The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
By Pharmacy Joe
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Episodes: 201
Description
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.
| Episode | Date |
|---|---|
|
1027: Probiotics in the ICU – How Bad Can It Get?
|
May 19, 2025 |
|
1026: Is the Low-Dose Ketamine In the Room With Us Right Now?
|
May 15, 2025 |
|
1025: Does the Definition of Oliguria Need to Change?
|
May 12, 2025 |
|
1024: Adjuvant Midodrine Lowers Norepinephrine Dose But Not Length of Stay in Patients With Septic Shock
|
May 08, 2025 |
|
1023: The Dose of Inhaled Tranexamic Acid For Nonmassive Hemoptysis
|
May 05, 2025 |
|
1022: Can Animal Data Inform the Ideal Rate of Correction for Acute Hypernatremia?
|
May 01, 2025 |
|
1021: How Long Is the Duration of DOAC Interference With Heparin Anti-Xa Levels?
|
Apr 28, 2025 |
|
1020: How to Predict Which Critically Ill DKA Patients Will Fail the Transition from IV to SubQ Insulin
|
Apr 24, 2025 |
|
1019: Normal Saline Vs. Balanced Crystalloids - Could the First Few Liters Be the Ones That Matter Most?
|
Apr 21, 2025 |
|
1018: Balancing Risk vs Benefit – Andexanet vs. Prothrombin Complex Concentrate for Reversal of Factor Xa Inhibitor-Related Intracranial Hemorrhage
|
Apr 17, 2025 |
|
1017: Tips for providing effective feedback to PGY-1 residents
|
Apr 14, 2025 |
|
1016: Melatonin for Sleep Disruption in the ICU But You Pick the Dose
|
Apr 10, 2025 |
|
1015: What To Do If Mannitol Extravasates
|
Apr 07, 2025 |
|
1014: Using Thrombin Time to Transition Patients from Dabigatran to Unfractionated Heparin
|
Apr 03, 2025 |
|
1013: A Setback For the Use of Inhaled Sedation in the ICU
|
Mar 31, 2025 |
|
1012: Strong evidence in support of 7 days antibiotics for gram negative bacteremia
|
Mar 27, 2025 |
|
1011: High Dose Insulin For Massive Caffeine Overdose
|
Mar 24, 2025 |
|
1010: Does Dexmedetomidine Improve Vasopressor Sensitivity in Refractory Septic Shock?
|
Mar 20, 2025 |
|
1009: The Dose For Methylene Blue to Treat Acquired Methemoglobinemia
|
Mar 17, 2025 |
|
1008: Why Does This Problem With Rocuronium Keep Coming Up?
|
Mar 13, 2025 |
|
1007: The New SCCM Sedation Guidelines Recommend Melatonin
|
Mar 10, 2025 |
|
1006: Any Port in a Storm (For a Little While At Least) – The Safety of Peripheral Vasopressors and Hypertonic Saline
|
Mar 06, 2025 |
|
1005: Does a pacemaker or implanted cardiac defibrillator suggest a higher or lower risk of medication-induced torsades?
|
Mar 03, 2025 |
|
1004: An Example of a Study Where the Forest is More Informative Than the Trees
|
Feb 27, 2025 |
|
1003: The 3 Types of ICU Patients and Why They Matter for Making Patient Focused Risk:Benefit Assessments
|
Feb 24, 2025 |
|
1002: Less Opioid Consumption With Low-Dose Ketamine But at What Cost?
|
Feb 20, 2025 |
|
1001: Saving Money on Oral Vancomycin Is Great For Inpatients But Can Cause Problems On Discharge
|
Feb 17, 2025 |
|
1000: Should Pharmacists Be paying Attention to This Bacteremia Metric?
|
Feb 13, 2025 |
|
999: Is This Study a Breakthrough for Antimicrobial Stewardship?
