Gabrielle Cozzi

MICU| Critical Care Pharmacist @BIDMChealth| BCCCP| New Yorker at Heart| PGY1 @HackensackUMC| PGY2 CC @WVUMedicine| @UBPharm

[BIDMC Pulmonary, Critical Care, and Sleep Medicine @PCCSM_BIDMC]

Just one week until https://t.co/vFYghzGc5p!! Don’t miss out!! Register now! @david_furfaro @jbricha1 @imePharm @MehrnazCCPharmD @GabrielleCozzi @notthewongrx @Jakob_McSparron

[Gabrielle Cozzi @GabrielleCozzi]

@AEidelberg @IDdocAdi @ashleythakurrr @ClareCycz Always 💯

[Gabrielle Cozzi @GabrielleCozzi]

@AndrewElHayek @joshmcgoo I support this

[Gabrielle Cozzi @GabrielleCozzi]

@AndrewElHayek @notthewongrx Our #1 fan

[Gabrielle Cozzi @GabrielleCozzi]

@AndrewElHayek Hahahaah um yes actual footage of me on my way to the unit ready to question your every move over night

[BIDMC Pharmacy Residency Programs @BIDMCPharmRes]

We are excited for the 10th annual @critical_med in a few weeks (9/14-9/16)!🥳

Thrilled to see great representation from our preceptors, including:

💊 @imePharm: Co-director; Role of midodrine for vasopressor weaning
💊 @MehrnazCCPharmD: Empiric ABX for sepsis

[Gabrielle Cozzi @GabrielleCozzi]

@AndrewElHayek “Should we start Midaz”

[Gabrielle Cozzi @GabrielleCozzi]

@mdez1026 @RachelBocchino when you have to read the meds yourself

[Gabrielle Cozzi @GabrielleCozzi]

@themarcusfoo @IDdocAdi HAHAHAHA

[Gabrielle Cozzi @GabrielleCozzi]

@JennyShihMD @almoskow Nice !!!

[Gabrielle Cozzi @GabrielleCozzi]

@BIDMCPharmRes @Meg_Ferguson3 @JSL__PharmD @NPalisano @STAPHarmacist @notthewongrx *me refreshing the tracker app every 5 min to make sure his splits are on par to finish under 3h*

[Gabrielle Cozzi @GabrielleCozzi]

@RachelBocchino @MehrnazCCPharmD 😍😍😍

[Gabrielle Cozzi @GabrielleCozzi]

@RachelBocchino @BIDMC_IM THANKS FOR BEING YOU !!!! 💙💙💙

[Gabrielle Cozzi @GabrielleCozzi]

@ailley_ We have been seeing so much of this too !!

[Gabrielle Cozzi @GabrielleCozzi]

@STAPHarmacist @BIDMCPharmRes I personally started deleting all the fieba emails, but respect the hustle

[Gabrielle Cozzi @GabrielleCozzi]

@TallManPharm @RobertDeveau13 Vomit

[Gabrielle Cozzi @GabrielleCozzi]

@KBrag_MD @emily_fri @notthewongrx @MehrnazCCPharmD Job security .. sorry

I’ve done it once with positive patient response !!

[Gabrielle Cozzi @GabrielleCozzi]

@almoskow @BIDMCPharmRes @BIDMC_IM 2/2-Maybe related to pt comorbidities-perhaps we see it earlier/mainly in pts w/DM,CKD,elderly 2/2 they aren’t able to compensate as well for lower aldost. levels (whereas most ppl can maintain K via aldost-independent mechanisms for longer periods of time, ie onset may be later

[Gabrielle Cozzi @GabrielleCozzi]

Perfect timing for this thread! Came up last week on #MICUFICU rounds. Read ⬇️ for an awesome explanation @BIDMCPharmRes @BIDMC_IM

[Avraham Z. Cooper, MD 🩺 @AvrahamCooperMD]

1/🧵
Did you know that heparin can cause hyperkalemia?

But why would an anticoagulant like heparin increase serum K⁺ levels?

The answer also has a wild implication - that heparin may itself have a diuretic effect...

#medtwitter #tweetorial

[Gabrielle Cozzi @GabrielleCozzi]

@almoskow @BIDMCPharmRes @BIDMC_IM 1/2 Good question!
-Lots of variable data, but seems that altho there's a dose dependent effect with aldosterone inhibition, it can still occur at any dose/duration (I’ve seen reports w/ IV infusions and SQ ppx heparin doses)
- Onset can occur as soon as 1–3 days after heparin