Clinical pharmacy in ICU course

Only inpatient & clinical pharmacist know this labels 😉😉
1- red label : indicate for high alert drugs like narrow therapeutic index & potent drugs
2- blue label : indicate for high concentrated solution like KCL ampoule
3- yellow label : indicate for LASA which mean sound like and look like drugs
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تعالى هنا خد المعلومة دى هتعجبك و الله 😃😃
1- B1-selective agents (atenolol, bisoprolol) are commonly used because they less commonly cause bronchospasm. At higher doses,B1 selectivity is lost.
2- carvedilol and labetolol have alpha-blocking effects
3- sotalol has class III antiarrhythmic properties (potassium channel blockade).
4-CONTRAINDICATED in heart block, asthma, and significant bradycardia.

عمرك سالت نفسك ايه الفرق بين
hyperuricemia and gout :)
تعالى نشوف كده و ركز معايا
1- gout is inflammation at major joints as a result of accumulation of uric acid in it
2- hyperuricemia is elevation in serum uric acid in blood without evidence of joints inflammation
3- gout is an end stage of long hyperuricemia
4- alot of drugs like duritecs and ACE inhibitors cause hyperuricemia and using traditional gout therapy will not improve the case
5- gout is a disease require management plan but hyperuricemia is a symptom of many disease or side effect from many drugs .
مش كل يوريك اسيد عالى تديله زيلوريك او فيبيوريك 😂😂

We are back 😀😀

only clinical pharmacy in ICU know that about midazolam (dormicum) :)
1-most widely used in ICU in agitation management
2-short acting benzodiazepine act as Anxiolitic and sedative
3-Undergoes phase I hepatic metabolism to an active glucuronidated metabolite, α1-hydroxymidazolam, which is then renally excreted
4-check renal and hepatic function to avoid accumulation

only clinical pharmacist in ICU know the relation between DKA and potassium level :)
1- DKA cause decrease in potassium level due to excessive fluid loss in urination
2- aggressive insulin therapy in DKA cause decrease in potassium level
3- in some cases acidosis develop which require sodium bi carbonate therapy which also decrease potassium level
so monitoring potassium level during DKA is very important :)
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only clinical pharmacist in ICU know that about ACE inhibitors :)
1- May precipitate hypotension (especially after the first dose), dry cough, muscle cramps, hyperkalemia and renal impairment.
2- In heart failure, always start with the lowest dose possible (in contrast to hypertension, in which a higher starting dose is acceptable)
3- Do not always assume that the worsening cough in heart failure patients is due to ACE inhibitors. Increasing cough could indicate worsening heart failure, therefore careful assessment is required.
4- If patient complains of dry cough that is intolerable, substitute the ACE inhibitor with an ARB. It may take 3 weeks for cough to disappear after discontinuation of ACE inhibitors.
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للاسف بشوف كتير من الصيادلة الشباب محبطين و اللى بيفكر يغير مجال و اللى مش عارف هيبتدى ازاى او عايز ايه احب اقول للناس دى معلومة أن أكبر مجموعة مستشفيات فى الشرق الأوسط المدير التنفيذى ليها صييييدلى . خلى عندك ثقة بالله و اجتهد و اتعلم و خلى الجملة دى قدامك
** لكل مجتهد نصيب و ربنا عمره ما يضيع تعب حد ابدا **

only clinical pharmacy know that about unistin ( platinol ) :)

1- Available conc 10mg/10 ml, 50mg/50ml, 100mg/100ml
2- Contain cisplatin
3- light sensitive & compatible with 0.9% NACL
4- Dose 50-100 mg/m2
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And now we back again 😍😍😍
Did you know that 🤔🤔🤔
diclofenac potassium ( cataflam ) use only I.M but diclofenac sodium ( voltaren ) use I.V &I.M
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