
Pharmacy to Dose: The Critical Care Podcast
Pharmacy to Dose: The Critical Care Podcast discusses critical care and its pharmacotherapy in a fun and entertaining manner. Each episode features a special guest, a subject matter expert, talking with host Nick Peters.
Latest episodes

Feb 19, 2021 • 1h 24min
Oncologic Emergencies
Oncologic Emergencies
Special Guest: Siu Yan Amy Yeung, PharmD, BCPS, BCCCP
Show Notes: https://pharmacytodose.files.wordpress.com/2021/02/oncologic-emergencies-show-notes-1.pdf
Reference List: https://pharmacytodose.files.wordpress.com/2021/02/oncologic-emergencies-references.pdf
06:00 – Oncologic emergency overview; 10:12 – Tumor lysis syndrome; 46:40 – Hypercalcemia of malignancy; 67:12 – Superior vena cava syndrome; 75:05 – Take-home points
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Jan 28, 2021 • 1h 34min
Trauma Alert Part II: ICU Management
Trauma Alert Part II: ICU Management
Special Guest: Melanie Smith Condeni, PharmD, BCPS, BCCCP
Show Notes: https://pharmacytodose.files.wordpress.com/2021/01/trauma-alert-icu-management-show-notes.pdf
Reference List: https://pharmacytodose.files.wordpress.com/2021/01/trauma-alert-icu-management-references.pdf
05:25 – Pain, agitation, and delirium management; 24:30 – VTE prophylaxis; 48:47 – Open fracture antibiotics; 52:16 – Identifying infections; 57:03 – Neurostorming; 66:42 – TBI clinical pearls; 82:34 – Bowel regimens; 87:14 – Take-home points
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Jan 6, 2021 • 1h 13min
Practice-Based Research
Practice-Based Research
Special Guest: Alex Flannery, PharmD, FCCM, BCCCP, BCPS
Show Notes: https://pharmacytodose.files.wordpress.com/2021/01/practice-based-research-show-notes-1.pdf
Reference List: https://pharmacytodose.files.wordpress.com/2021/01/practice-based-research-references-1.pdf
04:17 – Defining practice-based research; 06:02 – Importance of research; 12:38 – Developing infrastructure that supports research; 18:59 – Finding a good research idea; 22:15 – Research v. MUE; 25:48 – Reducing duplicate research studies; 28:00 – Developing an idea into a study; 31:52 – Study design resources; 35:23 – Research funding; 43:12 – Statistics; 47:05 – Manuscript publishing; 52:15 – Implementing results from practice-based research; 55:00 – Most common research pitfalls; 59:04 – Student/resident research mentorship; 62:00 – Practice-based research networks; 64:40 – Take-home points
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Dec 11, 2020 • 1h 9min
Alcohol Withdrawal Disorder
Alcohol Withdrawal Disorder
Special Guest: Kent Owusu, PharmD, BCCCP, BCPS
Show Notes: https://pharmacytodose.files.wordpress.com/2020/12/alcohol-withdrawal-show-notes.pdf
Reference List: https://pharmacytodose.files.wordpress.com/2020/12/alcohol-withdrawal-references.pdf
05:50 – Consequences of alcohol withdrawal; 06:56 – Diagnosis/Pathophysiology; 11:15 – Treatment goal; 12:20 – Alcohol for withdrawal prevention; 15:30 – Benzodiazepine treatment considerations; 25:45 – Monitoring tools; 30:40 – Phenobarbital; 38:50 – Dexmedetomidine; 43:20 – Ketamine; 47:40 – Propofol; 51:43 – Valproic Acid and Gabapentin; 58:25 – Take-home points
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Nov 27, 2020 • 1h 13min
Trauma Alert Part 1 Acute Management
Trauma Alert Part I: Acute Management
Special Guest: Brian Gilbert, PharmD, BCCCP, BCPS
Show Notes: https://pharmacytodose.files.wordpress.com/2020/11/trauma-part-1-show-notes.pdf
Reference List: https://pharmacytodose.files.wordpress.com/2020/11/trauma-part-1-references.pdf
05:12 – Pre-arrival preparation; 14:19 – Pharmacist role on trauma team; 15:40 – Primary survey; 23:37 – Massive transfusion protocol; 27:00 – Viscoelastography; 40:34 – PCC administration and dosage; 44:40 – Calcium; 51:00 – RSI/PAD considerations; 56:10 – Open fractures and antibiotics; 58:37 – Elevated ICP management; 62:37 – Take-home points
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Nov 7, 2020 • 1h 52min
2020 ACCP Annual Meeting Recap
2020 ACCP Annual Meeting Recap
Special Guest: Anthony Hawkins, PharmD, BCCCP
Reference List: https://pharmacytodose.files.wordpress.com/2020/11/2020-accp-annual-meeting-references.pdf
