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Digital PharmD

Informatics in Pharmacy

Pediatrics

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 […]

ADHD

August 13, 2018 By Dr. G, PharmD

Stimulants: Try amphetamine or methylphenidate before giving up on stimulants Norepinephrine reuptake inhibitors or antidepressants if stimulants don’t work Atomoxetine, clonidine and guanfacine are also choices.***this one needs some flushing out***

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 […]

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March 20, 2022 By Dr. G, PharmD

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February 24, 2022 By Dr. G, PharmD

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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