Pharmacy Joe

JANUARY 24, 2024

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. This will mean the student or resident can demonstrate a deeper understanding of the article in their presentation, and discussion guided by the preceptors can start out at a higher level.

Inpatient 98

Inpatient Hospitals 98

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 98

Inpatient Hospitals 98

ALiEM - Pharm Pearls

APRIL 12, 2024

Case A 48 year-old male with a history of hypertension and polysubstance abuse presented to the emergency department (ED) for shortness of breath and was found to have a left sided parapneumonic pleural effusion (Figure 1). Obstruction may also occur from clotted blood [9] or pleural effusion loculations [12, 13] within the catheter lumen.

Inpatient 183

Inpatient 183

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

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

JULY 31, 2024

Additional good practice statements suggest that pharmacologic SUP be discontinued before the patient leaves the ICU when risk factors are no longer present, and that patients who present to the ICU on a PPI or H2RA but without risk factors have the need for such medications compared against whether an actual indication exists.

Inpatient 52

Inpatient Hospitals 52

Pharmacy Joe

MAY 8, 2024

The signs of methemoglobinemia depend on the degree of methemoglobin present. 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 immediate access, go to pharmacyjoe.com/academy.

Hospitals 98

Hospitals Inpatient 98

Pharmacy Joe

JULY 7, 2024

Subscribe on iTunes , Android , or Stitcher When a hospital microbiology laboratory performs antimicrobial susceptibility testing using microdilution or disk diffusion methods, not all of the results are presented to clinicians in the medical record. To get immediate access, go to pharmacyjoe.com/academy.

Medical Records 52

Medical Records Hospitals 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

JANUARY 10, 2024

In this episode, I’ll discuss the ACEP clinical policy on adult patients presenting to the ED with severe agitation. 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 98

Hospitals Inpatient 98

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

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

Express Pharma

MAY 15, 2024

Results from the primary analysis of TRANSCEND FL presented at the 2023 International Conference on Malignant Lymphoma showed an ORR of 97 per cent (95 per cent CI: 91.6-99.4; Patients in the TRANSCEND FL study were treated in the inpatient and outpatient setting. NR), with 80.9 one-sided p<0.0001).

Inpatient 100

Inpatient 100

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

MAY 29, 2024

One notable advantage to nebulized ketamine is that it can be delivered without first establishing IV access, and this may be desirable in patients who present to the ED with acute pain but do not otherwise have a need for IV access.

Inpatient 52

Inpatient 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

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

Board Vitals - Pharmacist

JANUARY 2, 2023

Get Familiar with Patient Presentations. Patient presentations are a major feature on the internal medicine boards (over 75% of the exam).

Nursing Homes 98

Nursing Homes Inpatient Hospitals 98

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

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 52

Inpatient Hospitals 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

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

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

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

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

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

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