Chicky PharmD
@chickylady.bsky.social
Peds/NICU Pharmacist, interested in all things pharmacy, boy mom, cat mom, wife, gardener, Oregon
Reposted by Chicky PharmD
📣💊 Attention Pharmacists, Physicians, and Nurses! It's not too late to celebrate #WAAW with free, on-demand CE from our @cidrap.bsky.social Antimicrobial Stewardship Project. Three webinars available now through January with some amazing guest speakers #MedSky #IDSky #PharmSky
tinyurl.com/4c7wcbs2
tinyurl.com/4c7wcbs2
Antimicrobial Stewardship Webinars
www.cidrap.umn.edu
November 25, 2024 at 4:29 PM
📣💊 Attention Pharmacists, Physicians, and Nurses! It's not too late to celebrate #WAAW with free, on-demand CE from our @cidrap.bsky.social Antimicrobial Stewardship Project. Three webinars available now through January with some amazing guest speakers #MedSky #IDSky #PharmSky
tinyurl.com/4c7wcbs2
tinyurl.com/4c7wcbs2
Reposted by Chicky PharmD
When researching switching protocols between GLP-1 agonists, found this helpful type 2 diabetes comparative dose chart published in ADA Clinical Diabetes (helpful for shortages) #pharmsky #pharmD #pharamcist #glp1agonist #diabetes #type2diabetes #endocrinology #medsky #nursingsky
November 26, 2024 at 12:48 AM
When researching switching protocols between GLP-1 agonists, found this helpful type 2 diabetes comparative dose chart published in ADA Clinical Diabetes (helpful for shortages) #pharmsky #pharmD #pharamcist #glp1agonist #diabetes #type2diabetes #endocrinology #medsky #nursingsky
Reposted by Chicky PharmD
The master of the “plane crash, we’re hungry, and now we’re dead” toxicology learning tales! #ToxSky #MedSky #RxSky
Your plane crashes. You, Ariana Grande, and Cynthia Erivo are the only survivors. You are all starving to death.
You come across this mushroom. Ariana and Cynthia say they have been holding space in their stomachs for this mushroom and would like to eat it.
What do you think?
You come across this mushroom. Ariana and Cynthia say they have been holding space in their stomachs for this mushroom and would like to eat it.
What do you think?
November 26, 2024 at 1:00 AM
Reposted by Chicky PharmD
🚨 Great teaching article
💡Review of cancer therapies that ⬆️ risk of arrhythmias (Did you know Ibrutinib ⬆️ AF risk by 15 fold 🤯)
💡Rate control typically preferred
💡AC can be challenging in frail, pancytopenic, ⬆️🩸risk pts
💡👀 for DDIs
🌟Tailor therapy
#CardioSky #SkyRx
pubmed.ncbi.nlm.nih.gov/39551561/
💡Review of cancer therapies that ⬆️ risk of arrhythmias (Did you know Ibrutinib ⬆️ AF risk by 15 fold 🤯)
💡Rate control typically preferred
💡AC can be challenging in frail, pancytopenic, ⬆️🩸risk pts
💡👀 for DDIs
🌟Tailor therapy
#CardioSky #SkyRx
pubmed.ncbi.nlm.nih.gov/39551561/
Arrhythmia Challenges in Cardio-Oncology: High-Risk Therapies, Management, and Anticoagulation - PubMed
Cardiovascular disease and cancer are the leading cause of mortality in the United States. In 2021, there were 695,547 and 605,213 deaths due to heart disease and cancer, respectively. With novel onco...
pubmed.ncbi.nlm.nih.gov
November 26, 2024 at 2:02 PM
🚨 Great teaching article
💡Review of cancer therapies that ⬆️ risk of arrhythmias (Did you know Ibrutinib ⬆️ AF risk by 15 fold 🤯)
💡Rate control typically preferred
💡AC can be challenging in frail, pancytopenic, ⬆️🩸risk pts
💡👀 for DDIs
🌟Tailor therapy
#CardioSky #SkyRx
pubmed.ncbi.nlm.nih.gov/39551561/
💡Review of cancer therapies that ⬆️ risk of arrhythmias (Did you know Ibrutinib ⬆️ AF risk by 15 fold 🤯)
💡Rate control typically preferred
💡AC can be challenging in frail, pancytopenic, ⬆️🩸risk pts
💡👀 for DDIs
🌟Tailor therapy
#CardioSky #SkyRx
pubmed.ncbi.nlm.nih.gov/39551561/
Reposted by Chicky PharmD
Drug patent extension is about to be back in the news with Merck's subcutaneous pembro announcement.
