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HelixTalk - Rosalind Franklin University's College of Pharmacy Podcast

010 - Pet Peeves

HelixTalk - Rosalind Franklin University's College of Pharmacy Podcast

Sean P. Kane, PharmD, BCPS

Health & Fitness, Medications, Rosalindfranklin, Rfums, Pharmacy, Pharmd, Pharmacist, Medicine, Drugs

5644 Ratings

🗓️ 12 August 2014

⏱️ 37 minutes

🧾️ Download transcript

Summary

In this episode, we discuss our clinical "pet peeves" covering allergy histories, creatinine clearance, surrogate endpoints, "me too" enantiomer drugs, and dose-dependent pharmacology of psychiatric medications.

Transcript

Click on a timestamp to play from that location

0:00.0

Welcome to Helix Talk, a podcast presented by the Rosalm Franklin University College of Pharmacy.

0:11.6

This podcast is produced by pharmacy faculty to supplement study material and provide relevant drug and professional topics.

0:19.2

We're hoping that our real-life clinical pearls and discussions will help you stay up to date

0:24.5

and improve your pharmacy knowledge.

0:27.5

This is an educational production, copyright Rosalind Franklin University of Medicine and Science.

0:32.2

This podcast contains general information for educational purposes only. This is not professional advice and should

0:40.2

not be used in lieu of obtaining advice from a qualified health care provider. And now, on to the show.

0:51.1

Welcome to Helix Talk, Episode 10. I'm your co-host Dr. Kane.

0:55.0

And I'm Dr. Schumann. And I'm Dr. Patel.

0:57.0

And today we're talking about kind of a fun topic, our clinical pet peeves. These are things that kind of drive us crazy and we really want to educate the audience to help avoid some of the mistakes that we commonly see in clinical practice. So I'll go ahead and get

1:11.6

started with a few of my clinical pet peeves. The first is the idea of a sulfa allergy

1:17.3

and whether that sulfa allergy cross reacts with other things that have sulfonamide groups or moieties

1:23.4

on them. It's a really good topic because I get this question in the clinic all the time.

1:28.3

And I've heard at least one story of a new graduate pharmacist who started working at

1:34.3

CVS or Walgreens and had this drug alert pop up that said that this patient was filling LASICs

1:39.3

or hydrochlorithiazide. They had a sulfa allergy listed in their profile, whether or not that was

1:44.8

appropriate because, you know, loop diuretics and thiaside-like diuretics do have sulfonamide moieties on them,

1:52.0

and theoretically that could, you know, cause a problem. So the new pharmacist calls up the physician

1:58.6

who wrote the Lasix or the thiazide prescription and gets

2:01.9

chewed out by the physician for the ridiculousness of his question.

2:04.9

And it really is ridiculous.

2:07.2

And a lot of the drug interaction tools that are built in into medical records when physicians

...

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