The Pharm So Hard Podcast: An Emergency Medicine and Hospital Pharmacy Podcast

Jimmy Pruitt & Oscar Santalo

An Emergency Medicine and Hospital Pharmacy Podcast

All Episodes

Pharmacology Agent Apixaban Rivaroxaban Warfarin Dabigatran Mechanism of Action Factor Xa Inhibitor Factor Xa Inhibitor Inhibitor of Vitamin K dependent clotting factors (II, IX, VII, and X) Direct thrombin inhibitor Tmax 3–4 2–4 4 1.25–3 1/2 Life 12 5-9 40 12-17 Elimination Renal (27% unchanged drug) Renal (36% unchanged drug) Renal, primarily as metabolites Renal […] The post Episode 1: Factor Xa Inhibitor Reversal Using PCC with Brian Gilbert appeared first on The Pharm So Hard Podcast.

Sep 2019

32 min 15 sec

Coagulation factor Xa [recombinant], inactivated-zhzo ( Andexxa ) Mechanism of Action Andexanet alfa binds and sequesters the FXa inhibitors rivaroxaban and apixaban. In addition, andexanet alfa inhibits the activity of Tissue Factor Pathway Inhibitor (TFPI), increasing tissue factor-initiated thrombin generation. Reference & Additional Readings Connolly SJ et al. Full Study Report of Andexanet Alfa for […] The post Episode 2: Factor Xa Inhibitor Reversal Using Andexxa with Gary Peksa appeared first on The Pharm So Hard Podcast.

Oct 2019

22 min 9 sec

In this episode of Pharm So Hard, Jimmy Pruitt, Pharm.D and Kyle Hultz, Pharm.D discuss the excitement and the challenges of transitioning from residency to the role of an emergency medicine clinical pharmacist. The post Episode 3: Transitioning from Resident to EM Pharmacy Practitioner with Kyle Hultz appeared first on The Pharm So Hard Podcast.

Oct 2019

30 min 50 sec

Episode 4 Description: In this episode of Pharm So Hard, Oscar Santalo PharmD, MBA, MHA, BCPS with his learner Darla Quevedo PharmD 2021 candidate from the University of Florida School Of Pharmacy discuss drug trends for 2019 – 2020.  Here they discuss the Top 25 drugs by expenditures in nonfederal hospitals in 2018, the rise […] The post Episode 4: Drugs Trends in Pharmacy with Oscar Santalo and Darla Quevedo appeared first on The Pharm So Hard Podcast.

Oct 2019

14 min 37 sec

Dosing Supraventricular tachycardia adenosine 6 milligrams (mg) may be given over 1 to 2 seconds followed by a 20 milliliter (mL) rapid saline flush. If there is no response in 1 to 2 minutes, a 12 mg IV bolus dose may be repeated twice followed by saline flushes  Mechanism of Action Slows impulse formation in […] The post 5-Minute Pharmacy Pearl: Single Syringe of Diluted Adenosine for Termination of SVT appeared first on The Pharm So Hard Podcast.

Nov 2019

4 min 56 sec

Definitions Opioid Sparing – providing multi – modal medications that limit the use and supply of opioids Opioids – a class of drugs that act in the nervous system to produce feelings of pleasure and pain relief. Opioid Addiction – a long-lasting (chronic) disease that can cause major health, social, and economic problems. Opioid and Pain […] The post Episode 5: Opioid StewardshipPart 1 with Oscar Santalo and Olga Ivanova appeared first on The Pharm So Hard Podcast.

Nov 2019

20 min 16 sec

Definition Opioid Sparing – providing multi – modal medications that limit the use and supply of opioids Opioids – a class of drugs that act in the nervous system to produce feelings of pleasure and pain relief. Opioid Addiction – a long-lasting (chronic) disease that can cause major health, social, and economic problems. Opioid and Pain […] The post Episode 6: Opioid Stewardship Part 2 with Oscar Santalo and Olga Ivanova appeared first on The Pharm So Hard Podcast.

Nov 2019

12 min 45 sec

ED Pharmacist Project Links http://www.medicalhf.org/epharm/index.html https://www.ahrq.gov/downloads/pub/advances2/vol4/Advances-fairbanks_20.pdf https://www.ashp.org/-/media/assets/pharmacy-practice/resource-centers/emergency-care/Justification-referenced-document.ashx https://www.ahrq.gov/news/newsroom/case-studies/cquips0802.html ASHP ED Pharmacy Resources https://www.ashp.org/Pharmacy-Practice/Resource-Centers/Emergency-Care/Articles-and-Guidelines/Establishing-Emergency-Medicine-Pharmacy-Services-and-Medication-Safety https://www.ashp.org/Pharmacy-Practice/Resource-Centers/Emergency-Care/Articles-and-Guidelines The post Episode 7: Implementing and Expanding ED Clinical Pharmacy Services with Nicole Acquisto appeared first on The Pharm So Hard Podcast.