|
Feb 10, 2025 |
|
998: Why the NKF Says Its OK to Use Race-Free eGFR to Make Renal Dose Adjustments
|
Feb 06, 2025 |
|
997: The use of methylene blue for the treatment of refractory anaphylaxis without hypotension
|
Feb 03, 2025 |
|
996: Tisdale Risk Score For Identifying ICU Patients at Risk of QTc Prolongation
|
Jan 30, 2025 |
|
995: Expert Recommendations For Using Dialysis to Treat Ethylene Glycol Poisoning
|
Jan 27, 2025 |
|
994: When can octreotide be discontinued in patients with variceal bleeding?
|
Jan 23, 2025 |
|
993: Ketamine vs Ketorolac for Pain Management in ED Patients with Chest Trauma
|
Jan 20, 2025 |
|
992: Should A C Diff Test Be Auto-Canceled With Recent Laxative Use?
|
Jan 16, 2025 |
|
991: What Dose of Steroids Prevents Post-Extubation Stridor and Re-Intubation?
|
Jan 13, 2025 |
|
990: Lowest Effective Dose of Haloperidol for Agitation in Elderly Patients
|
Jan 09, 2025 |
|
989: How to Identify an ED Toxicology Patient at Risk of Delayed QTc Prolongation
|
Jan 06, 2025 |
|
988: Sugammadex vs. Neostigmine and Postoperative Delirium – If the Findings Were Reversed, There’s No Way This Abstract Would Be Written the Same Way
|
Jan 02, 2025 |
|
987: What Is the Recommended Dose of Cefazolin For a CNS infection?
|
Dec 30, 2024 |
|
986: Give the Beta-Lactam First Until an RCT Says Otherwise
|
Dec 26, 2024 |
|
985: Is the IV or Nebulized Route Better When Giving Tranexamic Acid for Hemoptysis?
|
Dec 23, 2024 |
|
984: N-acetylcysteine in Acute Liver Failure Not Caused by Acetaminophen
|
Dec 19, 2024 |
|
983: Four Potential Reasons for a False Heparin Anti-Xa Level
|
Dec 16, 2024 |
|
982: Do Non-Benzo Psychotropic Medications Enhance Respiratory Depression From Opioids?
|
Dec 12, 2024 |
|
981: Tranexamic Acid to Control Iatrogenic Bleeding During Flexible Bronchoscopy
|
Dec 09, 2024 |
|
980: Adjunctive Inhaled Antibiotics for ICU Patients with Pneumonia and Invasive Ventilation
|
Dec 05, 2024 |
|
979: Does aspiration pneumonia require different antibiotics than community acquired pneumonia?
|
Dec 02, 2024 |
|
978: The 4 Clinical Teaching Roles for Preceptors
|
Nov 28, 2024 |
|
977: The Problem with Milrinone in CRRT
|
Nov 25, 2024 |
|
976: Can 3% (hypertonic) sodium chloride ever be given via a peripheral IV?
|
Nov 21, 2024 |
|
975: 3 Steps to Become a Journal Peer Reviewer
|
Nov 18, 2024 |
|
974: It Turns Out Snorting Bupropion Is a Really Bad Idea
|
Nov 14, 2024 |
|
973: A tip for predicting the pharmacotherapy needs of your patient in rapid response or emergent situations
|
Nov 11, 2024 |
|
972: Two equally bad ways of treating acute pain in elderly ED patients?
|
Nov 07, 2024 |
|
971: Is a Quinolone Really Superior to a Macrolide for Legionella Pneumonia?
|
Nov 04, 2024 |
|
970: Does it matter whether you give the paralytic or the sedative first during RSI?
|
Oct 31, 2024 |
|
969: How a pharmacist can ensure the best possible outcomes for status epilepticus
|
Oct 28, 2024 |
|
968: Linezolid Instead of Clindamycin for Toxin Inhibition
|
Oct 24, 2024 |
|
967: Goldilocks and the Three Fluid Resuscitation Strategies for Sepsis and Septic Shock
|
Oct 21, 2024 |
|
966: Study Proves Sux vs Roc Debate Is Pointless
|
Oct 17, 2024 |
|
965: Does the bispectral index correlate well to commonly used sedation scales?
|
Oct 14, 2024 |
|
964: The SQuID Protocol for DKA Treatment - Sounds cool but how well does it work?
