The Elective Rotation: A Critical Care Hospital Pharmacy Podcast

By Pharmacy Joe

Science & Medicine Education Training Higher Education Medicine

What's The Elective Rotation: A Critical Care Hospital Pharmacy Podcast about?

The Elective Rotation - the number 1 ranked Hospital Pharmacy podcast - is created for YOU Pharmacy Nation! If you are a Pharmacy Student, Resident, Pharmacist, Nurse, Physician, or Critical Care Practitioner in a hospital, intensive care unit (ICU) or emergency department looking to improve your practice, The Elective Rotation delivers unbiased critical care and hospital pharmacy content from a Board Certified Pharmacotherapy Specialist. Episodes are published every Monday and Thursday at 3AM EST. Find the show notes at pharmacyjoe.com.

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LAST EPISODE

875: The Safety of Diuretic...

12.04.2023

Show notes at pharmacyjoe.com/episode875. In this episode, I ll discuss whether diuretics are safe for reducing fluid balance in critically ill patients.

The Elective Rotation: A Critical Care Hospital Pharmacy Podcast episodes:

12.04.2023 875: The Safety of Diuretics to Reduce Fluid Balance in Critically Ill Patients Show notes at pharmacyjoe.com/episode875. In this episode, I ll discuss whether diuretics are safe for reducing fluid balance in critically ill patients.
11.30.2023 874: How Well Does a Bicarb-Based Impella Purge Solution Work for Patients With Contraindications to Heparin? Show notes at pharmacyjoe.com/episode874. In this episode, I’ll discuss what Impella purge solution can be used if the patient has a contraindication to heparin.
11.27.2023 873: 5 Steps an ED or ICU pharmacist can take to prevent awareness with paralysis Show notes at pharmacyjoe.com/episode873. In this episode, I ll discuss 5 steps an ED or ICU pharmacist can take to prevent awareness with paralysis.
11.23.2023 872: What Happens If You Run Out of Penicillin G Benzathine? Show notes at pharmacyjoe.com/episode872. In this episode, I’ll discuss how to obtain penicillin G benzathine during a national shortage.
11.20.2023 871: Can a nasal MRSA screen be useful for choosing antibiotics in critically ill patients with an intra abdominal infection? Show notes at pharmacyjoe.com/episode871. In this episode, I’ll discuss whether a nasal MRSA screen is useful for choosing antibiotics in critically ill patients with an intraabdominal infection.
11.16.2023 870: A case of antidepressant discontinuation syndrome in the ICU and how it was handled. Show notes at pharmacyjoe.com/episode870. In this episode, I’ll discuss a case of antidepressant discontinuation syndrome in the ICU.
11.13.2023 869: Three Recent Studies About Haloperidol and ICU Delirium Show notes at pharmacyjoe.com/episode868. In this episode, I’ll discuss haloperidol for ICU delirium.
11.09.2023 868: One Weird Trick Let These ED Pharmacists Double Antibiotic-Free Days Show notes at pharmacyjoe.com/episode868. In this episode, I ll discuss a pharmacist-driven deprescribing protocol for negative urine and sexually transmitted infection cultures in the emergency department.
11.06.2023 867: How common is awareness with paralysis in the ED after RSI? Show notes at pharmacyjoe.com/episode867. In this episode, I’ll discuss the frequency of awareness with paralysis in the ED.
11.02.2023 866: Can 3 Days of Inhaled Amikacin Prevent VAP? Show notes at pharmacyjoe.com/episode866. In this episode, I’ll discuss inhaled amikacin to prevent VAP.
10.30.2023 865: Predicting Success of Dexmedetomidine as a Sedative Show notes at pharmacyjoe.com/episode865. In this episode, I’ll discuss predicting the success of dexmedetomidine as a sedative.
10.26.2023 864: Why Did ISMP Remove the Do Not Crush List from Their Website? Show notes at pharmacyjoe.com/episode864. In this episode, I’ll discuss what happened to the “ISMP’s Do Not Crush List.”
10.23.2023 863: Does This Randomized Trial Settle the Increased AKI from Piperacillin-Tazobactam Question? Show notes at pharmacyjoe.com/episode863. In this episode, I’ll discuss an article about cefepime vs piperacillin-tazobactam in adults hospitalized with acute infection.
