The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
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The Elective Rotation: A Critical Care Hospital Pharmacy Podcast
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 p...
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1138: MRSA Nasal Swabs Work, But Only if You Use them…
Show notes at pharmacyjoe.com/episode1138 In this episode, I’ll discuss an article on using MRSA nasal swab testing to optimize pneumonia treatment wi...
1137: More critical medications are going to be pushed into the prehospital setting
Show notes at pharmacyjoe.com/episode1137 In this episode, I’ll discuss using a heparin bolus in the prehospital setting for patients with STEMI.
1136: Why does ketamine occassionally cause post-induction hemodynamic collapse?
Show notes at pharmacyjoe.com/episode1136 In this episode, I’ll discuss why ketamine can sometimes cause post-induction hemodynamic instability when i...
1135: Norepinephrine vs phenylephrine in traumatic brain injury – which is best?
Show notes at pharmacyjoe.com/episode1135 In this episode, I’ll discuss an article about which vasopressor is best in early traumatic brain injury pat...
1134: IVP Cefepime Pharmacokinetics in Critically Ill Patients With Sepsis Are Highly Variable
Show notes at pharmacyjoe.com/episode1134 In this episode, I’ll discuss an article about the pharmacokinetic and pharmacodynamic properties of IV push...
1133: Can fondaparinux be useful in critically ill patients with severe renal dysfunction?
Show notes at pharmacyjoe.com/episode1133 In this episode, I’ll discuss an article about using fondaparinux in critically ill patients with severe ren...
1132: Beware ketamine infusions in your transplant patients
Show notes at pharmacyjoe.com/episode1132 In this episode, I’ll discuss a case report of the effects of ketamine on the clearance of tacrolimus and si...
1131: Effects of obesity on SC and IM medication administration
Show notes at pharmacyjoe.com/episode1131 In this episode, I’ll discuss how obesity affects SC and IM medication administration.
1130: A study that proves what we’ve always felt about adenosine 6 vs 12mg for SVT
Show notes at pharmacyjoe.com/episode1130 In this episode, I’ll discuss the use of an initial 6 mg vs 12 mg dose of adenosine for supraventricular tac...
1129: Do we need to worry about torsades from low-dose ondansetron in peri-operative patients?
Show notes at pharmacyjoe.com/episode1129 In this episode, I’ll discuss the incidence of torsades from low-dose ondansetron in perioperative patients.
1128: What is the best vasopressor to use in post-resuscitation shock?
Show notes at pharmacyjoe.com/episode1128 In this episode, I’ll discuss what vasopressor to use in post-resuscitation shock.
1127: Oxacillin seems safer than nafcillin (retrospective data)
Show notes at pharmacyjoe.com/episode1127 In this episode, I’ll discuss an article about the incidence of acute kidney injury with the use of nafcilli...
1126: Does nebulized ketamine work for pain as well as IV?
Show notes at pharmacyjoe.com/episode1126 In this episode, I’ll discuss an article about nebulized vs IV ketamine for analgesia in the ED.
1126: How well does nebulized ketamine work for pain compared with IV?
Show notes at pharmacyjoe.com/episode1126 In this episode, I’ll discuss an article about nebulized vs IV ketamine for analgesia in the ED.
1125: What are the risk factors for serious and general opioid-related adverse drug events?
Show notes at pharmacyjoe.com/episode1125 In this episode, I’ll discuss an article about risk factors for serious and general opioid-related adverse d...
1124: Get ready for patients to come into the ED with vasopressors already infusing
Show notes at pharmacyjoe.com/episode1124 In this episode, I’ll discuss prehospital administration of epinephrine and norepinephrine infusions.
1123: What blood gas parameters indicate possible methemoglobinemia?
Show notes at pharmacyjoe.com/episode1123 In this episode, I’ll discuss what blood gas parameters can make you suspect methemoglobinemia.
1122: Well isn’t that convenient? (Sodium bicarb for severe hyponatremia)
Show notes at pharmacyjoe.com/episode1121 In this episode, I’ll discuss using sodium bicarbonate instead of hypertonic saline to treat severe hyponatr...
1121: What if it is just the depth of sedation, not the choice of sedative that causes delirium?
Show notes at pharmacyjoe.com/episode1121 In this episode, I’ll discuss what if it is not the sedative class that causes delirium – just the depth of...
1120: Here is something to prioritize for ED patients with Parkinson’s
Show notes at pharmacyjoe.com/episode1120 In this episode, I’ll discuss the importance of timely ordering and administration of antiparkinsonian medic...
