Ashling Cook PharmD, BCCCP

Critical Care Pharmacist || PGY-2 Critical Care & PGY-1 @ChristianaCare || PharmD @JeffersonUniv

[Ashling Cook PharmD, BCCCP @AshlingPharmD]

So excited to become a critical care pharmacist!! 💉💊 #TwitteRx #PharmICU

[Austin Camp @austincamp]

We ALL know dexmedetomidine (Precedex) and propofol (Diprivan) are preferred over benzodiazepines in ICU patients requiring sedation (shoutout PADIS guidelines).

BUT (as there are exceptions to every rule) here are some situations to "consider" BZDs. 🧐

Keep reading below! 👇

[Austin Camp @austincamp]

Pharmacist typing a kinetics note that no one will ever read

[Ashling Cook PharmD, BCCCP @AshlingPharmD]

@PhlawlessPharm It’s only 9 fentanyl isomers, fentanyl isn’t included and is still schedule II

[Austin Camp @austincamp]

It’s embarrassing to loading doses everywhere when your vancomycin load is only 15 mg/kg

[Austin Camp @austincamp]

TID is not the same as q8h

[Ashling Cook PharmD, BCCCP @AshlingPharmD]

@SC_PharmD @BPSweb Got the same thing today 🙃

[Ashling Cook PharmD, BCCCP @AshlingPharmD]

Added some letters today, BCCCP ✅

[Ashling Cook PharmD, BCCCP @AshlingPharmD]

@GilbertPharmD @PCC_PharmD @NG_Panos @PharmDAware @AJWPharm @MeganARech We used a lot more PCC than AA so it could have been a combination of unfamiliarity with compounding AA in addition to baseline longer compounding time

[Ashling Cook PharmD, BCCCP @AshlingPharmD]

@GilbertPharmD @PCC_PharmD @NG_Panos @PharmDAware @AJWPharm @MeganARech When we looked at the order time to administration at my PGY2 site we had a median of 36 min for 4FPCC and 60 min for AA. Both were mixed in the IV room and delivered by pharmacy

[mike defilippo @MDtheDO]

Healthcare Providers Everywhere: "If I'm recertifying ACLS and PALS, why do I also need to take BLS?"

AHA:

[Nick Husak @nph_pharmD]

Succinlycholine can be safely used as an NMBA for an overwhelming majority of patients presenting to the ED without concerns of any adverse effects that are typically taught about

[Ashling Cook PharmD, BCCCP @AshlingPharmD]

@austincamp https://t.co/phsaAut4jX

https://t.co/mZYifwLQxz

[Ashling Cook PharmD, BCCCP @AshlingPharmD]

@PsychPharmD_

[Ashling Cook PharmD, BCCCP @AshlingPharmD]

@SagetheEDRPh @ASHP_EMPharm @SAEM_AEMP @EMPRx24 @JeffEMRes @JeffPharmRes Seems like any abx and mono by itself may lead to rash, might as well go with drug of choice 🤷🏼‍♀️
https://t.co/DsFcX89rlv
https://t.co/OaMaXF6srJ

[Adi @IDdocAdi]

In medicine we don’t say “I love you” we say “that’s not unreasonable” and I think that’s beautiful

[NephroMemes @MemesNephro]

“CRRT overnight. Renal function appears better with creatinine lower this morning.”

[Ashling Cook PharmD, BCCCP @AshlingPharmD]

You cannot convince me that the prior authorization process for medication approval does anything besides delay care and potentially harm patients as well as increase the frustration with the already confusing healthcare system

[Josh Farkas MD 💊 @PulmCrit]

PIPERACILLIN-TAZOBACTAM IS NOT NEPHROTOXIC: exploring the arc of a myth over time

this was clearly a myth in 2016:
https://t.co/Me3JkXMuLV

blog from 2022 exploring the evolution of this myth: https://t.co/ygSXT3UrOV

fresh RCT to finally settle this:
https://t.co/5G26gAJUVQ

[PharmDAware @PharmDAware]

Vanco+Zosyn ⬆️ SCr is NOT drug induced nephrotoxicity

In 2023 why are we still having this debate???

Learn the kinetics, mechanism of pseudo-tox, dose adjust, and critically assess the published literature

Please stop dying on the hill of historical teaching & medication myths