Nov 2019

39 min 57 sec

In this episode on The Pharm So Hard Podcast, Jimmy Pruitt, PharmD, BCPS and Ashley & Brooke Barlow PharmD, BCPS discuss growing up as twins, making quality infographics, ASHP Midyear, and the pursuit of residency training. The post Episode 8: The Transition from Pharmacy School to Residency with the Pharmacy Twins Ashley & Brooke Barlow appeared first on The Pharm So Hard Podcast.

Dec 2019

26 min 56 sec

In this episode on The Pharm So Hard Podcast, Jimmy Pruitt, PharmD, BCPS discusses the treatment of symptomatic hyponatremia using hypertonic saline. The post Episode 9: The Treatment of Symptomatic Hyponatremia with Hypertonic Saline with Jimmy Pruitt appeared first on The Pharm So Hard Podcast.

Dec 2019

5 min 12 sec

Definitions Formulary medication – A determination that the medication is “appropriate for routine use” in select patient populations Per 2008 ASHP Guidelines on the Pharmacy and Therapeutics Committee and the Formulary System Pharmacy and Therapeutics (P & T) Committee – establishes policy development, communication, education, and formulary management Background How most hospital/health systems define formulary […] The post Episode 10. Formulary Management with Oscar Santalo appeared first on The Pharm So Hard Podcast.

Jan 2020

27 min 37 sec

In this episode of the Pharm So Hard Podcast, Jimmy Pruitt PharmD, BCPS discusses with Ruben Santiago, Pharm.D., BCPS, BCCCP the role of an ED Pharmacist as part of a trauma team. The post Episode 11: The Role of an ED Pharmacist as Part of the Trauma Team with Ruben Santiago, Pharm.D., BCPS, BCCCP appeared first on The Pharm So Hard Podcast.

Jan 2020

29 min 6 sec

Definition Merger & Acquisition – defined as the consolidation of companies. Differentiating the two terms, Mergers is the combination of two companies to form one, while Acquisitions is one company taken over by the other Background Throughout the 1990s, mergers and acquisitions were prominent in the healthcare sector. After a drastic decline in the early […] The post Episode 12. Mergers and Acquisitions with Oscar Santalo PharmD, MBA, MHA, BCPS appeared first on The Pharm So Hard Podcast.

Jan 2020

14 min 40 sec

Questions for Dan Hu Can you descript how you got interested in evaluating pharmacy students for residency? What are some of the current challenges of evaluating students in the current model? Can you summarize your publication “ A Screening Tool to Identify Qualified Pharmacy Residency Candidates” What are some strategies that schools and university of […] The post Episode 13: Assessing Pharmacy Candidates for Pharmacy Residency Programs with Dan Hu appeared first on The Pharm So Hard Podcast.

Feb 2020

38 min 52 sec

Download Pharmacy Friday Pearl Handout Introduction Acute heart failure (AHF) is a common underlying cause for dyspnea in patients presenting to EDs around the globe.1-2  SCAPE is a subset of hypertensive heart failure which develops rapidly due to an abrupt increase in catecholamine release, subsequently leading to increased pulmonary capillary permeability and flooding of alveolar […] The post Episode 14: High-Dose Nitroglycerin for Sympathetic Crashing Pulmonary Edema (SCAPE) with Rachel Wein, PharmD, BCPS appeared first on The Pharm So Hard Podcast.

Feb 2020

27 min 1 sec

What is COVID-19 COVID-19 is a new strain of coronavirus first identified in December 2019 in Wuhan, China The disease was initially named Coronavirus disease 2019 (COVID-19). The virus has since been renamed Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) which is why you may see different names for it. It is Related to the prior […] The post Episode 15: Keeping Ahead of Coronavirus. Helpful Information During the COVID-19 Pandemic With Alaina Dekerlegand, PharmD, BCIDP appeared first on The Pharm So Hard Podcast.