1119: The problem with hypo-osmolar solutions in neurological patients
Show notes at pharmacyjoe.com/episode1119 In this episode, I’ll discuss the problem with hypo-osmolar solutions in neurological patients.
1118: These two sepsis guideline updates will need hospital pharmacists to help implement
Show notes at pharmacyjoe.com/episode1118 In this episode, I’ll discuss the impact two new recommendations in the Surviving Sepsis guidelines on hospi...
1117: What is the impact of achieving an aggressive PK/PD target for beta-lactams in critically ill patients?
Show notes at pharmacyjoe.com/episode1117 In this episode, I’ll discuss the impact of achieving an aggressive PK/PD target for beta-lactams in critica...
1116: If the lab can keep secrets from others, maybe the pharmacy should too?
Show notes at pharmacyjoe.com/episode1116 In this episode, I’ll discuss suppressing unnecessary allergy alerts for beta-lactams with dissimilar side c...
1115: The extremely rare case when a very hypotonic solution may be indicated
Show notes at pharmacyjoe.com/episode1115 In this episode, I’ll discuss the rare case when a very hypotonic solution may be indicated.
1114: Saving $$$ With Oral Phosphate Replacement Instead of IV For Critically Ill Patients With Mild to Moderate Hypophosphatemia
Show notes at pharmacyjoe.com/episode1114 In this episode, I’ll discuss oral vs IV phosphate replacement for critically ill patients with mild to mode...
1113: Ceftriaxone to Prevent Pneumonia After Out of Hospital Cardiac Arrest
Show notes at pharmacyjoe.com/episode1113 In this episode, I’ll discuss the impact of ceftriaxone on the development of pneumonia and noninfectious ou...
1112: The Safety and Efficacy of Spraying Stuff Into the Lungs to Prevent Bleeding
Show notes at pharmacyjoe.com/episode1112 In this episode, I’ll discuss endobronchial instillation of epinephrine, cold saline, and saline to prevent...
1111: How to judge whether a journal is reputable?
Show notes at pharmacyjoe.com/episode1111 In this episode, I’ll discuss how to judge whether a journal is reputable.
1110: Is it time to rethink oral beta-lactams for some complicated UTI cases?
Show notes at pharmacyjoe.com/episode1110 In this episode, I’ll discuss oral beta-lactams for complicated UTIs.
1109: Is Days of Antibiotic Spectrum Coverage a Better metric for Antibiotic Stewardship?
Show notes at pharmacyjoe.com/episode1109 In this episode, I’ll discuss a novel metric for antibiotic stewardship.
1108: If Your Hospital Does Therapeutic Plasma Exchange, Keep In Mind This Interaction With Enoxaparin
Show notes at pharmacyjoe.com/episode1108 In this episode, I’ll discuss the effects of therapeutic plasma exchange on enoxaparin half-life.
1107: What Makes a Critical Care Pharmacist Take Action – Patient Acuity or Medication Regimen Complexity?
Show notes at pharmacyjoe.com/episode1107 In this episode, I’ll discuss what predicts critical care pharmacist intervention – patient acuity or medica...
1106: New AHA Stroke Guideline Contraindications to Thrombolytics
Show notes at pharmacyjoe.com/episode1106 In this episode, I’ll discuss the 2026 AHA Stroke Guideline changes to how contraindications to thrombolytic...
1105: Does it Matter if You Give Vancomycin Before the Beta-Lactam?
Show notes at pharmacyjoe.com/episode1105 In this episode, I’ll discuss which antibiotic should be given first in sepsis – the beta-lactam or the vanc...
1104: Does Taking Beta-Blockers Mean Increased Doses of Epinephrine are Required for Anaphylaxis Treatment?
Show notes at pharmacyjoe.com/episode1104 In this episode, I’ll discuss whether patients taking beta-blockers require increased doses of epinephrine f...
1103: These Antibiotics Are Really Getting Under My Skin! (Subcutaneous Antibiotics?!)
Show notes at pharmacyjoe.com/episode1103 In this episode, I’ll discuss the use of subcutaneous antibiotics.
1102a: At this single center, linezolid plus serotonergic agents was judged to be likely safe
Show notes at pharmacyjoe.com/episode1102 In this episode, I’ll discuss linezolid-associated serotonin toxicity in patients receiving linezolid and co...
1101: Inpatient Pharmacist Burnout: How many learners is too many?
Show notes at pharmacyjoe.com/episode1101 In this episode, I’ll discuss the association between number of learners trained per year and rates of burno...
1100: Safety of Tenecteplase in Patients With Stroke Mimics
Show notes at pharmacyjoe.com/episode1100 In this episode, I’ll discuss the safety of tenecteplase in patients with stroke mimics.