|
Oct 10, 2024 |
|
963: What Works Best for Toxin-Related Status Epilepticus?
|
Oct 07, 2024 |
|
Episode 962: What Antibiotics Are Best At Toxin Inhibition?
|
Oct 03, 2024 |
|
961: Is that gabapentin just temporary?
|
Sep 30, 2024 |
|
960: A titrated morphine algorithm that worked well in ED patients
|
Sep 26, 2024 |
|
959: Is there a benefit from switching to dexmedetomidine when sedation is started with midazolam?
|
Sep 23, 2024 |
|
958: Sepsis and AFib heart rate differences with phenylephrine vs norepinephrine
|
Sep 19, 2024 |
|
957: Not every professional critical care society is high on ketamine for analgosedation
|
Sep 16, 2024 |
|
956: Beware of vancomycin treatment failure with old CVVHDF dosing regimens
|
Sep 12, 2024 |
|
955: Has Everyone Gotten the Mechanism of Phenobarbital in Alcohol Withdrawal Wrong?
|
Sep 09, 2024 |
|
954: Why should an ICU pharmacist be concerned about recognizing and treating malignant hyperthermia?
|
Sep 05, 2024 |
|
953: Sugammadex Versus Neostigmine Side Effects
|
Sep 02, 2024 |
|
952: What is the optimal urine output cutoff point to identify acute kidney injury in critically Ill patients?
|
Aug 29, 2024 |
|
951: Getting the depth of sedation correct in the ED might reduce mortality rates by half
|
Aug 26, 2024 |
|
950: Is clevidipine no faster than nicardipine to reach goal BP in a hypertensive crisis?
|
Aug 22, 2024 |
|
949: How well does subcutaneous insulin work for DKA treatment?
|
Aug 19, 2024 |
|
948: Does reducing the induction agent dose lessen the chance of postintubation hypotension?
|
Aug 15, 2024 |
|
947: If anaphylaxis to sugammadex is so rare, why make such a big deal about it?
|
Aug 12, 2024 |
|
946: Animal data suggest calcium does not stabilize the cardiac membrane in hyperkalemia
|
Aug 08, 2024 |
|
945: How does the use of dopamine for shock affect mortality rates?
|
Aug 05, 2024 |
|
944: Stress Ulcer Prophylaxis – A Guideline Update 25 Years in the Making
|
Aug 01, 2024 |
|
943: Risk Factors Associated With the Development of Venous Thromboembolism in ICU Patients
|
Jul 29, 2024 |
|
942: Mannitol administration for elevated intracranial pressure
|
Jul 25, 2024 |
|
941: Can non-verbal ICU pain scales indicate the severity of pain?
|
Jul 22, 2024 |
|
940: Does Tranexamic Acid Have a Role In Aneurysmal Subarachnoid Hemorrhage?
|
Jul 18, 2024 |
|
939: Lipid Rescue Dosing for LAST vs Enteral Drug Toxicity
|
Jul 15, 2024 |
|
938: Can you predict the chance of cardiovascular event from bupropion overdose?
|
Jul 11, 2024 |
|
937: Is your micro lab hiding susceptibility data from you?
|
Jul 08, 2024 |
|
936: Why does ketamine for RSI sometimes cause post-induction hemodynamic instability?
|
Jul 04, 2024 |
|
935: What vasopressor is best to use in traumatic brain injury?
|
Jul 01, 2024 |
|
934: Fondaparinux in critically ill patients with severe renal dysfunction
|
Jun 27, 2024 |
|
933: Can tenecteplase be used for acute ischemic stroke beyond 4.5 hours from time last know well?
|
Jun 24, 2024 |
|
932: Major Developments in Stress Ulcer Prophylaxis Evidence
|
Jun 20, 2024 |
|
931: Non-dextrose purge solution for patients with an Impella that require a PET scan
|
Jun 17, 2024 |
|
930: How does obesity affect SC and IM medication administration?
|
Jun 13, 2024 |
|
929: What is the incidence of torsades from low-dose ondansetron in peri-operative patients?
|
Jun 10, 2024 |
|
928: What is the best vasopressor to use in post-resuscitation shock?