Mar 2020

35 min 4 sec

Definitions Benchmarking – Finding and implementing the best practices.  Health-system administrators are turning to benchmark vendors for help in improving operational performance Efficiency – Avoiding waste or maximizing possible outputs from a set of resource inputs Productivity – defined as the efficient use of resources, labor, capital, land, materials, energy, information, in the production of […] The post Episode 16: How Much Do You Bench? An Overview on External Benchmarking with Oscar Santalo and Joanna Longueira appeared first on The Pharm So Hard Podcast.

Apr 2020

11 min 49 sec

Definitions Benchmarking – Finding and implementing the best practices.  Health-system administrators are turning to benchmarking vendors for help in improving operational performance Efficiency – Avoiding waste or maximizing possible outputs from a set of resource inputs Productivity – defined as the efficient use of resources, labor, capital, land, materials, energy, information, in the production of […] The post Episode 17: Do You Even Lift – Looking At The Metrics Used For External Benchmarking with Oscar Santalo and Joanna Longueira appeared first on The Pharm So Hard Podcast.

Apr 2020

9 min 40 sec

Background More than 3,000 species of snakes are identified worldwide, with nearly 800 species considered venomous. All venomous species are classified taxonomically into one of 4 general groups. These include the families Viperidae, Elapidae, and Colubridae, as well as the Atractaspidinae, a subfamily of the Lamprophiidae family. The United States is home to nearly 30 […] The post Episode 18: The Management of Snake Bites with Craig Cocchio, PharmD, DABAT appeared first on The Pharm So Hard Podcast.

Apr 2020

56 min 30 sec

Background In 2003 – 2014 inpatient hospital costs ranged from $3,018 to $5,040 per admission for a primary DVT diagnosis Average DVT LOS can range from 4.9 – 7 days Recurrent VTE that requires readmission could be up to 48% more costly than the initial event Protocols for outpatient DVT management found a cost reduction […] The post Episode 19: Early ED Discharge in Patients with low-risk VTE with DOACs with Jimmy Pruitt and Oscar Santalo appeared first on The Pharm So Hard Podcast.

May 2020

29 min

Background Out-of-hospital tracheal intubation is an accepted practice that has increased in frequency due to advancements in aeromedical technology and transport. A flight nurse, sometimes referred to as a transport nurse, is an RN who is specially trained to provide medical care to patients during aircraft transportation. As part of a team that usually includes flight […] The post Episode 20: RSI From the Sky: Caring for Intubated Patients as a Flight Nurse with Everett Moss II, BSN, RN, NRP appeared first on The Pharm So Hard Podcast.

May 2020

37 min 55 sec

Objectives Recognize the process of recruitment Understand the methods of candidate selection Review the components of staff retention Components of Recruitment Position description Sources Pre-interview information Position Description Examples Position title, control number Duties, responsibilities, job functions Licensure, education, training requirements Reporting relationships Other specifications Recruitment Sources Depend on position type > Recruitment planInternal applicants […] The post Episode 21. We Belong Together – How to Interview like a boss with Oscar Santalo and Jonathan Richardson appeared first on The Pharm So Hard Podcast.

Jun 2020

25 min 13 sec

Bryan Hayes Resources https://pharmertoxguy.com/ Resources for EM Pharmacist https://www.ashp.org/Pharmacy-Practice/Resource-Centers/Emergency-Care https://www.ashp.org/news/2019/06/06/emergency-medicine-certificate?loginreturnUrl=SSOCheckOnly REQUIRED COMPETENCY AREAS, GOALS, AND OBJECTIVES FOREMERGENCY MEDICINE POSTGRADUATE YEAR TWO (PGY2)PHARMACY RESIDENCIES https://www.ashp.org/-/media/assets/professional-development/residencies/docs/pgy2-emergency-medicine-cago-2018.ashx https://www.bpsweb.org/wp-content/uploads/Emergency-Medicine-Petition-BPS-2019.pdf Emergency Medicine Pharmacy Residencies Position Statement From Professional Organizations on EM Pharmacist ASHP Guidelines https://www.ashp.org/-/media/assets/policy-guidelines/docs/guidelines/emergency-medicine-pharmacist-services.ashx ACMT Position Statement https://www.acmt.net/_Library/Positions/ACMT_Position_Pharmacists.pdf ACEP Position https://www.acep.org/patient-care/policy-statements/clinical-pharmacist-services-in-the-emergency-department/ The post Episode 22. History and Outlook of EM Pharmacy with Bryan Hayes, PharmD, DABAT, FAACT, FASHP appeared first on The Pharm So Hard Podcast.

