Mark Nguyen, PharmD, BCEMP
@PharmWyze
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Emergency Medicine Pharmacist. π₯ Clinical pharmacotherapy made for learners. Views are my own. Less opinion, more discussion.π
Salt Lake City, UT
Joined December 2022
π That feeling when you come across the first study you published on Twitter/X. #TwitterX
New study with EM PharmD cost avoidance on night shift. If we're in the building, we're making an impact day or night
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@MeganARech @SAEM_AEMP @EMdruggist Thank you! Definitely inspired by the PHARM-EM study to get this published!
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@MattDelNin Thank you! π―. Hard to quantify βhardβ dollars for inpatient pharmacists, but I think overall weβre heading in the right direction. Iβd say weβre also continuing to find ways to show value as the drug expert π
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@DrugInfoGeek Awesome! My preference would be whatever units your lactate is reported in. Degree of elevation between the two could point towards primary driver of acidosis (DKA with sepsis)
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πΉ 33yoF presents with confusion, acting erratic with EMS. Hx of EtOH Disorder, EtOH Withdrawal Seizures. Anion Gap: 22, Urine: (+) ketones, BOH: (+), Lactate: WNL. Dx: Alcoholic Ketoacidosis (AKA). What is the mainstay of therapy for AKA? #MedX
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π¬6yoM presents lethargic with vomiting x 3 days. Looks ill-appearing and dehydrated. BG 320 mg/dL, pH 7.1, (+) BOH, (+) urine ketones. Dx: Pediatric DKA. Fluids initiated and insulin therapy ordered. #MedEd π£οΈ Which intervention should be done?
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