PharmD, BCPS, BCCCP Critical Care Pharmacist The views expressed here are my own and do not necessarily reflect those of my employer.
New York, NY
Joined December 2018
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Matthew Li retweeted
buff.ly/3FNkRkK Key pharmacotherapy considerations from: @HeavnerPharmD @graceerdman @theABofPharmaC @MAldhaeefi @MichaeliaCucci @iamahawkins @CRosePharmD @SESmithPharmD @CMageePharmD @Matthewlipharmd @mtbastin @accpcritprn
Low key really grateful to work with a team that puts up with and listens to my madness 🙏 💊
#pharmicu @ Queens, New York instagram.com/p/CKpXLmHHFqO/…
There's much to learn about therapeutic anticoagulation in COVID-19; happy to have published our experience!
Continuous Infusion Low-Dose Unfractionated Heparin for the Management of Hypercoagulability Associated With COVID-19.
journals.sagepub.com/doi/ful…
A small glimpse of what pharmacists have been doing during the COVID-19 pandemic.
The Pivotal Role of Pharmacists During the 2019 Coronavirus Pandemic japha.org/article/S1544-3191…
The vibes right now. Glad there was a statement against the use of routine anaerobic coverage for aspiration pneumonia; the actual incidence of anaerobes playing a pathogenic role is much lower than previously estimated.
#FOAMed #infectiousdiseases
Honestly, EVERY ICU should have a critical care pharmacist. One of the the major barriers is quantifying our impact to justify the cost of hiring one. Shoutout to all the healthcare professionals who continue to advocate for our us 🙏
A̶u̶t̶o̶a̶n̶t̶i̶c̶o̶a̶g̶u̶l̶a̶t̶i̶o̶n̶. Cirrhotic patients with an elevated INR are still at high risk for thrombotic events, get yourself a TEG if you're unsure.
ncbi.nlm.nih.gov/pmc/article…
How do you dose therapeutic enoxaparin in obesity?
Patient has a BMI of 60 kg/m^2 (166 kg) and is being started on a warfarin bridge with enoxaparin for an acute DVT.
I typically recommend dose-adjusting to 0.8 mg/kg Q12H with BMI > 40, with Anti-Xa monitoring.
Really interesting take. Although it may not make a clinically significant difference with the dose limits recommended, keep in mind that the injectable forms have propylene glycol. Shameless plug: don't forget to utilize your pharmacist for therapeutic drug monitoring.
Do you resume home psychotropics for your ICU patients?
Impact of early home psychotropic medication reinitiation on surrogate measures of intensive care unit delirium ncbi.nlm.nih.gov/pmc/article…