|
Jun 06, 2024 |
|
927: Tetanus immune globulin
|
Jun 03, 2024 |
|
926: How well does nebulized ketamine work for pain compared with IV?
|
May 30, 2024 |
|
925: What are the risk factors for serious and general opioid-related adverse drug events?
|
May 27, 2024 |
|
924: Does Antibiotic Exposure Intensity Affect the Risk of Clostridioides Difficile Infection?
|
May 23, 2024 |
|
923: Is phentolamine the only thing you can use for vasopressor extravasation?
|
May 20, 2024 |
|
922: How can you assess risk of bias in a review of nonrandomized studies?
|
May 16, 2024 |
|
921: What if it is not the sedative class that causes delirium – just the depth of sedation?
|
May 13, 2024 |
|
920: What blood gas parameters indicate possible methemoglobinemia?
|
May 09, 2024 |
|
919: The problem with hypo-osmolar solutions in neurological patients
|
May 06, 2024 |
|
918: What Happens If You Give a Cephalosporin to a Patient With Moderate, Severe, or Unknown Beta-Lactam Allergy?
|
May 02, 2024 |
|
917: What is the impact of achieving an aggressive PK/PD target for beta lactams in critically ill patients?
|
Apr 29, 2024 |
|
916: The 4 categories of interventions to treat medication overdose and why antidote is not #1
|
Apr 25, 2024 |
|
915: The rare case when a very hypotonic solution may be indicated
|
Apr 22, 2024 |
|
914: Does Oral Phosphate Replacement Work as Well as IV For Critically Ill Patients With Mild to Moderate Hypophosphatemia?
|
Apr 18, 2024 |
|
913: Is there an efficacy tradeoff when reducing apixaban dose in patients with end-stage renal disease?
|
Apr 15, 2024 |
|
912: Are Standard Doses of Apixaban as Effective as Warfarin in Patients With Severe Obesity?
|
Apr 11, 2024 |
|
911: But They Have Altered Mental Status So We Have To Treat
|
Apr 08, 2024 |
|
910: How to judge whether a journal is reputable?
|
Apr 04, 2024 |
|
909: Is this a better metric for antibiotic stewardship?
|
Apr 01, 2024 |
|
908: Finally, All the VTE Recommendations In One Document!
|
Mar 28, 2024 |
|
907: What predicts critical care pharmacist intervention – patient acuity or medication regimen complexity?
|
Mar 25, 2024 |
|
906: Does Using Ketamine for Induction Have a Lower Mortality Rate Than Etomidate?
|
Mar 21, 2024 |
|
905: Does It Matter Which Antibiotic You Give First?
|
Mar 18, 2024 |
|
904: Do Patients Taking Beta-Blockers Require Increased Doses of Epinephrine for Anaphylaxis?
|
Mar 14, 2024 |
|
903: Does the Number of Learners Trained Per Year Influence the Chances of an Inpatient Pharmacist Experiencing Burning Out?
|
Mar 11, 2024 |
|
902: The analgesic ceiling dose of ibuprofen applies to ED patients too
|
Mar 07, 2024 |
|
901: Why Ketamine and Propofol Don’t Belong in the Same Syringe
|
Mar 04, 2024 |
|
Episode 900: The Benefits of Using Fixed-Dose Prothrombin Complex Concentrate for the Emergent Reversal of Vitamin K Antagonists
|
Feb 29, 2024 |
|
899: Glucocorticoids Have No Role Reversing the Acute Symptoms of Anaphylaxis. Here’s Why:
|
Feb 26, 2024 |
|
898: Knowing When Non-Medication Therapies Are First-Line Is Critical
|
Feb 22, 2024 |
|
897: Is It Necessary To Monitor QTc of ICU Patients Receiving Antipsychotics for Delirium?
|
Feb 19, 2024 |
|
Episode 896: Just How Bad Are PPIs When Continued Post-ICU Stay Without Indication?
|
Feb 15, 2024 |
|
895: Why is glucagon not recommended in the calcium channel blocker poisoning guidelines?
