes 98

Nursing Homes Inpatient Hospitals 98

Pharmacy Joe

AUGUST 16, 2023

By considering this information, a pharmacist can obtain needed medications in advance, calculate appropriate doses, and when the decision to intubate is made, be ready to immediately prepare the medications in a timely, efficient, and safe manner.

Hospitals 98

Hospitals Inpatient Labelling 98

Pharmacy Joe

FEBRUARY 12, 2025

Pharmacists can use this information to identify patients at highest risk of mortality from Pseudomonas catheter-related infection and take that information into account when evaluating whether the intensity of a patient’s antibiotic regimen is appropriate. The odds ratio for mortality increased from 1.6

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

AUGUST 2, 2023

Many of these diseases are exacerbated by certain medications but because of their rarity this information is not in tertiary medication references, training, or other resources. The few extra moments it takes to search this information out could make a substantial impact on the outcome of patients you care for with rare diseases.

Hospitals 52

Hospitals Inpatient 52

Pharmacy Joe

AUGUST 2, 2023

Many of these diseases are exacerbated by certain medications but because of their rarity this information is not in tertiary medication references, training, or other resources. The few extra moments it takes to search this information out could make a substantial impact on the outcome of patients you care for with rare diseases.

Hospitals 52

Hospitals Inpatient 52

Pharmacy Joe

MAY 17, 2023

The authors conclude that these results should be hypothesis generating and inform the development of future prospective trials. 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 59

Pharmacy Joe

JUNE 28, 2023

This could be used to inform whether an invasive procedure or surgery with a high bleeding risk could be undertaken in a patient previous on a Xa inhibitor. Researchers recently published such information in Anesthesia and Analgesia.

Inpatient 52

Inpatient 52

Pharmacy Joe

JUNE 28, 2023

This could be used to inform whether an invasive procedure or surgery with a high bleeding risk could be undertaken in a patient previous on a Xa inhibitor. Researchers recently published such information in Anesthesia and Analgesia.

Inpatient 52

Inpatient 52

Pharmacy Joe

APRIL 14, 2021

The vasopressor angiotensin II carries a warning in the prescribing information that “ACE inhibitors may increase response to angiotensin II” No information on why this interaction occurs is provided in the prescribing information.

Inpatient 40

Inpatient 40

Pharmacy Joe

FEBRUARY 5, 2025

Your lab’s creatinine assay is different than the one used to study pharmacokinetics and make the prescribing information’s renal dosing recommendations. You’re probably not using the same Cockcroft Gault formula that the manufacturer did when making the prescribing information’s renal dosing recommendations.

Hospitals 52

Hospitals Inpatient Documentation 52

Pharmacy Joe

JUNE 15, 2022

Like plasma anti-Xa levels, the clinical utility is to rule out the presence of significant levels of anticoagulation from a DOAC in order to inform decisions surrounding invasive procedures or thrombolytic therapy. 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

MAY 17, 2023

The authors conclude that these results should be hypothesis generating and inform the development of future prospective trials. 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 15, 2022

Like plasma anti-Xa levels, the clinical utility is to rule out the presence of significant levels of anticoagulation from a DOAC in order to inform decisions surrounding invasive procedures or thrombolytic therapy. 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

APRIL 25, 2021

When sugammadex was approved in 2015 the prescribing information provided the following warning for anaphylaxis: Be prepared for hypersensitivity reactions (including anaphylactic reactions) and take necessary precautions The prescribing information states the frequency of anaphylaxis to sugammadex was 0.3%

Inpatient 40

Inpatient 40

Pharmacy Joe

MAY 3, 2023

Provide feedback based on what you have directly observed rather than on second-hand information. 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. <– Make the feedback conversational in nature.

Inpatient 59

Inpatient Hospitals 59

Pharmacy Joe

APRIL 7, 2024

Furthermore, it provides additional information that antimicrobial stewardship teams can use to educate clinicians and assuage their fears of missing a case of bacteremia in a patient with asymptomatic bacteriuria and altered mental status.

Inpatient 59

Inpatient Hospitals 59

Pharmacy Joe

JULY 18, 2021

This extra piece of information can be used to hypothesize the degree to which an interaction may be significant. Using this information a clinician may choose to allow the use of a 3A4 inhibitor with amitriptyline with the knowledge that many other pathways for elimination exist.

