- 36
- 47 465
Medication Quality and Safety Rx
United States
Registrace 8. 05. 2020
This CZcams Channel is maintained through efforts of Jared Butler, PharmD, BCPS, DPLA, Assistant Professor of Pharmacy Practice and fourth year pharmacy students during their acute care/internal medicine rotations. The channel will provide short presentations on pharmacy and medical topics pearls, updated medical guideline commentary, journal article reviews and answer to drug information questions.
*All information posted are the views of the authors of this channel. All data presented are to be used as supplement to clinical judgement and you should conduct your own research before utilizing these presentations as your sole information.
*All information posted are the views of the authors of this channel. All data presented are to be used as supplement to clinical judgement and you should conduct your own research before utilizing these presentations as your sole information.
Video
Phenobarbital: An Benzo Alternative for Alcohol Withdrawal
zhlédnutí 621Před rokem
Phenobarbital: An Benzo Alternative for Alcohol Withdrawal
Tirzepatide: A New Treatment for Diabetes
zhlédnutí 2KPřed 2 lety
Tirzepatide: A New Treatment for Diabetes
Melatonin: Review of Potential Alternative Uses
zhlédnutí 35Před 2 lety
Melatonin: Review of Potential Alternative Uses
Dexmedetomidine in Alcohol Withdrawal Syndrome
zhlédnutí 462Před 2 lety
Dexmedetomidine in Alcohol Withdrawal Syndrome
Tacrolimus Medication Review
zhlédnutí 455Před 2 lety
A discussion about the nuances of tacrolimus medication therapy
Gabapentin Medication Review
zhlédnutí 739Před 2 lety
A review of gabapentin therapy and associated dosing/monitoring parameters
Carbamazepine Review
zhlédnutí 1,7KPřed 2 lety
Quick review of some of the intricacies associated with carbamazepine
Treatment of Acute Alcohol Withdrawal in Hospitalized Patients
zhlédnutí 3,5KPřed 2 lety
Treatment of Acute Alcohol Withdrawal in Hospitalized Patients
DOAC VTE Prophylaxis for Patients with Cancer
zhlédnutí 113Před 3 lety
DOAC VTE Prophylaxis for Patients with Cancer
Constipation Management in Critical Care: Pharmacists' Toolbox
zhlédnutí 190Před 3 lety
Constipation Management in Critical Care: Pharmacists' Toolbox
Management of Glucose in Critically Ill
zhlédnutí 119Před 3 lety
Management of Glucose in Critically Ill
Thank you very much for this wonderful comprehensive but easy-to-understand presentation. This was very helpful to me. How about Acute Alcohol Intoxication treatment protocol/guidelines?
SGLT2 inhibitors make no-sense, except to make pharma $$$$$
Is lactobacillus bacteria cause nemonia. I aspirated a bit curd(yogurt) 2 hours ago. Nothing happened till now. Can i get nemonia
Did you ever find out?
@@taeschannell nothing happened 😂😂 I was scared for no reason
Voquezna is it considered a PPI? Thank you.
can influvac tetra & pneumovax can be given together ?
Exactly what issue are SGLT2's attempting to resolve?
👏🏽
Do symptoms subside within a few days for only for pneumonitis or pneumonia too?
Thank you ❤ not only do I have CKD but I also have a TBI and I clearly understand your clip! Finding this very helpful! 🙏🏽
Actually they do have increased urination and thirst.( that is the basic side effect of sglt-2 inhibtors)
From the very first I day came across Dr Igudia CZcams channel, I knew that was going to be the end of my Diabetes. And to my surprise his herbs actually cured my Diabetes.
Thank you My husband has 5.9 potasio And he feels dizzy without energie He only wants to be in bed
The most up to date way to treat these patients is to use IV doses not oral, and to do breathalyzers every hour. Follow the CIWA and wake and assess patients hourly.
Nice presentation thank you 😊
So helpful being an ICU RN but audio is low and breaking 😢 😪 up...
🧕🤩
thank you!!