Jun 2020

46 min 56 sec

The EM Pharmacist Research Project Website http://www.medicalhf.org/epharm/index.html https://www.ashp.org/-/media/assets/pharmacy-practice/resource-centers/emergency-care/Justification-referenced-document.ashx Link to EM Basic http://embasic.org/ What Can EM Pharmacists Do? Impact of emergency medicine clinical pharmacists on clinical outcomes The financial impact of emergency medicine clinical pharmacist program Other Resources https://www.healthleadersmedia.com/clinical-care/using-clinical-pharmacists-improve-your-emergency-department https://www.acep.org/patient-care/policy-statements/clinical-pharmacist-services-in-the-emergency-department/ https://pharmertoxguy.files.wordpress.com/2016/07/what-your-ed-pharmacist-wishes-you-knew-handout-hayes-aaem-2016.pdf The post Episode 23: How Physicians Can Best Utilize EM Pharmacists appeared first on The Pharm So Hard Podcast.

Jul 2020

25 min 15 sec

The post Episode 24: Procainamide for Stable Wide Complex Tachycardia appeared first on The Pharm So Hard Podcast.

Jul 2020

5 min 42 sec

Situation Situation Pantoprazole 80 mg in NS 100 mL drip is being used for GI Bleeds due to ulcers Problem: Evidence not being clear on optimal dosing strategy Opportunity to: Standardize dosing strategies for upper and lower GI bleeds Follow best practice strategies Background Dosing Strategies for GI Bleeds Bleeding ulcer: Note: For clinically significant […] The post Episode 25: Pantoprazole Continuous infusion vs Intermittent Bolus Formulary Nugget by Oscar Santalo appeared first on The Pharm So Hard Podcast.

Sep 2020

5 min 28 sec

Jimmy’s Acute Agitation Guide Disclaimer This site is not meant to replace the judgement of healthcare professionals, and the information presented on this site does not represent the views or practices of the institution or professional organizations of the author. This information is not meant to be all inclusive nor medical advice, and individuals should […] The post Episode 26: The B52 is Trash! Going from the B52 to the 55 Blitz with Dan McCollum. appeared first on The Pharm So Hard Podcast.

Sep 2020

34 min 40 sec

Definitions What is an HSPA Residency  The Health-System Pharmacy Administration and Leadership (HSPA-L) Residency is a 24-month post- Doctor of Pharmacy training program. The PGY1 and PGY2 years are designed to flow seamlessly together, with no need to re-apply or participate in the early commitment process. Background (ASHP) discerns leadership as an executive obligation to […] The post Episode 27: Survey of Health-System Pharmacy Administration & Leadership Residencies appeared first on The Pharm So Hard Podcast.

Nov 2020

27 min 27 sec

Related FOAM Posts https://www.samhsa.gov/medication-assisted-treatment https://www.samhsa.gov/medication-assisted-treatment/medications-counseling-related-conditions http://www.tamingthesru.com/blog/iii-recaps/buprenorphin-a-helping-hand https://www.acep.org/opioids/ The post Episode 28: Buprenorphine Medication-Assisted Therapy (MAT) for Opioid Use Disorder wIth Dan McCollum and RJ LaCoursiere appeared first on The Pharm So Hard Podcast.

Nov 2020

21 min 54 sec

Why did I make this episode? Family Friends Co-Workers Why I wasn’t going to get the COVID Vaccine Skeptical of The speed at which the vaccine was produced Unfamiliarity with the mRNA Technology used Efficacy in patient-oriented outcomes Safety of the untested vaccine Questions that I needed to answer Who was influencing my thoughts on […] The post Episode 29: I wasn’t going to get the COVID Vaccine until I answered these questions by Jimmy Pruitt appeared first on The Pharm So Hard Podcast.

Dec 2020

21 min 32 sec

Related FOAM Posts http://www.tamingthesru.com/blog/2020/1/24/hypocalcemia-in-trauma The post Episode 30: Hypocalcemia Resulting from Trauma & Blood Product Transfusion appeared first on The Pharm So Hard Podcast.

Jan 22

6 min 34 sec

Introduction Sodium bicarbonate was previously recommended for hyperkalemia treatment and was once considered a first-line agent for the transcellular shift. Studies evaluating the beneficial effects of sodium bicarbonate used an isotonic infusion commonly  ~ 150 mEq/ 1000ml Hypertonic sodium bicarbonate or “amp of bicarb” has an osmolality of 2000 mOsm, about 7x higher than plasma. […] The post EPISODE 31: The Beef with Bicarb! The Use of Sodium Bicarbonate in Hyperkalemia with Jimmy Pruitt appeared first on The Pharm So Hard Podcast.