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

APRIL 2, 2025

The prescribing information recommendations for waiting 24 hours after the last dose of dabigatran before switching to heparin in patients with a creatinine clearance below 30 mL/min are empiric and do not take patient specific factors into account. To get immediate access, go to pharmacyjoe.com/academy.

Hospitals 59

Hospitals Inpatient 59

Pharmacy Joe

SEPTEMBER 16, 2020

Many of these diseases are exacerbated by certain medications but because of their rarity this information is not in tertiary medication references or other resources. The few extra moments it takes to search this information out could make a substantial impact on the outcome of patients you care for with rare diseases.

Inpatient 40

Inpatient 40

Pharmacy Joe

JULY 30, 2023

Episode 839: A Rare Case of Propofol Dependence and How it Was Managed Subscribe on iTunes , Android , or Stitcher There is limited published information on propofol withdrawal syndrome. In this episode, I’ll discuss the management of suspected propofol dependence with phenobarbital in an adult patient with COVID-19.

Inpatient 52

Inpatient 52

Pharmacy Joe

NOVEMBER 21, 2021

Subscribe on iTunes , Android , or Stitcher The prescribing information for filgrastim recommends dosing based on actual body weight, but this results in large doses for morbidly obese patients. The study was a prospective, matched-control study in 30 patients admitted to an inpatient oncology unit.

Inpatient 40

Inpatient 40

Pharmacy Joe

FEBRUARY 2, 2022

Nearly 900 patients in a retrospective cohort who received patiromer for the inpatient treatment of non-severe hyperkalemia were analyzed. 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 40

Inpatient Hospitals 40

Pharmacy Joe

SEPTEMBER 4, 2024

Although this information might come up once or not even at all in a pharmacist’s career, having the knowledge of the location of your MH cart and anesthesia contact information has the potential to decrease the delay to dantrolene administration and provide the best chance for a positive patient outcome should MH occur outside of the OR.

Hospitals 52

Hospitals Inpatient 52

Pharmacy Joe

DECEMBER 11, 2024

Subscribe on iTunes , Android , or Stitcher Benzodiazepines are known to increase the risk of respiratory depression in patients who are taking opioids, and the FDA mandates a boxed warning to this effect in the prescribing information for both opioids and benzodiazepines. To get instant access go to pharmacyjoe.com/academy.

Hospitals 52

Hospitals Inpatient 52

Pharmacy Joe

SEPTEMBER 2, 2020

This could be used to inform whether an invasive procedure or surgery with a high bleeding risk could be undertaken in a patient previous on a Xa inhibitor. Researchers recently published such information in Anesthesia and Analgesia.

Inpatient 40

Inpatient 40

Pharmacy Joe

MARCH 24, 2021

The prescribing information includes information that sugammadex may interfere with the effectiveness of hormonal contraceptives. 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 40

Inpatient 40

Pharmacy Joe

APRIL 5, 2023

Episode 806: Updating Beliefs On the Safety of Peripheral Vasopressors and Hypertonic Saline Subscribe on iTunes , Android , or Stitcher When advances in medical knowledge are accompanied by aggressive marketing campaigns , the use of new information in patient care can occur rapidly.

Inpatient 59

Inpatient 59

Pharmacy Joe

JUNE 22, 2022

” Cardiac arrest (False) Prolonged ICU admittance (False) Advanced age (False) Multi-trauma (True) Limited comorbidity (True) For more information on augmented renal clearance and its clinical relevance check out episode 47. For immediate access to this and over 200 other practical trainings, go to pharmacyjoe.com/academy.

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

MAY 3, 2023

Provide feedback based on what you have directly observed rather than on second-hand information. 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. <– Make the feedback conversational in nature.

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

DECEMBER 4, 2022

The authors called for randomized trials to better inform vasopressor choice for severe TBI 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. <–

Hospitals 40

Hospitals Inpatient 40

Pharmacy Joe

JUNE 30, 2021

While this information is helpful to identify dexmedetomidine as a cause of drug-related fever, it is unknown whether there is any adverse clinical effect of these temperature elevations. To access my free download area with 20 different resources to help you in your practice, go to pharmacyjoe.com/free.

Inpatient 40

Inpatient 40