Danielle Famularo, PharmD, BCCCP

ICU pharmacist @the_bmc | s/p PGY1 & PGY2 crit care @the_bmc | @uri_pharmacy ‘21 | views are my own

[Danielle Famularo, PharmD, BCCCP @DEFamularo]

@BryanGPharmD Arguably better since I didn’t administer the tomato sauce 😂

[Danielle Famularo, PharmD, BCCCP @DEFamularo]

me: please discontinue BID PPI
rationale:

[Danielle Famularo, PharmD, BCCCP @DEFamularo]

@BryanGPharmD please advise 👀

[Danielle Famularo, PharmD, BCCCP @DEFamularo]

This is absolutely worth a read

[Noah Kahan @NoahKahan]

wrote an essay for world mental health day @TIME https://t.co/cuFW4njpKG

[Niyi Soetan, MD ☤ @Medical_Niyi]

When i ask my patient if they have any medical conditions

[Danielle Famularo, PharmD, BCCCP @DEFamularo]

Post-residency life is so weird. Like you have to re-learn how to just sit on the couch on a weekday and watch TV with friends without your laptop being open?

[Danielle Famularo, PharmD, BCCCP @DEFamularo]

Resident Danielle, out 🫡
The last 2 years would not have been what they were without these people by my side, & I feel so lucky to have had such amazing mentors, friends, & opportunities🖤 Let the adult-ing begin

[Danielle Famularo, PharmD, BCCCP @DEFamularo]

Whatever system BPS uses for issuing ATTs is what NABP should use…. got it sent via email within 3 business days 🤔 @JasonMordino

[Danielle Famularo, PharmD, BCCCP @DEFamularo]

@dhughesPharmD me: learned this 7 days ago
also me: likes Tweet with confidence

[Danielle Famularo, PharmD, BCCCP @DEFamularo]

Has anyone seen intracellular acidosis from sodium bicarb before? If so, after about how many amps of bicarb did the gas shift in the wrong direction?

[Danielle Famularo, PharmD, BCCCP @DEFamularo]

T-23 hours until vacation and T-23 days until end of PGY2 👀

[ICU OnePager @OnePagerICU]

Understanding the devices used for mechanical circulatory support is essential if you work in an ICU.

Here are 4️⃣ ICU OnePagers, one about about each of the most common devices:
- IABP
- Impella
- vaECMO
- LVAD

https://t.co/jL0TUnc968

[Megan Rech, PharmD, MS @MeganARech]

Want to incorporate viscoelastic testing 🩸 into your practice but not sure where to start? Check out our primer on VET in critically ill populations here 👇

https://t.co/VHori3NWiV

⁦@CBthePHARMD⁩ ⁦@GilbertPharmD⁩ ⁦@ravigarg415⁩ ⁦@nei_scott⁩ #TwitteRx

[Danielle Famularo, PharmD, BCCCP @DEFamularo]

So lucky to have been able to learn & grow from Megan this year! No one more deserving ⭐️

[MASHP @MAPharmacists]

Preceptor of the year is @m_feen for her exceptional growth in research, practice and organizational involvement. “She is the tide that rises all boats and her learners” #MASHP23 #TwitteRx

[Danielle Famularo, PharmD, BCCCP @DEFamularo]

Excited to be able to lead this ICU/OR patient safety @SCCM_CPP discussion on Friday afternoon! Poll attached in the thread below to gather prelim audience ideas💡

[SCCM Clinical Pharmacy and Pharmacology Section @SCCM_CPP]

Join the @SCCM CPP Patient Safety Committee's quarterly Pharmacy Safety Net(work) Series on 5/12 @ 3 PM EST.

Poll below⬇️

A discussion on transitions of care between ICUs and ORs will occur. Register here: https://t.co/befY2EDnSP

#PharmICU #TwitterRx

[Danielle Famularo, PharmD, BCCCP @DEFamularo]

@JasonMordino hang in there

[Danielle Famularo, PharmD, BCCCP @DEFamularo]

This is just such a poor take, and retrospectively trying to (poorly) defend it is absolutely useless.

Should make those of us at institutions who highly value their TEAM pharmacists extra grateful when seeing something like this

[Amy Faith Ho, MD MPH @amyfaithho]

How do you tell a medical doctor?

Real doctors: *reluctant to state they are doctors in public/social forums*

Non-MD/DOs: *take every opportunity to say they are a doctor…* (chiropractors, naturopaths, pharmacists, apothecaries, charlatans…)

[Gideon Berdahl, PharmD, BCCCP @pharmer_gid]

New pub alert 🚨 So excited to finally have my PGY2 project published! Couldn’t have done it without @AvaCPharmD @m_feen and Kim Ackerbauer. @BMCPharmRes

[Danielle Famularo, PharmD, BCCCP @DEFamularo]

shoutout to my preceptors @BryanGPharmD & Kiersten Pasternak for their ED + surgery expertise! Would love to hear any additional pearls from pharmacists who use TEG below 👇🏽

[Danielle Famularo, PharmD, BCCCP @DEFamularo]

Last week I presented my final CE of residency: Welcome to my TEG Talk. Although BMC isn’t *currently* a TEG institution, it’s still important to be aware of different assays & how they affect mngmnt. Here’s a (very) quick thread on TEG takeaways🩸@BMCPharmRes

[Danielle Famularo, PharmD, BCCCP @DEFamularo]

⭐️TEG is a valuable tool in better identifying/characterizing coagulopathies in critical illness & optimizing management with a goal of improving both patient care & resource-sparing outcomes⭐️