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Informatics in Pharmacy

Infectious Disease

Endocarditis Guideline Review

February 24, 2022 By Dr. G, PharmD

Causes: Bacterial infection is the most common cause of endocarditis, specifically viridans group strep, Staphylococcus aureus, HAECK group organisms (Haemophilus species, Aggregatibacter actinomycetemcomitans, Cardiobacterium hominis, Eikenella corrodens, and Kingella kingae), or Enterococcus. Endocarditis can also be caused by fungi, such as Candida. Some weird fastidious bacteria show up too, like Bartonella, Brucella, Coxiella burnetii (causes […]

Sinus Troubles: When Should I See My Doctor

January 5, 2022 By Dr. G, PharmD

We’ve all had sinus troubles before and it’s sometimes hard to tell if it’s a bacterial infection, a virus, or allergies. Your physician probably even has a hard time. Here are some tips on when to see your physician, and when you should visit your local pharmacy for some home remedies. Viral Sinusitis If you’ve […]

Pneumonia

October 13, 2021 By Dr. G, PharmD

Community Acqired Pneumonia (CAP) CAP is usually caused by S. pneumonia, H. influenza, S. aureus, legionella (usually more severe), mycoplasma and Chlamydophila (less severe), and pseudomonas and Enterobacteriaceae sometimes isolated  You don’t usually do cultures in CAP.  Chest infiltrate and cough/sputum are diagnostic. Don’t go by procalcitonin to diagnose or to discontinue therapy. For CAP, there are a […]

COVID-19 mRNA EUA Vaccine FAQs

December 29, 2020 By Dr. G, PharmD

There have been a lot of questions about the COVID-19 mRNA vaccines. I thought I would put together an easy FAQ with some referenced answers. I’ll keep adding to it as I get more questions. I have a FAQ about the Johnson and Johnson vaccine too. Is it Going to Alter my DNA? If you […]

Clostridium/Clostridiodes Difficile

August 26, 2020 By Dr. G, PharmD

Clostridiodes difficile is a pretty big problem, causing quite a bit of morbidity and mortality every year, and it’s becoming more and more common. It can be pretty tricky to treat. C. diff is an anaerobic, spore-forming rod and it makes a toxin that contributes to the severity of the disease. It causes diarrhea and […]

Sinusitis

August 13, 2020 By Dr. G, PharmD

Sinusitis is usually viral.  Only use antibiotics if signs and symptoms are greater than 10 days or purulent discharge with a fever greater than 102 degrees. Viral is quick, usually lasting less than a week.  Bacterial often has double sickening and purulent discharge. Do not do imaging unless immunocompromised or orbital cranial involvement. Only symptomatic relief for […]

Respiratory Syncytial Virus

August 13, 2018 By Dr. G, PharmD

Treatment: Mostly supportive care Ribavirin – only in select patients (complicated congenital heart disease, chronic lung disease, bronchopulmonary dysplasia, immunocompromised patients) Beta-agonists or race epinephrine – not usually used Corticosteroids, hypertonic saline or antibiotics are also not usually used. Prophylaxis: Palivizumab: 15 mg/kg/dose; prophylaxis is not recommended if > 29 weeks gestation (risk factors not considered) Neonates […]

Meningitis

August 13, 2018 By Dr. G, PharmD

Signs and Symptoms: Brudzinski sign and Kernig Sign Fever, altered mental status, neck, stiffness, seizures, neurological deficits Treatment: <1-month-old – ampicillin (listeria coverage) and cefotaxime or gentCommon pathogens: Group B Strep, E. coli, K. pneumoniae, Enterobacter, Listeria monocytogenes 1-23 months old – vancomycin and ceftriaxone or cefotaximeCommon pathogens: S. pneumoniae, N. meningitidis, H. influenzae 18-50 years –  vancomycin […]

Otitis Media

August 13, 2018 By Dr. G, PharmD

Analgesia: APAP, NSAIDS, rarely opioids. Avoid ASA in kids. Antihistamines and decongestants are not usually recommended. Antibiotics only if: Bulging tympanic membrane, perforation or otorrhea Delay unless fever or otalgia > 48-72 hours in kids > 2 years. Not usually for otitis media with effusion, only if greater than 3 months Not for the persistence of […]

Sexually Transmitted Disease

August 13, 2018 By Dr. G, PharmD

Syphilis: Pen G x 1 or doxycycline In more severe cases may treat weekly for 3 weeks. For neurosyphilis, PenG infusion for 10-14 days. Treat all sex partners within last 90 days. If a patient with neurosyphilis is allergic to PCN, desensitization is best.  Neurosyphilis is not as vulnerable to doxy. Chlamydia: Azithromycin X 1 Doxy […]

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More to See

What You Need to Know About the 2022 Avian Influenza Outbreak

March 20, 2022 By Dr. G, PharmD

Endocarditis Guideline Review

February 24, 2022 By Dr. G, PharmD

Sinus Troubles: When Should I See My Doctor

January 5, 2022 By Dr. G, PharmD

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acid base acidosis acute coronary syndrome alkalosis analgesics anaphylaxis aortic dissection arrhythmia Beta-Blockers biostatistics blood pressure cardiac markers CHA2DS2-VasC cocaine COVID-19 diabetes diabetes inspidius Guidelines heart failure Heparin hypersensitivity hypertension hypovolemic shock intubation ionotropes journal club lipids LMWH medication safety morphine conversions myocardial infarction needs work NOAC NSTEMI obstructive shock pharmacoeconomics pheochromocytoma pressors reference materials right mi sedation septic shock shock STEMI Updated 2020

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acid base acidosis acute coronary syndrome alkalosis analgesics anaphylaxis aortic dissection arrhythmia Beta-Blockers biostatistics blood pressure cardiac markers CHA2DS2-VasC cocaine COVID-19 diabetes diabetes inspidius Guidelines heart failure Heparin hypersensitivity hypertension hypovolemic shock intubation ionotropes journal club lipids LMWH medication safety morphine conversions myocardial infarction needs work NOAC NSTEMI obstructive shock pharmacoeconomics pheochromocytoma pressors reference materials right mi sedation septic shock shock STEMI Updated 2020