Here's some background on how patent extenders work and how common this is for 'blockbuster' drugs (72%!): academic.oup.com/jlb/article/...
#HealthPolicy #MedSky #OncSky #PharmSky
Here's some background on how patent extenders work and how common this is for 'blockbuster' drugs (72%!): academic.oup.com/jlb/article/...
#HealthPolicy #MedSky #OncSky #PharmSky
November 28, 2024 at 11:41 PM
Drug patent extension is about to be back in the news with Merck's subcutaneous pembro announcement.
Here's some background on how patent extenders work and how common this is for 'blockbuster' drugs (72%!): academic.oup.com/jlb/article/...
#HealthPolicy #MedSky #OncSky #PharmSky
Here's some background on how patent extenders work and how common this is for 'blockbuster' drugs (72%!): academic.oup.com/jlb/article/...
#HealthPolicy #MedSky #OncSky #PharmSky
Reposted by Chicky PharmD
Any tips for getting a 3 y/o to take medication? We are basically having to water board her at this point and it is traumatic for everyone.
November 30, 2024 at 2:36 PM
Any tips for getting a 3 y/o to take medication? We are basically having to water board her at this point and it is traumatic for everyone.
Reposted by Chicky PharmD
Here is an interesting case & skeetorial of daptomycin-induced eosinophilic pneumonia! #medsky #pharmsky #IDsky
ICU Stories:
Patient with COPD-obstr sleep apnea (5 l/m O2 nasal cannula at baseline) / A. fib / diastolic heart failure / DM2 / vascular dz / HTN / CKD / morbid obesity (BMI 50) etc presents to the ED with dyspnea/cough/weakness x 2 days. Felt warm; did not check temperature. CXR in ED:
Patient with COPD-obstr sleep apnea (5 l/m O2 nasal cannula at baseline) / A. fib / diastolic heart failure / DM2 / vascular dz / HTN / CKD / morbid obesity (BMI 50) etc presents to the ED with dyspnea/cough/weakness x 2 days. Felt warm; did not check temperature. CXR in ED:
December 1, 2024 at 12:18 AM
Reposted by Chicky PharmD
Skytorial: Five pearls on olanzapine 😁
Between agitation and nausea/vomiting, olanzapine has a wide range of use.
Olanzapine is generally not a front-line agent (e.g., haloperidol or ondansetron often are). But sometimes, it really comes in clutch....
Between agitation and nausea/vomiting, olanzapine has a wide range of use.
Olanzapine is generally not a front-line agent (e.g., haloperidol or ondansetron often are). But sometimes, it really comes in clutch....
a man in a plaid shirt sits at a picnic table with the words " settle down " on the bottom
ALT: a man in a plaid shirt sits at a picnic table with the words " settle down " on the bottom
media.tenor.com
November 27, 2024 at 1:17 PM
Skytorial: Five pearls on olanzapine 😁
Between agitation and nausea/vomiting, olanzapine has a wide range of use.
Olanzapine is generally not a front-line agent (e.g., haloperidol or ondansetron often are). But sometimes, it really comes in clutch....
Between agitation and nausea/vomiting, olanzapine has a wide range of use.
Olanzapine is generally not a front-line agent (e.g., haloperidol or ondansetron often are). But sometimes, it really comes in clutch....
