PharmaStache

Just a moustache with a license to practice pharmacy 🇨🇦 (he/him/il)

[Michelle Kittleson MD PhD @MKIttlesonMD]

#TipsForNewDocs

Know the reason for every med on your patient's list.

Option 1: necessary, and you learn something

Option 2: unnecessary, and you stop a useless med.

Either way, you learn + patient benefits = win-win!

#kittlesonrules

[PharmaStache @Pharmastache]

PHENobarbital in EtOH w/d

Why scared?
Long half-life? no longer than desmethyldiazepam
DDI? additive for CNS depression, clearance with BZD

start LOW and go SLOW to effect!

#ERxBoard #emergencymedicine #FOAMed #pharmacyeducationboard #medtwitter #nursetwitter #TwitteRx

[PharmaStache @Pharmastache]

Why is the dogma set on the idea that parenteral is always superior‽

[Bug Pharmacist 💊🧫 Tim Gauthier @IDstewardship]

IV or PO, the bug doesn’t know how the drug got there when it’s dead.

[Arden Barry @ArdenBarry]

Ayurvedic medicine lead toxicity case report published in @CMAJ. Just because it is "natural" does not mean it is safe. https://t.co/2OADUbkoW6

[The Critical Care Commute Podcast @CriticalCommute]

Some editing going on! Excited to see what the next episode will bring...⁠
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Listen to the podcast (new and old episodes) via your favorite Podcast provider by searching for "The Critical Care Commute"⁠
⁠
Like, Follow and Share!⁠
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#podcasts #medicalpodcasts #foamcc #foamed

[Todd C. Lee @DrToddLee]

Serotonin syndrome interaction risks from linezolid are way way way over called

[PharmaStache @Pharmastache]

No less than four people who walked past as I wrote this out said, “I want NO flavour, please”

#ERxBoard #emergencymedicine #FOAMed #pharmacyeducationboard #medtwitter #nursetwitter #TwitteRx

[David Juurlink @DavidJuurlink]

"There are old mushroom hunters and there are bold mushroom hunters. But there are no old, bold mushroom hunters.”

[PharmaStache @Pharmastache]

Xylazine aka Tranq aka Zombie Drug
made its way into our local drug supply

veterinarian sedative/analgesia like dexmedetomidine
(I EVEN drew it's structure for those that want it)

#ERxBoard #emergencymedicine #FOAMed #pharmacyeducationboard #medtwitter #nursetwitter #TwitteRx

[ALERT-ICU @AlertIcu]

The first paper from ALERT-ICU is now published in @CritCareMed. International Analgesia and Sedation Weaning and Withdrawal ... : Critical Care Medicine https://t.co/njTAF3Z4JC. Thanks to all investigators who participated!

[PharmaStache @Pharmastache]

Oh, a trial about my NIGHTMARE?

The way we assess patients for wakefulness is marred by paralysis, remember the paralytics last MUCH longer than the sedatives!!

#ERxBoard #emergencymedicine #FOAMed #pharmacyeducationboard #medtwitter #nursetwitter #TwitteRx

[CJA - Canadian Journal of Anesthesia @CJA_Journal]

Critical Care Canada Forum 2022 Abstracts - Canadian Journal of Anesthesia
#CCCF2022 @CCCForum @CritCareSociety
#CJA #CJA2023 #Anesthesia #Anesthesiology
https://t.co/qk15P64gC6

[PharmaStache @Pharmastache]

Fill the tank and then reassess for the NEXT dose…

[Tori Arsenault, PharmD ✨🚑🫀❣️ @rxtoriarsenault]

SAY IT WITH ME:
✨Kidney function doesn’t matter for vancomycin loading doses. Kidney function doesn’t matter for vancomycin loading doses. Kidney function doesn’t matter for vancomycin loading doses. ✨

Gotta fill the tank regardless of how fast (or slow) the tank empties!

[PharmaStache @Pharmastache]

@TheAmirImani @CaulfieldTim @jonathanstea @LindsayDixonFP5 Oh pal…what happened?

What grifter entered your practice now?

@this_is_mallory

[PharmaStache @Pharmastache]

There’s LOTS we could chat about iron supplementation

I didn’t even TOUCH on vitamin C

Monoferric is faster but does the patient need 1000mg? Are you calculatong the needed dose?

#ERxBoard #emergencymedicine #FOAMed #pharmacyeducationboard #medtwitter #nursetwitter #TwitteRx

[The Critical Care Commute Podcast @CriticalCommute]

As pharmacy appreciation month draws to a close, listen to our new short segment called: "the Pharmacy Whiteboard". We were joined by @Pharmastache as he talks about clinical pharmacists in the ED. @UAlberta_ICU @Pharmer_Cat @docpgb #PAM2023

https://t.co/iXOnBlFKfH

[PharmaStache @Pharmastache]

@ondanceatron @CSHP_SCPH @CSHP_Banff After finishing my time volunteering on the organizing committee for @CSHP_Banff I joked I would only come back if they invited me to be a speaker.

I’m glad they called me on it.

['Dance-a-tron💃 @ondanceatron]

It has been my pleasure to be Education Chair for #CSHPTogether @CSHP_Banff

🚨WE NEED HELP for next year: If you have EDUCATION TOPICS for #CSHPBanff, let us know!
https://t.co/Plu2XhQOe6

@cshp_ab @CSHP_Banff @CSHPSaskBranch @CSHP_OB @CSHPNLBranch @CSHPNS @CSHPBCBranch

['Dance-a-tron💃 @ondanceatron]

STANDING.
ROOM.
ONLY.

#CSHPTogether #twitteRx @Pharmastache

@CSHP_SCPH @CSHP_Banff