Posts in Residency
Acute Stabilization of Severe Bleeds Part 3: Gastrointestinal Bleeds

Where’s the poop, Robin?!?!? Well, for all our fellow HIMYM fans, this week it’s all about the GI tract. Except we’re not actually talking about poop…we’re talking about blood. Coming from places it shouldn’t, in quantities that can be deadly. Let tl;dr give you the need to know info on how to manage this (unfortunately) relatively common occurrence!

Read More
What Every Pharmacist Needs to Know about RSV Prevention

Fever, runny nose, cough, congestion… If you sing it to yourself, it sounds a bit like that old Pepto-Bismol commercial (“Nausea, indigestion, upset stomach, diarrheaaa!”). Or maybe that’s just us being pharmacy nerds. Regardless, these are surely not a fun constellation of symptoms, especially when they worsen and lead to hospitalization of our youngest and oldest patients. Come take a deep dive into newly approved measures to shield patients from one of their most common causes: RSV.

Read More
Acute Stabilization of Severe Bleeds Part 2: Initial Management of Traumatic Brain Injuries & Intracranial Hemorrhages

Pressure, pushing down on me, pressing down on you… Maybe Freddie and David were actually singing about what happens when that pressure pushes on the brain due to a bleed. Maybe. Ok, probably not, but it’s a ridiculously important question! In order to learn how to manage this critical situation, you need to come get some need-to-know info. Let tl;dr guide you through both the non-pharm and pharm management of brain bleeds.

Read More
The Art of ADHD

You open the C-II cabinet at work, and your eyes cross. There are FIVE MILLION medication options stocked for ADHD. How on earth are you supposed to keep them all straight? Why are there so many?? WHO LET IT GET THIS OUT OF CONTROL??? Don’t worry, tl;dr is here to give you the rundown on the world of ADHD pharmacotherapy so you can wade through the mire of meds.

Read More
NICU Series Part 5: Vaccination Considerations in the NICU

If you have children, you probably remember the feeling of seeing your poor little new bundle look like a pin cushion for their 2 month vaccines. (Hard but worth it in the long run…!) But have you ever wondered how prematurity affects vaccine administration? Are the vaccines still given per usual or should the schedule be adjusted, and is it a blanket recommendation for all vaccines? Let tl;dr give you crucial information on infection prevention for our littlest of littles!

Read More
Pharmacogenomics and Precision Medicine Part 1

How many of you have heard a patient state that they need “the blue tablet” because nothing else works? Have you ever wondered whether there’s some underlying truth to their request? Before you get too exasperated trying to figure out which NDC they’re talking about, consider the possibility of a nugget of truth there. Although all humans are astoundingly genetically similar, we’re also clearly not clones. So it stands to reason that our genetic differences could also cause variability in our reactions to medications. Welcome to pharmacogenomics! Let tl;dr introduce you to this field and the opportunities that await.

Read More
NICU Series Part 2: Patent Ductus Arteriosus (PDA) in Premature Neonates

Have you ever stopped to marvel at how some of our littlest patients have the biggest hearts? Having just entered the world and without a clue about what’s going on, they so often fight, Fight, FIGHT for life! Total miracles. Even so, sometimes those big little hearts just don’t quite mature the way they need to, so we have to give them a little extra help. Let tl;dr give you the scoop on how a couple of common adult medications can be put to unusual uses for the neonatal heart.

Read More
Acute Stabilization of Severe Bleeds Part 1: Reversal of Anticoagulation

There was a time several years ago that we here at tl;dr might have seemed a smidge obsessed with anticoagulants. (Because, tbh, we were. They were all the rage. We liked writing about them. A lot. And often.) Now, after a slight hiatus, we’re back with still more anticoagulant fun! Except this time, we’re turning the tables. What do we do when anticoagulation goes awry, and we need to hit the power button to turn it OFF? Let’s explore!

Read More
The Pharmacist's Rundown on Pediatric Vaccines

For those of you who enjoyed our rundown on adult vaccines this past March and were just hoping and waiting for a similar overview for children, guess what - wish granted! Let tl;dr give you the need to know info on how the immune system develops in infants, as well as what vaccines kids should receive (and why, of course!). Spoiler alert: we rather like vaccines around here.

Read More
NICU Series Part 1: Respiratory Issues in Premature Neonates

After a bit of a break from the world of pediatrics, tl;dr is diving back in! And we’re diving not just into general pediatrics but the specialty world of neonates. (We don’t play around here. Go big or go home, right?). So come with us for the start of our first ever NICU mini-series with a post on respiratory issues in the smallest of our precious gifts.

Read More
The Pharmacist's Dos & Don'ts of Rapid Sequence Intubation (RSI) 

As pharmacists, there are maaaaany topics for which we have the luxury of time to investigate and double check answers. (You know we love that lovely phrase, “I’m not sure, but I’ll look it up and let you know.”) That being said, there are also some situations in which this extra time just isn’t on the table, and we need to have that knowledge in our hip pockets (sometimes literally!). Rapid sequence intubation (RSI) is one of these time-sensitive topics, so let tl;dr give you the need to know info.

Read More
The Ultimate Guide to HIV for Pharmacists (Reboot)

It’s an understatement to say that HIV is a monster of a disease state. I mean, who’s with me? So many drugs with so many mechanisms of action, it can be hard to keep track. If this sounds like you, struggling to understand the difference between NRTIs and NNRTIs (let alone where they fit into a treatment regimen) you’re not alone. Luckily, this guide right here was literally developed with you in mind. Because someone’s gotta make it make sense, right?

Read More