Reposted by Chicky PharmD
ICU Stories:
Middle-aged patient w multiple co-morbidities (CAD/DM2/strokes/seizures/peripheral vasc dz/atrial fibrillation/chronic Foley - UTIs etc) was sent from nursing home to the ED for evaluation of fever/ hypotension. Urine was purulent. CT showed hydronephrosis & bladder wall thickening:
Middle-aged patient w multiple co-morbidities (CAD/DM2/strokes/seizures/peripheral vasc dz/atrial fibrillation/chronic Foley - UTIs etc) was sent from nursing home to the ED for evaluation of fever/ hypotension. Urine was purulent. CT showed hydronephrosis & bladder wall thickening:
November 29, 2024 at 9:09 PM
ICU Stories:
Middle-aged patient w multiple co-morbidities (CAD/DM2/strokes/seizures/peripheral vasc dz/atrial fibrillation/chronic Foley - UTIs etc) was sent from nursing home to the ED for evaluation of fever/ hypotension. Urine was purulent. CT showed hydronephrosis & bladder wall thickening:
Middle-aged patient w multiple co-morbidities (CAD/DM2/strokes/seizures/peripheral vasc dz/atrial fibrillation/chronic Foley - UTIs etc) was sent from nursing home to the ED for evaluation of fever/ hypotension. Urine was purulent. CT showed hydronephrosis & bladder wall thickening:
Reposted by Chicky PharmD
Our new @txidfellows.bsky.social paper is out! This one on ASP in #TxID. Practical tips for beginners and early career faculty. @courtharrismd.bsky.social @rebeccakumar.bsky.social @divsharma.bsky.social @mirandapharmdmph.bsky.social @hannah-imlay.bsky.social
🆕️🔥Article @thetxidjournal.bsky.social
Not Just an Oxymoron: The Utilitarian's Guide to Antimicrobial Stewardship in Transplant Infectious Diseases
Table ✨️2: TID ASP opportunities & initiatives
#idsky #medsky #Txid
onlinelibrary.wiley.com/doi/full/10....
Not Just an Oxymoron: The Utilitarian's Guide to Antimicrobial Stewardship in Transplant Infectious Diseases
Table ✨️2: TID ASP opportunities & initiatives
#idsky #medsky #Txid
onlinelibrary.wiley.com/doi/full/10....
November 25, 2024 at 10:53 PM
Our new @txidfellows.bsky.social paper is out! This one on ASP in #TxID. Practical tips for beginners and early career faculty. @courtharrismd.bsky.social @rebeccakumar.bsky.social @divsharma.bsky.social @mirandapharmdmph.bsky.social @hannah-imlay.bsky.social
Reposted by Chicky PharmD
Oral switch for endocarditis treatment whenever possible should be a standard of care
"Following the POET trial, we found a reduction in median LOS of 8 days with no change in mortality and an associated lower rate of relapse of bacteremia."
doi.org/10.1016/j.ja...
"Following the POET trial, we found a reduction in median LOS of 8 days with no change in mortality and an associated lower rate of relapse of bacteremia."
doi.org/10.1016/j.ja...
November 25, 2024 at 11:48 PM
Oral switch for endocarditis treatment whenever possible should be a standard of care
"Following the POET trial, we found a reduction in median LOS of 8 days with no change in mortality and an associated lower rate of relapse of bacteremia."
doi.org/10.1016/j.ja...
"Following the POET trial, we found a reduction in median LOS of 8 days with no change in mortality and an associated lower rate of relapse of bacteremia."
doi.org/10.1016/j.ja...
Reposted by Chicky PharmD
Ocular infections are some of the most challenging to treat. Uncertain penetration of systemic antibiotics into ocular tissue, need for intravitreal antibiotics, high risk for vision loss and even enucleation. This review in CID is fantastic. #IDSKY 🧪
academic.oup.com/cid/article/...
academic.oup.com/cid/article/...
State-of-the-Art Review: Ocular Infections
Collaborations between ophthalmologists and infectious disease specialists are critical for optimizing care of many patients with eye infections. We review
academic.oup.com
November 25, 2024 at 8:31 PM
Ocular infections are some of the most challenging to treat. Uncertain penetration of systemic antibiotics into ocular tissue, need for intravitreal antibiotics, high risk for vision loss and even enucleation. This review in CID is fantastic. #IDSKY 🧪
academic.oup.com/cid/article/...
academic.oup.com/cid/article/...
Reposted by Chicky PharmD
New on bsky and looking for your tribe? Check this ultimate directory of Starter Packs #new_here #starterpack blueskydirectory.com/starter-pack...
All - Bluesky Directory
A curated collection of all things relating to the Blue Sky social media platform.
blueskydirectory.com
November 16, 2024 at 7:26 PM
New on bsky and looking for your tribe? Check this ultimate directory of Starter Packs #new_here #starterpack blueskydirectory.com/starter-pack...