06:30 – Virtual v. in-person meetings; 30:35 – BIG announcement!; 34:15 – Poster sessions; 47:00 – Scientific sessions
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Sep 14, 2020 • 1h 46min
Pulmonary Hypertension
Pulmonary Hypertension
Special Guest: Brian Murray, PharmD, BCCCP
Reference List: https://pharmacytodose.files.wordpress.com/2020/09/ph-references.pdf
03:38 – Recent changes in PH management; 05:05 – PH classification; 10:22 – PH functional classification; 13:15 – PH diagnosis; 16:00 – Vasoreactivity challenge; 18:51 – Drug-induced PH; 21:08 – Short- and long-term PAH treatment goals; 23:50 – PH risk factors; 26:00 – Modifying outpatient PH medications/medication regimens; 33:03 – Fluid management in PH; 35:37 – VTE prophylaxis/treatment in PAH; 38:32 – Management of arrhythmias in PAH; 41:35 – CCB for PH treatment; 46:24 – Comparative studies in PH; 47:37 – Prostacyclins; 71:30 – Endothelin receptor antagonists; 76:04 – Phosphodiesterase inhibitors; 77:00 – sGC stimulator; 80:00 – Preferred treatment of PAH?; 84:53 – Vasopressors in patients with PH; 88:50 – Acute RV decompensation; 92:32 – Effect of positive pressure ventilation on PH; 94:55 – Management of outpatient PH infusion pumps; 97:22 – Take-home points
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Aug 26, 2020 • 1h 35min
Antithrombotic & Anticoagulant Therapy with Cardiac Devices
Antithrombotic and Anticoagulant Therapy with Cardiac Devices
Special Guest: Craig Beavers, PharmD, FACC, FAHA, FCCP, BCCP, BCPS (AQ-Cardiology), CACP
Show Notes: https://pharmacytodose.files.wordpress.com/2020/08/ap-and-ac-with-cardiac-devices-show-notes.pdf
Reference List: https://pharmacytodose.files.wordpress.com/2020/08/ap-and-ac-with-cardiac-devices-references.pdf
04:35 – MCS Overview; Case I; 07:45 – IABP Overview; Case I Continued; 17:17 – IABP Anticoagulation; Case I Continued; 24:03 – Impella Overview; Case IIl; 31:50 – Impella Anticoagulation; Case II Continued; 52:00 – LVAD thrombosis/bleeding management; Case III; 62:47 – Anticoagulation with Watchmen device; Case IV; 72:20 – TAVR overview; Case V; 80:45 – IV cangrelor; 82:37 – Does MCS reduce mortality?; 84:28 – Future research; 85:25 – Take-home points
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Aug 13, 2020 • 1h 41min
Pediatric Critical Care Part I
Pediatric Critical Care Part I
Special Guest: Joseph LaRochelle, PharmD, BCPPS, FCCP
Resource List: https://pharmacytodose.files.wordpress.com/2020/08/pediatric-critical-care-part-i-resources.pdf
04:22 – Applying adult principles to kids?; 06:01 – Neonatal/pediatric vital signs; 10:25 – Pediatric/neonatal PK changes; 20:34 – Cytochrome P450 metabolism; 31:20 – Pediatric renal function/elimination; 44:22 – Pediatric v. adult dosing; 51:10 – Pediatric medication safety principles; 60:45 – Memorizing pediatric dosing; 70:13 – Pediatric weights; 74:26 – Pediatric Pharmacist training; 84:20 – Advice for Pharmacists; 86:43 – Take-home points
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Jul 26, 2020 • 1h 42min
Ventricular Arrhythmias
Ventricular Arrhythmias
Special Guest: Matthew Wanat, PharmD, BCPS, BCCCP, FCCM
Show Notes: https://pharmacytodose.files.wordpress.com/2020/07/ventricular-arrhythmias-show-notes.pdf
Reference List: https://pharmacytodose.files.wordpress.com/2020/07/ventricular-arrhythmias-references.pdf
04:00 – What are arrhythmias?; 05:30 – Why are arrhythmias harmful/dangerous?; 06:58 – Risk factors; 09:12 – Common atrial arrhythmias; 10:19 – General arrhythmia treatment principles; 12:45 – When to use rhythm control for AF; 14:37 – Adenosine; 22:04 – Non-sustained VT/PVCs; 27:00 – Monomorphic v. Polymorphic VT; 30:53 – Torsades de Pointes; 34:16 – QTc prolongation; 42:18 – VF v. VT; 43:29 – Pulseless VT/VF; 49:30 – Amiodarone; 54:55 – Lidocaine/Mextiletine; 64:10 – Sotalol; 67:40 – Sodium channel blockers; 70:25 – Isoproterenol; 73:43 – BB/CCB; 78:29 – Long-term management; 80:34 – Stroke risk with ventricular arrhythmias; 82:20 – Prevention; 83:40 – EKG Interpretation; 86:48 – Step-wise approach; 88:13 – Take-home points; 90:00 – Small talk
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