|
Feb 12, 2024 |
|
894: Correction of hypokalemia in a hyponatremic patient makes inadvertent overcorrection of hyponatremia more likely
|
Feb 08, 2024 |
|
893: Should Fludrocortisone Always Be Added to Hydrocortisone in Patients With Septic Shock?
|
Feb 05, 2024 |
|
892: Should hot or cold compresses be used to treat extravasation?
|
Feb 01, 2024 |
|
891: The Half-Dose Alteplase Study You’ve Always Wanted
|
Jan 29, 2024 |
|
890: How to Succeed at Journal Club Without Really Trying
|
Jan 25, 2024 |
|
889: Which beta-blockers should be dialyzed to treat toxicity?
|
Jan 22, 2024 |
|
888: The Effects of Fluid Overload On the Pharmacokinetics of Extended Infusion Meropenem in Critically Ill Patients with Sepsis
|
Jan 18, 2024 |
|
887: Long Term Outcomes of Haloperidol Use in the Agents Intervening against Delirium in the ICU Trial
|
Jan 15, 2024 |
|
Episode 886: The ACEP Clinical Policy For Severe Agitation
|
Jan 11, 2024 |
|
885: Don’t Automatically Assume This When Oral Vancomycin is Prescribed
|
Jan 08, 2024 |
|
884: Do All Patients With Traumatic ICH on Anticoagulants Need to be Reversed?
|
Jan 04, 2024 |
|
883: What Are Characteristics of Patients That Are More Likely To Die If Antibiotic Therapy Is Delayed?
|
Jan 01, 2024 |
|
882: Does 10 mEq of Potassium Actually Increase Serum Potassium Levels By 0.1 mEq/L?
|
Dec 28, 2023 |
|
881: Don’t let the antipsychotics out of the ICU!
|
Dec 25, 2023 |
|
880: Anti-Xa Monitoring In VTE Prophylaxis: Just Because We Can Doesn’t Mean We Should
|
Dec 21, 2023 |
|
879: What is the conversion of oral methadone to IV?
|
Dec 18, 2023 |
|
878: Here Is How You Can Predict Hypotension From Propofol
|
Dec 14, 2023 |
|
877: Sedation and Analgesia Statements From the AHA/NCS Scientific Statement on Critical Care Management of Patients After Cardiac Arrest
|
Dec 11, 2023 |
|
876: Does IV Levothyroxine Increase the Number of Hearts Transplanted?
|
Dec 07, 2023 |
|
875: The Safety of Diuretics to Reduce Fluid Balance in Critically Ill Patients
|
Dec 04, 2023 |
|
874: How Well Does a Bicarb-Based Impella Purge Solution Work for Patients With Contraindications to Heparin?
|
Nov 30, 2023 |
|
873: 5 Steps an ED or ICU pharmacist can take to prevent awareness with paralysis
|
Nov 27, 2023 |
|
872: What Happens If You Run Out of Penicillin G Benzathine?
|
Nov 23, 2023 |
|
871: Can a nasal MRSA screen be useful for choosing antibiotics in critically ill patients with an intra abdominal infection?
|
Nov 20, 2023 |
|
870: A case of antidepressant discontinuation syndrome in the ICU and how it was handled.
|
Nov 16, 2023 |
|
869: Three Recent Studies About Haloperidol and ICU Delirium
|
Nov 13, 2023 |
|
868: One Weird Trick Let These ED Pharmacists Double Antibiotic-Free Days
|
Nov 09, 2023 |
|
867: How common is awareness with paralysis in the ED after RSI?
|
Nov 06, 2023 |
|
866: Can 3 Days of Inhaled Amikacin Prevent VAP?
|
Nov 02, 2023 |
|
865: Predicting Success of Dexmedetomidine as a Sedative
|
Oct 30, 2023 |
|
864: Why Did ISMP Remove the Do Not Crush List from Their Website?
|
Oct 26, 2023 |
|
863: Does This Randomized Trial Settle the Increased AKI from Piperacillin-Tazobactam Question?