Reposted by Chicky PharmD
If you haven’t caught up on the PLUSS trial results yet, published a few days ago in JAMA #neosky #nicusky
Link to paper: jamanetwork.com/journals/jam...
Link to editorial: jamanetwork.com/journals/jam...
Link to audio podcast: edhub.ama-assn.org/jn-learning/...
Link to paper: jamanetwork.com/journals/jam...
Link to editorial: jamanetwork.com/journals/jam...
Link to audio podcast: edhub.ama-assn.org/jn-learning/...
Intratracheal Budesonide Mixed With Surfactant for Extremely Preterm Infants
This randomized trial assesses the effect of intratracheal budesonide mixed with surfactant on survival free of bronchopulmonary dysplasia in extremely preterm infants.
jamanetwork.com
November 15, 2024 at 8:48 PM
If you haven’t caught up on the PLUSS trial results yet, published a few days ago in JAMA #neosky #nicusky
Link to paper: jamanetwork.com/journals/jam...
Link to editorial: jamanetwork.com/journals/jam...
Link to audio podcast: edhub.ama-assn.org/jn-learning/...
Link to paper: jamanetwork.com/journals/jam...
Link to editorial: jamanetwork.com/journals/jam...
Link to audio podcast: edhub.ama-assn.org/jn-learning/...
Reposted by Chicky PharmD
happy #antibioticawarenessweek!🦠
sharing a paper I ❤️ from Dr. Dinh, a lovely human who told me they noticed in their RCTs that some patients were getting exclusive PO treatment for CAP (dealers choice!) They explored these pts and its worth a read #idsky #pharmsky
pubmed.ncbi.nlm.nih.gov/38734138/
sharing a paper I ❤️ from Dr. Dinh, a lovely human who told me they noticed in their RCTs that some patients were getting exclusive PO treatment for CAP (dealers choice!) They explored these pts and its worth a read #idsky #pharmsky
pubmed.ncbi.nlm.nih.gov/38734138/
Exclusive oral antibiotic treatment for hospitalized community-acquired pneumonia: a post-hoc analysis of a randomized clinical trial - PubMed
This trial is registered with ClinicalTrials.gov, NCT01963442.
pubmed.ncbi.nlm.nih.gov
November 18, 2024 at 2:31 PM
happy #antibioticawarenessweek!🦠
sharing a paper I ❤️ from Dr. Dinh, a lovely human who told me they noticed in their RCTs that some patients were getting exclusive PO treatment for CAP (dealers choice!) They explored these pts and its worth a read #idsky #pharmsky
pubmed.ncbi.nlm.nih.gov/38734138/
sharing a paper I ❤️ from Dr. Dinh, a lovely human who told me they noticed in their RCTs that some patients were getting exclusive PO treatment for CAP (dealers choice!) They explored these pts and its worth a read #idsky #pharmsky
pubmed.ncbi.nlm.nih.gov/38734138/
Reposted by Chicky PharmD
🌟 ABX Pearl of the Day: Duration of treatment in intra-abdominal infections (IAI)! 💊
💡 Q: How long should I treat IAI after source control?
🔍 A: While STOP-IT trial calls for 4 days post-source control, there are notable exceptions. See infographic for details 👇
#IDsky #AMSsky #MedSky #Pharmsky
💡 Q: How long should I treat IAI after source control?
🔍 A: While STOP-IT trial calls for 4 days post-source control, there are notable exceptions. See infographic for details 👇
#IDsky #AMSsky #MedSky #Pharmsky
November 22, 2024 at 6:07 PM
Reposted by Chicky PharmD
Hi #IDsky & #PharmSky! 👋 I'm an ABX stewie (formerly critical care) at Stanford:
✨ Passionate about learning from others in ID, ASP, & RX.
🛠️ Love creating tools & education for frontline clinicians.
📚 Started Stanford ABX pearls series and Obesity ABX Guidance
Excited to connect and share ideas!
✨ Passionate about learning from others in ID, ASP, & RX.
🛠️ Love creating tools & education for frontline clinicians.
