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: A Critical Care Hospital Pharmacy Podcast

Creator: Pharmacy Joe

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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Recent Episodes

300 episodes
1148: Computer Decision Support to Avoid Awareness with Paralysis in the ED

1148: Computer Decision Support to Avoid Awareness with Paralysis in the ED

Show notes at pharmacyjoe.com/episode1148 In this episode, I’ll discuss using clinical decision support to minimize sedation gaps in patients receivin...

2026-07-16 03:00:20 4:00
1147: If anaphylaxis to sugammadex is so rare, why bother thinking about it?

1147: If anaphylaxis to sugammadex is so rare, why bother thinking about it?

Show notes at pharmacyjoe.com/episode1147 In this episode, I’ll discuss anaphylaxis to sugammadex.

2026-07-13 03:00:20 3:23
1146: Does using ABW vs IBW matter for ICU sedative doses?

1146: Does using ABW vs IBW matter for ICU sedative doses?

Show notes at pharmacyjoe.com/episode1146 In this episode, I’ll discuss using actual vs ideal body weight for dosing of sedatives in critically ill pa...

2026-07-09 03:00:20 4:04
1145: Exactly How Bad is it to Use Dopamine for Shock?

1145: Exactly How Bad is it to Use Dopamine for Shock?

Show notes at pharmacyjoe.com/episode1145 In this episode, I’ll discuss how the use of dopamine for shock affects mortality rates.

2026-07-06 03:00:20 3:50
1144: More Data That Supports Cefazolin for Methicillin-Susceptible Staphylococcus aureus Bacteremia

1144: More Data That Supports Cefazolin for Methicillin-Susceptible Staphylococcus aureus Bacteremia

Show notes at pharmacyjoe.com/episode1144 In this episode, I’ll discuss cefazolin for methicillin-susceptible staphylococcus aureus bacteremia.

2026-07-02 03:00:20 3:35
1143: How to tell if your ICU patient is at risk for VTE

1143: How to tell if your ICU patient is at risk for VTE

Show notes at pharmacyjoe.com/episode1143 In this episode, I’ll discuss the risk factors associated with the development of venous thromboembolism in...

2026-06-29 03:00:20 3:20
1142: Sodium Bicarbonate for Critically Ill Adults with Metabolic Acidosis and Shock

1142: Sodium Bicarbonate for Critically Ill Adults with Metabolic Acidosis and Shock

Show notes at pharmacyjoe.com/episode1142 In this episode, I’ll discuss sodium bicarbonate for critically ill adult patients with metabolic acidosis a...

2026-06-25 03:00:20 3:26
1141: Non-verbal ICU pain scales do not indicate the severity of pain

1141: Non-verbal ICU pain scales do not indicate the severity of pain

Show notes at pharmacyjoe.com/episode1141 In this episode, I’ll discuss whether non-verbal ICU pain scales can indicate the severity of pain.

2026-06-22 03:00:20 3:24
1140: Get ready to use a lot more tranexamic acid…

1140: Get ready to use a lot more tranexamic acid…

Show notes at pharmacyjoe.com/episode1140 In this episode, I’ll discuss an article on the use of tranexamic acid to reduce transfusion in major noncar...

2026-06-18 03:00:20 3:55
1139: Lipid Dose Differs Depending on Drug Causing the Toxicity

1139: Lipid Dose Differs Depending on Drug Causing the Toxicity

Show notes at pharmacyjoe.com/episode1139 In this episode, I’ll discuss the dosing of lipid rescue therapy for LAST vs enteral drug toxicity.

2026-06-15 03:00:20 4:39
1138: MRSA Nasal Swabs Work, But Only if You Use them…

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...

2026-06-11 03:00:20 3:19
1137: More critical medications are going to be pushed into the prehospital setting

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.

2026-06-08 03:00:20 3:56
1136: Why does ketamine occassionally cause post-induction hemodynamic collapse?

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...

2026-06-04 03:00:20 3:27
1135: Norepinephrine vs phenylephrine in traumatic brain injury – which is best?

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...

2026-06-01 03:00:20 3:22
1134: IVP Cefepime Pharmacokinetics in Critically Ill Patients With Sepsis Are Highly Variable

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...

2026-05-28 03:00:20 3:57
1133: Can fondaparinux be useful in critically ill patients with severe renal dysfunction?

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...

2026-05-25 03:00:20 3:52
1132: Beware ketamine infusions in your transplant patients

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...

2026-05-21 03:00:20 3:12
1131: Effects of obesity on SC and IM medication administration

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.

2026-05-18 03:00:20 3:58
1130: A study that proves what we’ve always felt about adenosine 6 vs 12mg for SVT

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...

2026-05-14 03:00:20 3:58
1129: Do we need to worry about torsades from low-dose ondansetron in peri-operative patients?

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.

2026-05-11 03:00:20 3:11
1128: What is the best vasopressor to use in post-resuscitation shock?

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.

2026-05-07 03:00:20 3:04
1127: Oxacillin seems safer than nafcillin (retrospective data)

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...

2026-05-04 03:00:20 3:29
1126: Does nebulized ketamine work for pain as well as IV?

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.

2026-04-30 03:00:20 3:36
1126: How well does nebulized ketamine work for pain compared with IV?

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.

2026-04-30 03:00:20 3:36
1125: What are the risk factors for serious and general opioid-related adverse drug events?

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...

2026-04-27 03:00:20 3:03
1124: Get ready for patients to come into the ED with vasopressors already infusing

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.

2026-04-23 03:00:20 7:32
1123: What blood gas parameters indicate possible methemoglobinemia?

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.

2026-04-20 03:00:20 3:52
1122: Well isn’t that convenient? (Sodium bicarb for severe hyponatremia)

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...

2026-04-16 03:00:20 4:10
1121: What if it is just the depth of sedation, not the choice of sedative that causes delirium?

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...

2026-04-13 03:00:20 4:32
1120: Here is something to prioritize for ED patients with Parkinson’s

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...

2026-04-09 03:00:20 3:55
1119: The problem with hypo-osmolar solutions in neurological patients

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.

2026-04-06 03:00:20 3:24
1118: These two sepsis guideline updates will need hospital pharmacists to help implement

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...

2026-04-02 03:00:20 5:01
1117: What is the impact of achieving an aggressive PK/PD target for beta-lactams in critically ill patients?

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...

2026-03-30 03:00:20 3:39
1116: If the lab can keep secrets from others, maybe the pharmacy should too?

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...

2026-03-26 03:00:20 4:36
1115: The extremely rare case when a very hypotonic solution may be indicated

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.

2026-03-23 03:00:20 4:32
1114: Saving $$$ With Oral Phosphate Replacement Instead of IV For Critically Ill Patients With Mild to Moderate Hypophosphatemia

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...

2026-03-19 03:00:20 4:22
1113: Ceftriaxone to Prevent Pneumonia After Out of Hospital Cardiac Arrest

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...

2026-03-16 03:00:20 3:50
1112: The Safety and Efficacy of Spraying Stuff Into the Lungs to Prevent Bleeding

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...

2026-03-12 03:00:20 3:40
1111: How to judge whether a journal is reputable?

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.

2026-03-09 03:00:20 4:16
1110: Is it time to rethink oral beta-lactams for some complicated UTI cases?

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.

2026-03-05 03:00:20 3:55
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