

ICU Primary PrepCast
Swapnil
This podcast is about Intensive care pharmacology and physiology. This is created to prepare intensive care trainees for their primary CICM exams. However, it will be of benefit to anyone who works in intensive care and keen to acquire new knowledge or want to refresh their memory.
Episodes
Mentioned books

May 26, 2019 • 23min
#020- Anti-Viral & Anti-Fungal
Dive into the critical world of antiviral and antifungal agents used in intensive care. Discover the pharmacology and clinical applications of acyclovir for herpes infections and oseltamivir's role in treating influenza. Explore the main classes of antifungal agents and their mechanisms, highlighting the importance of combination therapies. Learn how triazole antifungals stack up against various infections and the implications of drug resistance in patient care.

Apr 29, 2019 • 22min
#019- Antibiotics Part 3
Dive into the intricate world of antibiotics as they tackle severe community-acquired pneumonia and the use of Keftriaxone and azithromycin. Discover treatment strategies for patients with penicillin allergies and the rampant issue of antibiotic resistance. The conversation shifts to a clinical case of infective endocarditis, spotlighting the use of vancomycin. Learn the pharmacokinetics of vancomycin and gentamicin in critical care, along with innovative treatments for Vancomycin-resistant Enterococci and a sprinkle of humor to wrap it all up!

Mar 25, 2019 • 20min
#018- Antibiotic Part 2
Dive into the intricacies of antibiotics with a focus on Penicillins and Cephalosporins. Discover how gram staining reveals the structural differences between gram-positive and gram-negative bacteria and why this matters for treatment. Unpack the pharmacology of piperacillin and tazobactam, including its effectiveness and safety for patients. Finally, learn about Ceftriaxone's role against infections and the challenges of bacterial resistance, all while enjoying some trivia along the way!

Mar 2, 2019 • 20min
#017- Antibiotic Pharmacology Part 1
Dive into the world of antibiotics in intensive care! Discover the difference between bacteriostatic and bactericidal antibiotics and why understanding minimum inhibitory concentration is crucial. Learn about pharmacokinetics and how factors like absorption and metabolism impact drug efficacy. Unpack the mechanisms behind different antibiotic classes and the challenges posed by resistance. Plus, find out how critically ill patients' unique needs complicate dosing—topped off with some humor to keep things engaging!

Feb 13, 2019 • 24min
#016- Endocrine Pharmacology
Dive into the intricacies of endocrine pharmacology with a focus on insulin's vital role in energy regulation. Discover the different insulin preparations and their mechanisms, plus an in-depth look at oral hypoglycemic agents like metformin. Learn about the nuances of managing myxedema coma in critical care, emphasizing the emergency use of T3. The podcast also sheds light on levothyroxine, discussing its pharmacokinetics and administration tips, all wrapped up with a touch of humor to lighten the complex topics!

Jan 11, 2019 • 20min
#015- IV Fluids Pharmacology
Delve into the vital world of intravenous fluids used in intensive care. Discover the benefits of balanced solutions like plasma light and the playful banter around New Year’s reflections. Learn about the types and risks of colloids, and compare essential solutions like Hartmann's and 5% dextrose. Gain insights on the pharmacology of albumin, including its different concentrations and implications for volume management. It's essential knowledge for navigating critical patient care with a touch of humor!

Dec 15, 2018 • 24min
#014- Haematology Part 3 - Blood Products
Dive into the critical world of blood products used in the ICU! Explore the vital roles of red and white blood cells, and platelets. Learn about risks and protocols associated with blood transfusions, including the management of complications from massive transfusions. Discover how blood types affect transfusion safety through ABO and Rh systems. Uncover the preparation of platelets, plasma, and cryoprecipitate for treating serious bleeding. Plus, hear about factor concentrates aimed at addressing bleeding disorders, wrapped up with a festive joke!

Nov 21, 2018 • 18min
#013- Haematology Part 2
Maddi and Swapnil dive deep into hematology, covering the intriguing role of platelets in hemostasis. They break down the mechanics of antiplatelet agents like aspirin and clopidogrel, touching on activation and potential side effects. The duo also explores thrombolytics, differentiating between various tPAs and their clinical uses. Additionally, they discuss antifibrinolytics like tranexamic acid, highlighting their applications in critical scenarios. Tune in for a mix of science, humor, and valuable insights!

Nov 6, 2018 • 22min
#012- Haematology Part 1- Anticoagulants in ICU
Dive into the complexities of anticoagulants in intensive care. Explore the pharmacology and uses of warfarin, including its mechanism and risks. Discover the nuances of newer oral anticoagulants like apixaban and rivaroxaban, from their advantages to dosing challenges. Compare heparin with low molecular weight heparins, focusing on their origins and adverse effects. Get insights into monitoring techniques and reversal strategies, all while enjoying a light-hearted quiz at the end!

Oct 15, 2018 • 16min
#011- Gastrointestinal Pharmacology - 2
Explore the intricate world of gastrointestinal pharmacology in ICU settings. Learn about the critical roles of vasopressin and octreotide in managing variceal bleeding, complete with their effects on portal pressure. Dive into the mechanism behind turlipressin and its relevance for critically ill patients. Discover the challenges of hepatic encephalopathy, focusing on lactulose and rifaximin's role in ammonia reduction. Wrap up with a light-hearted comparison of ICU laxative agents, showcasing the unique properties of docusate, senna, and macrogol.