|
Oct 23, 2023 |
|
862: Why hypokalemia can result from digoxin immune fab fragment administration
|
Oct 19, 2023 |
|
861: When Diluents Attack! A Case Report of Seizure From Esmolol In Sterile Water
|
Oct 16, 2023 |
|
860: 4 Factors That Can Predict Agitation in Lightly Sedated Ventilated Patients
|
Oct 12, 2023 |
|
859: SCCM Rapid Sequence Intubation Guidelines
|
Oct 09, 2023 |
|
858: Keppra Not Preventing Post-Op Seizures? Maybe the Dose is too Low!
|
Oct 05, 2023 |
|
857: How low can the dose of ketamine for analgesia in the ED go?
|
Oct 02, 2023 |
|
856: Treatment of Community-Acquired Pneumonia in immunocompromised patients
|
Sep 28, 2023 |
|
855: Effect of phenylephrine push prior to continuous infusion norepinephrine in patients with septic shock
|
Sep 25, 2023 |
|
854: The Danger of Intubation in the Setting of Salicylate Toxicity
|
Sep 21, 2023 |
|
853: Can hypotension from dexmedetomidine be predicted?
|
Sep 18, 2023 |
|
852: Does Europe Do Apixaban Renal Dosing Better (Safer) Than the US?
|
Sep 14, 2023 |
|
851: Why Is Racemic Epinephrine Nebulized To Help Treat Stridor?
|
Sep 11, 2023 |
|
850: A Pharmacy-Driven Rapid Bacteremia Response Program
|
Sep 07, 2023 |
|
849: Should apixaban’s loading dose duration ever be shortened?
|
Sep 04, 2023 |
|
848: Treatment of norepinephrine extravasation
|
Aug 31, 2023 |
|
847: A Clinical Prediction Model for Augmented Renal Clearance in Adult Mixed Critically Ill Patients
|
Aug 28, 2023 |
|
846: A Massive Enoxaparin Overdose and How it Was Handled
|
Aug 24, 2023 |
|
845: How aggressively should extremely high blood pressure be managed in patients with ICH?
|
Aug 21, 2023 |
|
844: Why A Pharmacist Should Learn to Predict the Need for Intubation
|
Aug 17, 2023 |
|
843: What are the risk factors for not attaining target beta-lactam levels in ICU patients?
|
Aug 14, 2023 |
|
842: Antibiotic Stewardship Before Discharge?
|
Aug 10, 2023 |
|
841: Should Lithium Be Resumed in Critically Ill Patients While Still in the ICU?
|
Aug 07, 2023 |
|
Episode 840: A Rare Disease Resource Every Hospital Pharmacist Should Know About
|
Aug 03, 2023 |
|
839: A Rare Case of Propofol Dependence and How it Was Managed
|
Jul 31, 2023 |
|
838: Hypotension After Intubation – Is It the Sedative Dose That Matters?
|
Jul 27, 2023 |
|
836:Should Meropenem Be given Routinely as a Continuous Infusion in the Critically Ill?
|
Jul 20, 2023 |
|
835: Results of a Pilot Trial of Sodium Bicarbonate for Metabolic Acidosis in the ICU
|
Jul 17, 2023 |
|
834: Expectations for the onset of action of IM medications used for acute agitation
|
Jul 13, 2023 |
|
833: Three tips for inpatient medical emergencies
|
Jul 09, 2023 |
|
832: Savings realized by the redistribution of short-dated emergency medications
|
Jul 06, 2023 |
|
831: What is the role for ketamine in refractory status epilepticus?
|
Jul 02, 2023 |
|
830: Using Heparin Anti-Xa Levels to Evaluate Apixaban, Rivaroxaban, Fondaparinux, or Danaparoid Levels
|
Jun 29, 2023 |
|
829: Three ways to tell the difference between serotonin syndrome and neuroleptic malignant syndrome
|
Jun 26, 2023 |
|
828: A Systematic Review of the Ketorolac Dose Ceiling for ED Analgesia
|
Jun 22, 2023 |
|
827: Early vs Late Anticoagulation in Stroke Due to Atrial Fibrillation
|
Jun 19, 2023 |
|
826: Just How Bad Are Probiotics in the ICU?
|
Jun 15, 2023 |