Feb 16

32 min 43 sec

In this episode of Pharm So Hard, Oscar Santalo PharmD, MBA, MHA, BCPS with his learners Deanna Cordero Da Silva and Brandon Del Carpio PharmD 2021 candidates from the University of Florida School Of Pharmacy discuss Lean Thinking & Time Management. The post Episode 32: Lean Thinking & Time Management in Pharmacy With Oscar Santalo appeared first on The Pharm So Hard Podcast.

Feb 24

36 min 21 sec

Send up topics for the next Monthly Trap Up The post Episode 33: The Monthly Trap UP aka Wrap up with Jimmy Pruitt and Oscar Santalo appeared first on The Pharm So Hard Podcast.

Mar 1

36 min 8 sec

Pathophysiology of acidosis in DKA The unfavorable combination of insulin resistance and counter-regulatory hormones leads to the release of free fatty acids (FFA) from adipose tissue via lipolysis and decreased lipogenesis, which ultimately results in ketogenesis and the production of beta-hydryoxybutyrate and acetoacetate. Overproduction of these strong ketoacids leads to excessive hydrogen ion production upon […] The post Episode 34: The Beef with Bicarb Part 2: The Use of Sodium Bicarbonate for Diabetic Ketoacidosis appeared first on The Pharm So Hard Podcast.

Mar 17

20 min 15 sec

Importance of Meetings •Establishes alignment: allows for discussion of complex issues and for the team to get on the same page. Helps leaders make better decisions when gaining insight from the team • Builds stronger relationships: free-flowing ideas and personal interaction which can increase work success and productivity. Information exchange: Communicate company updates and process […] The post Episode 35: Why Meetings Fail with Oscar Santalo appeared first on The Pharm So Hard Podcast.

Apr 6

18 min 59 sec

Lyrics Brain to Vein  Hook All you gotta do is try to maintain Cause we taking that thang ……. (straight from where) brain to vein All you got to is make sure you treat the pain, Cause we taking that thang ……. (straight from where) brain to vein All you got to do is not […] The post Taking it Brain to Vein by PharmD_intheeD appeared first on The Pharm So Hard Podcast.

Apr 12

2 min 33 sec

https://pharmacy-friday.webflow.io/course/ace-inhibitor-induced-angioedema The post Episode 36. Pharmacy Friday Pearl: ACE Inhibitor-Induced Angioedema appeared first on The Pharm So Hard Podcast.

Apr 30

5 min 36 sec

https://www.pharmacy-pearls.com/course/proton-pump-inhibitors-ppis-for-the-management-of-upper-gi-bleed The post Episode 37: Never use a PPI Infusion Again! PPI for Upper GI Bleed appeared first on The Pharm So Hard Podcast.

May 14

5 min 20 sec

Show Timestamps 1:14 Review of previous episodes of the series2:40 Pharmacy Friday Pearls3:24 EMPoweRx Conference5:28 Cardiac Arrest Patho of Acidosis6:04 Why have we been using sodium bicarbonate7:08 Adverse Effects of sodium bicarbonate9:29 History of sodium bicarbonate for ACLS10:17 Bishop et al study11:45 Wang et al study12:26 Ahn et al13:18 Kwano et al14:37 Wu et al16:31 […] The post The beef with Bicarb Part 3. The Use of Sodium Bicarbonate in Cardiac Arrest by Jimmy Pruitt appeared first on The Pharm So Hard Podcast.

May 22

23 min 42 sec

Show Notes 0:25 Introduction 2:30 The importance of ultrasound-guided peripheral nerve blocks 3:49 Overview of ultrasound-guided peripheral nerve blocks 4:40 What are the training and credential required to perform ultrasound-guided peripheral nerve blocks 7:58 What does the data say about the efficacy and safety of ultrasound-guided peripheral nerve blocks 12:59 What are the most common […] The post Episode 39: Welcome to the Block Shop! Regional Anesthesia with Drs. Shah, CUmmings, Oliva, and Moake appeared first on The Pharm So Hard Podcast.

May 28

50 min 44 sec

Background For continued growth and development, hospital pharmacist would benefit from leadership training Pharmacy schools provide some administrative training Hospital pharmacist may one day want to become a clinical or operations manager With an increase in residency programs, a leadership path may be more difficult for those who did not complete a residency   Just […] The post Episode 40: Leveling Up As a Clinical Staff Pharmacist by oscar Santalo and Jimmy Pruitt appeared first on The Pharm So Hard Podcast.