📚 Started Stanford ABX pearls series and Obesity ABX Guidance
Excited to connect and share ideas!
ABX Pearls
med.stanford.edu
November 16, 2024 at 3:48 PM
Reposted by Chicky PharmD
Love our peds ASP colleagues and their amazing tools! ♥️ One of our ED's go-to favorites is their pediatric Amox-Clav Dosing Guide—because seriously, who can keep track of all those doses and formulations/ratios?
Welcome to Blue Sky! 🌟 #AMSsky #IDsky #pharmsky #skyRX #medsky
Welcome to Blue Sky! 🌟 #AMSsky #IDsky #pharmsky #skyRX #medsky
November 22, 2024 at 10:16 PM
Reposted by Chicky PharmD
Looks like I’ve made a lot of new friends here across med/pharm/bio/eco!
I’m Thom Mack, a Clinical Toxicologist☠️ & EM PharmD in the SW🏜️. During ☠️-fellowship I was fascinated by rattle-🐍s & stayed for a 2nd fellowship in 🐍 envenoming.
So let’s talk about SNAKES! #MedSky #ToxSky #RxSky
I’m Thom Mack, a Clinical Toxicologist☠️ & EM PharmD in the SW🏜️. During ☠️-fellowship I was fascinated by rattle-🐍s & stayed for a 2nd fellowship in 🐍 envenoming.
So let’s talk about SNAKES! #MedSky #ToxSky #RxSky
a store front with a sign that says pet shop
ALT: a store front with a sign that says pet shop
media.tenor.com
November 23, 2024 at 1:06 AM
Reposted by Chicky PharmD
Why do people wear shoe covers in the operating room?
💥 The reason may surprise you!
A 🧵 about the #HistoryOfMedicine and the dangers of blindly following traditions.
onepagericu.com/blog/cx1l66q...
1/
💥 The reason may surprise you!
A 🧵 about the #HistoryOfMedicine and the dangers of blindly following traditions.
onepagericu.com/blog/cx1l66q...
1/
Dissipating The Myth of Shoe Covers — ICU One Pager
If you work in a hospital chances are you've put on shoes covers. This is a well intentioned practice largely predicated on a misunderstanding about the history of medicine. Originally, shoe covers we...
onepagericu.com
November 23, 2024 at 5:39 PM
Reposted by Chicky PharmD
Less is sometimes more! 💪🏻🔥
NSAIDs have a ceiling dose. Ketorolac 10 mg may be just as effective as 30 mg but side effects like bleeding are dose-related. #medsky #pharmsky #EMSky #SkyRx
pubmed.ncbi.nlm.nih.gov/27993418/
NSAIDs have a ceiling dose. Ketorolac 10 mg may be just as effective as 30 mg but side effects like bleeding are dose-related. #medsky #pharmsky #EMSky #SkyRx
pubmed.ncbi.nlm.nih.gov/27993418/
Comparison of Intravenous Ketorolac at Three Single-Dose Regimens for Treating Acute Pain in the Emergency Department: A Randomized Controlled Trial - PubMed
Ketorolac has similar analgesic efficacy at intravenous doses of 10, 15, and 30 mg, showing that intravenous ketorolac administered at the analgesic ceiling dose (10 mg) provided effective pain relief...
pubmed.ncbi.nlm.nih.gov
November 23, 2024 at 1:21 PM
Less is sometimes more! 💪🏻🔥
NSAIDs have a ceiling dose. Ketorolac 10 mg may be just as effective as 30 mg but side effects like bleeding are dose-related. #medsky #pharmsky #EMSky #SkyRx
pubmed.ncbi.nlm.nih.gov/27993418/
NSAIDs have a ceiling dose. Ketorolac 10 mg may be just as effective as 30 mg but side effects like bleeding are dose-related. #medsky #pharmsky #EMSky #SkyRx
pubmed.ncbi.nlm.nih.gov/27993418/
Reposted by Chicky PharmD
🧵of beta-lactam antibiotic learning points I developed for learners on rotation. Feedback welcome - there are a ton of brilliant people here who do really cool science in these areas. Would love to learn more! Hope you enjoy this learner-🎯tweetorial #IDSky #PharmSky #PharmEd #MedEd 1/n
November 24, 2024 at 6:56 PM