CHRONIC aspiration pnemonia due to chronic oropharx Disphagia with gag reflex lost
Helpful information. Thanks
Short and informative vedio ❤
they make two just to confuse us :(
thanks a lot for this please keep on posting appreciate the good work!!🙂
As a retired Ph.D. sort of scientist and professor, I wanted to say, great, clear presentation. It answered a few things I've wondered about this drug. Curious now about the mechanism of increased diuresis/natriuresis, but only because I worked on natriuretic peptides at one point. Not curious enough to read a GLP-1 review article, but maybe I'll hit Wikipedia. As a patient without diabetes who's been on this drug for weight loss for a week, I've wondered about hypoglycemia. I thought, for a diabetic, more insulin might be good under circumstances where it would just lead to hypoglycemia for me. It was reassuring to read that the GIP agonism should reduce that risk. But as an n=1 patient who isn't objective, the fact that I basically never feel hunger since injection day 1 made me worry I might not perceive mild hypoglycemia and eat before it was less mild. Anyway, nice work!
czcams.com/video/qVqDnrChFhw/video.html Aspiration Pneumonia
czcams.com/video/qVqDnrChFhw/video.html Aspiration Pneumonia
czcams.com/video/qVqDnrChFhw/video.html Aspiration Pneumonia
Great presentation
How does this type of medication result in weight loss, if it works by stimulating insulin release?
My understanding from just the prescribing info PDF is that it's thought to be a combo of feeling full due to slower gastric emptying and of increased satiety through CNS pathways I know nothing about. My n=1 lay-person understanding after taking this drug for a week is, "holy crap, this is so weird, I literally don't ever feel hungry", which subjectively feels more like satiety than fullness. I wondered the same thing, but I guess quantitatively, any increase in fat or glycogen due to higher insulin levels is outweighed (no pun intended) by decreased food intake?
Because the whole LowCarb quack "hypothesis" about insulin being the main driver of weight gain is a pile of BS.
@@ondrej1893 Let's see your data. Know any type 1 diabetics who lost weight when they started on insulin?
Stop believing What the doctors says that there’s no cure for diabetes, I was recently cured of my Type 2 diabetes with the herbs medication I ordered from Dr Igudia on his CZcams channel
Good comparison! 7:30 it bugs me when companies use a placebo or use an active comparator which is inferior (like here). It happened here as well as in the REDUCE-IT Study, Vascepa vs mineral oil. That mineral oil placebi increased LDL-C by 10% and increased CRP by 32%
This is very good thankyou
Thanks ☺️ it’s so helpful شكراا
Can you do a favour for humanity...send me 1 strip here in india it's not available here but I need it
Thank you for educating people about EDKA. I almost lost my husband to this last week. He had no symptoms until he passed out. It was caused by his low carb diet mixed with the prescribe Jardiance. Thankfully, the ER doctor diagnosed it correctly and the ICU administered the correct treatment. They discontinued the Jardiance.
Hooray! What was his glucose level, and what treatment did he receive?
Could the problem been the Jardiance alone, since many people seem to thrive on low carb diets for a long time
My heart filled with joy and appreciation to Dr Abumere on youtube for curing my HSV with his natural roots and herbs. Am now perfectly okay. God bless you for me. czcams.com/video/KgIh8shZY2Y/video.html ....
Thanks for sharing. Can a 5 month old take the PPSV23?
There is no current need to provide a 5 month old with the PPSV23. At that age they should be receiving the 2nd or 3rd dose of the PCV-13 vaccine series. PPSV23 is considered after the age of 2 depending on the immunocompromised condition. Otherwise PPSV23 isn't utilized until later in life.
Dka due to sglt2 inhibitors are easy target to the covid virus because the immune system is suppressed because of the acidosis and the drug has to be treated with caution in this covid pandemic.
At this time the same level of caution in selecting the ideal candidate for the drug therapy remains in order to reduce the risk of euglycemic DKA. Patients may have slight enhancement of infection due to side-effects of DKA, but no different than DKA in type-1 DM using insulin.
Does they increase the risk....???
The risk of euglycemic DKA is increased with theses agents, but if patient selection and education on management of use of SGLT-2-I during illness or around the time of surgery the risk can be reduced.
Good presentation. One question. You say IDSA does not recommend adding anaerobic coverage unless there's evidence of empyema or lung abscess. We often have patients who are elderly and are very noticeably aspirating. In these patients we will frequently add anaerobic coverage (often unasyn). What do you think of this practice?
Per the guidelines Unasyn is a potential option for a first line beta-lactam choice. We should be using it more for the strep species coverage than the anaerobe (bacteroides). In the silent aspirations we tend to aspirate oral flora/anaerobes like pepto-strepto-coccus. This is easily killed by cephalosporins. My thought process is that we don't given anaerobic coverage for endocarditis prophylaxis (dental manipulation seeding the blood instead of same bacteria falling down the wrong pipe). You could make an argument for enhanced anaerobic coverage (metronidazole) for someone found down/vomiting GI contents that made their way into the lungs (as long as not pneumonitis). Thanks for the question!