SFH Critical Care Pharmacy

Official Twitter for St. Francis Hospital- VMFH Critical Care Pharmacy to share educational materials. 💊🩻💉🩺🏥

[SFH Critical Care Pharmacy @SFHRxCritical]

Patients with neuromuscular disease are at serious risk of side effects with some medications that have effects on the neuromuscular junction.
#whiteboardwednesday #pharmacy #pharmacystudent #medstudent #nursingstudent #als #myastheniagravis #multiplesclerosis #guillanbarres

[SFH Critical Care Pharmacy @SFHRxCritical]

For seizure management, time is of the essence and Benzos are first-line therapy! Use a large enough benzodiazepine dose to give the best odds of seizure termination.

#pharmacy #RxPearls #TwitteRx
#Pharmacist #pharmacystudent #medstudent #nursingstudent #OTILT

[SFH Critical Care Pharmacy @SFHRxCritical]

Today's #LandmarkTrialFriday is on the ROSE trial! Published in 2019, this trial showed that early and continuous infusion of cisatracurium did not improve 90-day mortality in patients with ARDS when compared to usual care.

#LandmarkICUTrials #ICU #Pharmacy #clinicaltrials

[SFH Critical Care Pharmacy @SFHRxCritical]

Cannabis is the third most used psychoactive substance throughout the world and has the potential for many significant drug interactions.

PMID: 32122975

#whiteboardwednesday #pharmacy #pharmacystudent #pharmacist #medical #cannabis #druginteractions

[SFH Critical Care Pharmacy @SFHRxCritical]

Today's #PearloftheWeek is on glucocorticoid-induced hyperglycemia! Once daily fasting blood glucose levels may not be sufficient to manage glycemic control in hospitalized patients on corticosteroids.

#RxPearls #Pharmacy #Glucocorticoids #Hyperglycemia #TwitteRx

[SFH Critical Care Pharmacy @SFHRxCritical]

Today's #LandmarkTrialFriday is on the CRASH-3 Trial. Building on the CRASH-2 trial, this trial showed that TXA reduced head injury related deaths when administered within 3 hours to those with mild to moderate head injury.
#LandmarkICUTrials #ICU #Pharmacy #clinicaltrials

[SFH Critical Care Pharmacy @SFHRxCritical]

Brugada syndrome is a genetic disorder that presents with an abnormal ECG and increases the risk of ventricular tachyarrhythmias and sudden cardiac death.

PMID: 23533266

#whiteboardwednesday #pharmacy #pharmacystudent #pharmacist #medical #brugadasyndrome

[SFH Critical Care Pharmacy @SFHRxCritical]

Today's #PearloftheWeek is on dexmedetomidine!
If drug-induced fever from dexmedetomidine is suspected, it should be discontinued and the patient's temperature should be monitored until back to normal.

#RxPearls #Pharmacy #Dexmedetomidine #TwitteRx

[SFH Critical Care Pharmacy @SFHRxCritical]

Today's #LandmarkTrialFriday is on the MENDS2 trial, which showed that there was no difference in days alive without delirium or coma between dexmedetomidine and propofol when used in mechanically ventilated patients with sepsis.
#LandmarkICUTrials #ICU #Pharmacy #clinicaltrials

[SFH Critical Care Pharmacy @SFHRxCritical]

#whiteboardwednesday #pharmacy #pharmacystudent #pharmacist #medical #p2y12inhibitor #TwitteRx

PMID: 29084738

[SFH Critical Care Pharmacy @SFHRxCritical]

Today's #LandmarkTrialFriday is on the ATACH-II Trial. Published in 2016 in the NEJM, this trial showed that targeting a more intense blood pressure goal for ICH patients did not lead to a decrease in mortality or morbidity. #LandmarkICUTrials #ICU #Pharmacy #clinicaltrials

[SFH Critical Care Pharmacy @SFHRxCritical]

Drugs to avoid in G6PD Deficiency
Source: PMID 32702756
#whiteboardwednesday #pharmacy #pharmacystudent #pharmacist #medical #g6pddeficiency #TwitteRx

[SFH Critical Care Pharmacy @SFHRxCritical]

#PearloftheWeek is on fentanyl! Intravenous fentanyl can provide maximal analgesic effects within minutes and does not have active metabolites like morphine, making it safer in acute kidney injury.

#RxPearls #Pharmacy #Medicine

[SFH Critical Care Pharmacy @SFHRxCritical]

Today’s trial is about the AID-ICU trial published in October 2022! Although these findings showed no statistical significance for the primary outcome, haloperidol is still used for this indication. #LandmarkTrialFriday #TwitteRx

[SFH Critical Care Pharmacy @SFHRxCritical]

#whiteboardwednesday #pharmacist #TwitteRx #pharmacystudent #medication #Medical #medicalstudent #nursingstudent #Nursing #SIADH

[Kevin Mercer, PharmD, MPH @ohsnapimginger]

He’s still got it 💅🏼 @Natasha_Pettit @UChicagoMedRx

[SFH Critical Care Pharmacy @SFHRxCritical]

Reference - Finfer et al. N Engl J Med 2009; 360:1283-97.

[SFH Critical Care Pharmacy @SFHRxCritical]

Today's #LandmarkTrialFriday is about the NICE SUGAR Trial! Published in 2009 by Finfer et al, this trial showed that in ICU patients, conventional glycemic control with a blood glucose target of </= 180 mg/dL had lower mortality than patients with a target of 81-108 mg/dL.

[SFH Critical Care Pharmacy @SFHRxCritical]

#whiteboardwednesday #pharmacist #TwitteRx #pharmacystudent #medication #Medical #medicalstudent #nursingstudent #Nursing

[SFH Critical Care Pharmacy @SFHRxCritical]

Merry Christmas 🎁🎄