Jun 4

31 min 22 sec

Why this topic important? Accidental injury is the most common cause of death in the United States in individuals between the ages of 1 and 45 Falls are the most common reasons for hospital admissions in this older age group and account for 87% of fractures. Open fractures are high-energy injuries with an increased risk […] The post Episode 41: Scratch the Gent! Antibiotics for Open Fractures with Rob O’Connell appeared first on The Pharm So Hard Podcast.

Jun 18

27 min 51 sec

Residency Panel Sarah Cummings PharmD: Purdue PGY1: Thomas Jefferson University Hospital PGY2 EM 2020-21: UC Davis Britany Byrkit PharmD: Wingate PGY1: Vidant Medical Center PGY2 EM 2020-21: MUSC Health Tramauni E. Brock PharmD: Texas Southern University PGY1: MUSC Health PGY2 HSPAL: MUSC Health Kailey Denny PharmD: University of Mississippi School PGY1: Froedtert PGY2 EM 2021-22: […] The post Episode 42. Residency Here I Come! The Pharm So Hard Residency Panel appeared first on The Pharm So Hard Podcast.

Jul 2

1 hr 12 min

References Kcentra (prothrombin complex concentrate [Human]) [package insert]. Kankakee, IL: CSL Behring LLC; 2013. Tomaselli, Gordon F., et al. “2017 ACC expert consensus decision pathway on management of bleeding in patients on oral anticoagulants: a report of the American College of Cardiology Task Force on Expert Consensus Decision Pathways.” Journal of the American College of […] The post Episode 43: Put It in Reverse Terry! Fixed-Dosed Kcentra for Vitamin K Antagonist Reversal appeared first on The Pharm So Hard Podcast.

Jul 9

10 min 8 sec

Series Title: Keeping Up With COVID-19 Part 2:  Revisiting Remdesivir Situation (Jimmy) .We are over a year into this pandemic and we have only one FDA approved medication for the treatment of COVID-19: Remdesivir. The purpose of this episode is to briefly review the role of Remdesivir in the treatment of COVID with a focus […] The post Episode 44. Keeping Up With COVID-19: Revisiting Remdesivir with Theora Canonica, Pharm D appeared first on The Pharm So Hard Podcast.

Jul 16

26 min 6 sec

Introduction Crotalid envenomation’s can cause a broad range of adverse effects, including local tissue, hematologic, and/or systemic effects including shock and life-threatening bleeding. Use symptom progression such as swelling beyond 1 major joint or hematologic effects (decreased fibrinogen, thrombocytopenia, or increased PT) as an indicator for initial or additional doses of antivenom. Identification of the […] The post Episode 45. Staying Fabulous with Fabs: Pharmacologic Management of Snake Bites with Crofab and Anavip appeared first on The Pharm So Hard Podcast.

Jul 23

11 min 14 sec

Episode Summary Podcast Script Intro 0-3:17 EKG 3.21-8.24 IV Access Skills 8:29-18:14 Meds We Don’t Need 18:17-28:50 Trauma and MTP 28:43-41:36 Connect with Brian Cox and Oak Road Brewery https://www.oakroadbrewery.com/ Visit Pharmacy-Pearls.com for data on Calcium in trauma, PPI for GI bleeds, and more The post Episode 46. Do Better! How to Become a Super Nurse in the ED with Brian Cox, RN appeared first on The Pharm So Hard Podcast.

Jul 30

43 min 51 sec

Introduction Insulin with dextrose is an effective method to lower potassium levels quickly in acute hyperkalemia Literature shows ranges of potassium reduction by 0.5-1.0 mEq after administration of a single dose. Patients with renal insufficiency and end-stage renal disease (ESRD) have a higher incidence of hypoglycemia after treatment with insulin for hyperkalemia due to: Reduced […] The post Episode 47. I Plead the Fifth! 5 vs 10 units of Insulin for Hyperkalemia appeared first on The Pharm So Hard Podcast.

Aug 6

7 min 27 sec

Questions asked throughout the episode Can you describe pathophysiology of elevated ICP or cerebral edema? Important to understand that elevated ICP and CE can happen together, or they can happen independently of each other, or one can happen and lead to the other Certain neurologic injuries may cause one specific type of CE during the […] The post Why Are You So Salty! Intracranial Pressure Reduction with Morgan Jones appeared first on The Pharm So Hard Podcast.

Aug 13

50 min 32 sec