Critical Care Pharmacist at the Cleveland Clinic. Avid traveler, amateur photographer. Tweets are my own.
Mar 25, 2020 • 7 tweets • 2 min read
Pharmacy pearls I’ve noticed in ICU COVID patients... 1) ⬆️ triglycerides (from HLH features of these patients) make using propofol sedation regimens difficult, have had to use BZDs to achieve apparopriate sedation for paralysis... 1/2) look for Co-infections. These patients can be persistently febrile but don’t let that fool you into thinking it’s due to COVID alone. Co-infections DO happen. Viral or bacterial. Trust me.... 2/
Mar 18, 2020 • 5 tweets • 2 min read
As a MICU pharmacist taking care of COVID patients, one strategy I’ve implemented to minimize the number of times a nurse needs to enter the room (thus saving PPE) is to consolidate and bundle all medication due times. For example... 1/5
Most patients often receive medications no more than QID or every 6 hours (now this isn’t everyone but a lot of patients). So I’ve scheduled all medications to be given on one or more of the following: 0000, 0600, 1200, or 1800... 2/5