10.19.2023 862: Why hypokalemia can result from digoxin immune fab fragment administration Show notes at pharmacyjoe.com/episode862. In this episode, I’ll discuss why hypokalemia can result from digoxin immune fab fragment administration.
10.16.2023 861: When Diluents Attack! A Case Report of Seizure From Esmolol In Sterile Water Show notes at pharmacyjoe.com/episode861. In this episode, I’ll discuss a case report of seizures precipitated by esmolol in sterile water formulation.
10.12.2023 860: 4 Factors That Can Predict Agitation in Lightly Sedated Ventilated Patients Show notes at pharmacyjoe.com/episode860. In this episode, I ll discuss the 4 factors that predict agitation in lightly sedated ventilated patients.
10.09.2023 859: SCCM Rapid Sequence Intubation Guidelines Show notes at pharmacyjoe.com/episode859. In this episode, I’ll discuss the SCCM Rapid Sequence Intubation Guidelines.
10.05.2023 858: Keppra Not Preventing Post-Op Seizures? Maybe the Dose is too Low! Show notes at pharmacyjoe.com/episode858. In this episode, I’ll discuss the optimal dosing of levetiracetam for seizure prophylaxis in critically ill patients.
10.02.2023 857: How low can the dose of ketamine for analgesia in the ED go? Show notes at pharmacyjoe.com/episode857. In this episode, I’ll discuss two doses of ketamine for analgesia in the ED.
09.28.2023 856: Treatment of Community-Acquired Pneumonia in immunocompromised patients Show notes at pharmacyjoe.com/episode856. In this episode, I’ll discuss the consensus statement published in CHEST on the Treatment of Community-Acquired Pneumonia in immunocompromised patients.
09.25.2023 855: Effect of phenylephrine push prior to continuous infusion norepinephrine in patients with septic shock Show notes at pharmacyjoe.com/episode855. In this episode, I’ll discuss the effect of phenylephrine push prior to continuous infusion norepinephrine in patients with septic shock.
09.21.2023 854: The Danger of Intubation in the Setting of Salicylate Toxicity Show notes at pharmacyjoe.com/episode854. In this episode, I’ll discuss the danger of intubation in the setting of salicylate toxicity.
09.18.2023 853: Can hypotension from dexmedetomidine be predicted? Show notes at pharmacyjoe.com/episode853. In this episode, I’ll discuss how to predict hypotension from dexmedetomidine.
09.14.2023 852: Does Europe Do Apixaban Renal Dosing Better (Safer) Than the US? Show notes at pharmacyjoe.com/episode852. In this episode, I’ll discuss a study about the safety of apixaban in patients with renal insufficiency.
09.11.2023 851: Why Is Racemic Epinephrine Nebulized To Help Treat Stridor? Show notes at pharmacyjoe.com/episode851. In this episode, I’ll discuss how racemic epinephrine via nebulization is thought to help treat stridor.
09.07.2023 850: A Pharmacy-Driven Rapid Bacteremia Response Program Show notes at pharmacyjoe.com/episode850. In this episode, I ll discuss a pharmacy-driven rapid bacteremia response program.
09.04.2023 849: Should apixaban’s loading dose duration ever be shortened? Show notes at pharmacyjoe.com/episode849. In this episode, I’ll discuss the treatment of norepinephrine extravasation.
08.31.2023 848: Treatment of norepinephrine extravasation Show notes at pharmacyjoe.com/episode848. In this episode, I’ll discuss the treatment of norepinephrine extravasation.
08.28.2023 847: A Clinical Prediction Model for Augmented Renal Clearance in Adult Mixed Critically Ill Patients Show notes at pharmacyjoe.com/episode847. In this episode, I ll discuss a clinical prediction model for augmented renal clearance in adult mixed critically ill patients.
08.24.2023 846: A Massive Enoxaparin Overdose and How it Was Handled Show notes at pharmacyjoe.com/episode846. In this episode, I ll discuss a case report of enoxaparin overdose.
08.21.2023 845: How aggressively should extremely high blood pressure be managed in patients with ICH? Show notes at pharmacyjoe.com/episode845. In this episode, I ll discuss how aggressively extremely high blood pressure should be managed in patients with ICH.
08.17.2023 844: Why A Pharmacist Should Learn to Predict the Need for Intubation Show notes at pharmacyjoe.com/episode844. In this episode, I ll discuss the pharmacist’s role in predicting the need for intubation.
