Posts in Residency
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
Is Pharmacy Residency the Right Path for You?
Is Pharmacy Residency the Right Path for You?

ASHP’s Midyear Meeting is right around the corner, and many of you are feeling the pressure of The Decision: should you pursue a pharmacy residency? In order to help you make the most informed choice, tl;dr is here with a couple additional facts and figures for you to weigh when considering all possibilities.

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Pharmacy School, Professional, ResidencyStephanie Kujawskipharmacy residency, opportunity cost, career path, deciding about residency, post graduation, financial impact, should I do a residency?, how to get a residency, how to get a pharmacy residency, pharmacy residency opportunity cost, pharmacy residency tips, pharmacy residency not worth it
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
Top 5 Things Your Preceptor Doesn't Want to Have to Tell You (But Will)
Top 5 Things Your Preceptor Doesn't Want to Have to Tell You (But Will)

Have you ever wondered what your preceptor expects of you from day one of rotation? Let tl;dr give you some insight into your preceptors’ brains so you can start ahead of the game! And maybe save some awkwardness for everyone during the midpoint evaluation.

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Pharmacy School, Residency, ProfessionalStephanie Kujawskirotations, clinicals, preceptor, professionalism, tips, APPE rotations, how to prepare for APPE rotations, APPE tips, pharmacy appe advice, pharmacy professionalism, how to succeed in pharmacy school, how to succeed on APPE rotations, pharmacy appe rotations, APPE rotation advice, pharmacy APPE rotation advice
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