Posts in Clinical
Complications of Cirrhosis: Part 2
Complications of Cirrhosis: Part 2

After a brief break from the liver, tl;dr is back with yet a few more complications of cirrhosis (the maze of liver effects continues!). In this installment, learn about hepatic encephalopathy and variceal bleeding with a little help from everyone’s favorite hobbit.

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Clinical, Pharmacy School, Practice, ResidencyStephanie Kujawskicomplications of cirrhosis, how to treat hepatic encephalopathy, titrating lactulose, miralax for hepatic encephalopathy, how to prevent variceal bleeds, antibiotics in variceal bleeds, nadolol and propranolol after GI bleed, measuring ammonia levels in hepatic encephalopathy, what is asterixis
The Legal Status of Cannabis
The Legal Status of Cannabis

Feel like you’re drowning in CBD product advertisements everywhere you turn? Us too! So tl;dr is here with a special guest post to help explain why this explosion has happened so rapidly and also what you need to know about legalities moving forward.

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Clinical, Practice, ProfessionalStephanie Kujawskicannabis, CBD, marijuana, hemp, legalization, medical marijuana, cannabis vs cbd, cbd vs marijuana, marijuana legal status, cbd legal status, marijuana vs hemp, cbd vs hemp
A Quick Guide to the Most Commonly Used OTC Meds
A Quick Guide to the Most Commonly Used OTC Meds

A-CHOO!! Bless you. It’s that time of year again, folks. Let tl;dr help you with every runny nose, watery eye, and exploding head that walks through the pharmacy front door. Plus, bonus, we’re gonna talk about BMs!

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Clinical, Pharmacy School, Practice, ResidencyStephanie KujawskiOTC, OTC medications, cough and cold, constipation, diarrhea, laxative, osmotic, stimulant, antihistamine, decongestant, OTC treatments, over the counter meds, cough and cold treatment, therapies for cough and cold, zinc efficacy, vitamin c efficacy, guaifenesin efficacy, dextromethorphan efficacy, echinacea efficacy, otc dosing, cough and cold therapies, over the counter constipation, constipation treatment, diarrhea treatment, otc clinical pearls, how to memorize otc meds, how to learn otc meds, over the counter study guide, otc study guide
Rebalancing with Antipsychotics
Rebalancing with Antipsychotics

It’s often easy for us to see cause and effect with medications for blood pressure or infections. But what about when the drug action isn’t so immediate and defined? How do we navigate those medications? This post is all about giving you the foundation for determining defining characteristics of a somewhat less black and white class of medications.

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Clinical, Pharmacy School, Practice, ResidencyStephanie Kujawskiantipsychotics, first generation antipsychotic, typical antipsychotic, atypical antipsychotic, second generation antipsychotic, tardive dyskinesia, EPS, schizophrenia, which antipsychotic to use, how to treat neuroleptic malignant syndrome, when to use first generation antipsychotics, first generation psychotics side effects, adverse effects of antipsychotics, tardive dyskinesia treatment, EPS treatment
The ABCs of LVADs for Pharmacists
The ABCs of LVADs for Pharmacists

Heart failure. You’ve got the beta blocker, ACEi/ARB, diuretic triad down pat. You know the mechanisms, the literature, and the monitoring. But what happens when those just aren’t enough? Time to turn to mechanics! But don’t worry, there’s plenty of pharmacotherapy to go around…

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Clinical, Pharmacy School, Practice, ResidencyStephanie Kujawskiheart failure, acute heart failure, end stage heart failure, left ventricular assist device, LVAD, CHF, driveline infection, device thrombosis, what is an LVAD, LVAD clinical pearls, heart failure clinical pearls, types of LVAD, LVAD device mechanics, LVAD indications, LVAD complications, how to manage LVAD complications, LVAD management, LVAD bleed risk, LVAD clot risk, LVAD infection risk, LVAD monitoring
Complications of Cirrhosis: Part 1
Complications of Cirrhosis: Part 1

The poor liver is always neglected. The kidneys get all the attention with equations and renal dosing adjustments, but the liver is left with vague mild/moderate/severe recommendations. BUT NOT TODAY. Today is viva la liver day! Join tl;dr as we take a journey through the pathophysiology of cirrhosis and its associated major complications.

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Clinical, Pharmacy School, Practice, ResidencyStephanie Kujawskiliver, fibrosis, cirrhosis, portal hypertension, ascites, SBP, HRS, hepatic encephalopathy, variceal bleeding, varices, RAAS, splanchnic vasodilation, liver anatomy for pharmacists, liver anatomy, what is cirrhosis, portal hypertension treatment, portal hypertension pathophysiology, RAAS system, RAAS pathway, complications of cirrhosis, ascites management, ascites treatment, ascites drug therapy, SPB prophylaxis, SBP treatment, spontaneous bacterial peritonitis pathology, pharmacologic management of SBP, secondary prevention of SBP, primary prevention of SBP, prophylactic regimens for SBP
What Every Pharmacist Should Know about Transdermal Fentanyl
What Every Pharmacist Should Know about Transdermal Fentanyl

Transdermal fentanyl - friend or foe? Perhaps frenemy? Before you decide, we have some tips and tricks that will help guide how you approach this high risk medication.

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Clinical, Pharmacy School, Practice, ResidencyStephanie Kujawskifentanyl, duragesic, transdermal, opioid conversions, opiate tolerance, opiate overdose, naloxone, pain management, fentanyl clinical pearls, common fentanyl prescribing errors, fentanyl patch clinical pearls, IV fentanyl conversion, fentanyl patch conversion, fentanyl overdose, opiate allergy, prescription drug monitoring program, how to dose fentanyl patch, how to use a PDMP, when should I administer naloxone, when to use narcan, when should i administer narcan, can i cut fentanyl patches, where to apply fentanyl patches, fentanyl patch mri, fentanyl dose adjustments
Venous Thromboembolism Prophylaxis in Hospitalized Medical Patients
Venous Thromboembolism Prophylaxis in Hospitalized Medical Patients

While you’re working up that Cryptococcal meningitis or figuring out how to adjust vancomycin doses, don’t forget to assess VTE prophylaxis! Take a moment with tl;dr to make sure you’ve got your mental check list sorted for protecting your inpatients.

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Clinical, Pharmacy School, Practice, ResidencyStephanie KujawskiVTE, VTE prophylaxis, heparin, enoxaparin, fondaparinux, LMWH, blood clot, anticoagulant cheat sheet, anticoagulation, VTE prophylaxis in hospitalized patient, extended duration VTE prophylaxis, what is a VTE, what is a venous thromboempolism, VTE pathophysiology, VTE prevention, VTE risk factors, risk factors for VTE, how to assess VTE risk, VTE risk assessment, heparin vs LMWH, heparin vs lovenox, antithrombin 3 inhibitors
Diabetes Management Part 1: Everything Insulin
Diabetes Management Part 1: Everything Insulin

We’ve talked oral agents. We’ve talked insulin pumps. But have you ever wondered what all of the various insulins are doing on the market and why we have so many? If so, come take this trip down insulin memory lane to learn about these medications and how to use them.

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Clinical, Pharmacy School, Practice, ResidencyStephanie Kujawskiinsulin, regular insulin, NPH, glargine, degludec, rapid-acting insulin, aspart, lispro, glulisine, insulin PK, insulin duration of action, insulin dosing, mixed insulins