08.14.2023 843: What are the risk factors for not attaining target beta-lactam levels in ICU patients? Show notes at pharmacyjoe.com/episode843. In this episode, I ll discuss the risk factors for not attaining target beta-lactam levels in ICU patients.
08.10.2023 842: Antibiotic Stewardship Before Discharge? Show notes at pharmacyjoe.com/episode842. In this episode, I ll discuss opportunities for antibiotic stewardship before hospital discharge.
08.07.2023 841: Should Lithium Be Resumed in Critically Ill Patients While Still in the ICU? Show notes at pharmacyjoe.com/episode841. In this episode, I ll discuss 3 reasons to consider holding lithium in critically ill patients.
08.03.2023 Episode 840: A Rare Disease Resource Every Hospital Pharmacist Should Know About Show notes at pharmacyjoe.com/episode840. In this episode, I ll discuss a resource for taking care of patients with a rare disease.
07.31.2023 839: A Rare Case of Propofol Dependence and How it Was Managed Show notes at pharmacyjoe.com/episode839. In this episode, I ll discuss the management of suspected propofol dependence with phenobarbital in an adult patient with COVID-19.
07.27.2023 838: Hypotension After Intubation – Is It the Sedative Dose That Matters? Show notes at pharmacyjoe.com/episode838. In this episode, I ll discuss whether there is an association between the sedative dose and postintubation hypotension and rapid sequence intubation.
07.20.2023 836:Should Meropenem Be given Routinely as a Continuous Infusion in the Critically Ill? Show notes at pharmacyjoe.com/episode836. In this episode, I ll discuss whether meropenem should be given by continuous infusion in critically ill patients.
07.17.2023 835: Results of a Pilot Trial of Sodium Bicarbonate for Metabolic Acidosis in the ICU Show notes at pharmacyjoe.com/episode835. In this episode, I ll discuss the results of a pilot trial of sodium bicarbonate for metabolic acidosis in the ICU.
07.13.2023 834: Expectations for the onset of action of IM medications used for acute agitation Show notes at pharmacyjoe.com/episode834. In this episode, I ll discuss expectations for the onset of action of IM medications used for acute agitation.
07.09.2023 833: Three tips for inpatient medical emergencies Show notes at pharmacyjoe.com/episode833. In this episode, I ll discuss three tips for inpatient medical emergencies.
07.06.2023 832: Savings realized by the redistribution of short-dated emergency medications Show notes at pharmacyjoe.com/episode832. In this episode, I ll discuss a cost-avoidance study of a redistribution process to reduce waste of emergency medications in drug boxes.
07.02.2023 831: What is the role for ketamine in refractory status epilepticus? Show notes at pharmacyjoe.com/episode831. In this episode, I ll discuss the role for ketamine in status epilepticus.
06.29.2023 830: Using Heparin Anti-Xa Levels to Evaluate Apixaban, Rivaroxaban, Fondaparinux, or Danaparoid Levels Show notes at pharmacyjoe.com/episode830. In this episode, I ll discuss using heparin anti-Xa levels to evaluate apixaban, rivaroxaban, fondaparinux, and danaparoid levels.
06.26.2023 829: Three ways to tell the difference between serotonin syndrome and neuroleptic malignant syndrome Show notes at pharmacyjoe.com/episode829. In this episode, I ll discuss three ways to tell the difference between serotonin syndrome and neuroleptic malignant syndrome.
06.22.2023 828: A Systematic Review of the Ketorolac Dose Ceiling for ED Analgesia Show notes at pharmacyjoe.com/episode828. In this episode, I’ll discuss a systematic review of the ketorolac dose ceiling for ED analgesia.
06.19.2023 827: Early vs Late Anticoagulation in Stroke Due to Atrial Fibrillation Show notes at pharmacyjoe.com/episode827. In this episode, I ll discuss early as compared with later initiation of direct oral anticoagulants (DOACs) in patients with atrial fibrillation who have had an acute ischemic stroke.
06.15.2023 826: Just How Bad Are Probiotics in the ICU? Show notes at pharmacyjoe.com/episode826. In this episode, I’ll discuss probiotic-associated central venous catheter bloodstream infections in the ICU.
06.12.2023 825: Are We Using the Wrong Definition of Oliguria? Show notes at pharmacyjoe.com/episode825. In this episode, I’ll discuss an alternative definition of oliguria.

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