Austin Camp

I'm kind of a big deal.

#PharmICU

mo problems.

Friends don't let friends put nonsensical allergies in their medical records!

How I imagine very joint commission surveyor

See you’re part of the problem!

Thank you to those who participated! The correct answer is “SUBQ”! ✅

Per the ISMP, “SC” can be mistaken as “SL” (sublingual), “SQ” as “5 every,” and the “q” in “sub q” as “every.” ❌

Best practice: use “SUBQ” (all uppercase, no spaces) or just write out “subcutaneously.” 👍

✅✅✅

Per the ISMP, which is the BEST practice for abbreviating the word “subcutaneous(ly)”? 🤔

Answer below and I’ll follow up with the answer in 24 hours! 👇🙏

A. SC
B. SQ
C. sub q
D. SUBQ

Had a great time at #ACCPAM25! Back to the real world now but I left with new motivation for my work thanks to so many wonderful, inspiring people. 🙏

Minneapolis, MN ➡️ Jackson, TN

When a physician changes all my recommendations I carefully crafted and ordered

Don’t let them vote on how long you’ll be in labor! 😅

ANOTHER @BradSpellberg shoutout! What else can you expect when a clinical session is titled “‘Myth-Conceptions’: Debunking Common Myths in Infectious Diseases”

#ACCPAM25

Shorter is Better gets a shoutout at #ACCPAM25

@bradspellberg.bsky.social

Standing room only!

#ACCPAM25

Okay Minneapolis, I wasn’t familiar with your game!

#ACCPAM25

Please livestream it to help me pass the time while I also wait for my flight!

Flying out to a conference today! My presence is already putting people on alert. 😤💪

As in, I set off the body scanner alarm at the airport and had to get a full-body pat down. 🤦‍♂️

As a non-diagnostician, my lane often forces me to take the radiologist’s interpretation at face value so just curious if there are other specific things to watch out for!

What words or phrases used in radiologist CXR interpretations do you find are more accurate and consistent with a pneumonia (infiltrates, consolidations, etc)?

What findings would you say warrant further workup to rule in/out pneumonia (cavitations, masses, etc)?

As a reminder, egg 🥚 and soy 🌱 allergies are NOT contraindications to propofol! (see previously shared pharmacy education board)

Thanks for reading and please share YOUR thoughts on BZD use in the ICU! 🙏

bsky.app/profile/aust...

What about when non-BZD sedatives are contraindicated?

While there are FEW contraindications to dexmedetomidine and propofol, in patients with proven (or at high risk of) intolerance due to bradycardia 💓 and hypotension 🩸 CONSIDER a BZD

What about patients with anxiety in the ICU?

Per the 2025 PADIS Update: There is insufficient evidence to make a recommendation on use of BZDs to treat anxiety 🤷‍♂️

HOWEVER if a patient takes BZDs for chronic anxiety, consider continuing these when appropriate to avoid withdrawal

CONSIDER the use of BZDs when a patient has a specific comorbidity where they may be preferred agents.

For example:
- Alcohol withdrawal 🥃
- Status epilepticus 🫨
- Overdose from a stimulant or sympathomimetic 🥵

(don't come at me phenobarbital truthers, I'm with you!)

We ALL know dexmedetomidine (Precedex) and propofol (Diprivan) are preferred over benzodiazepines in ICU patients requiring sedation (shoutout PADIS guidelines).

BUT (as there are exceptions to every rule) here are some situations to "consider" BZDs. 🧐

Keep reading below! 👇

Only 10 days until the 2025 ACCP Annual Meeting in Minneapolis! Who else is going to be there? 🙋‍♂️

Bonus points if you can share some touristy things to do/places to eat… 🙏

An ICU rounds convo…

Me: Can we reduce duration of ABX to 7 days?

Them: Isn’t 10-14 more appropriate for gram (-) bacteremia?

Me: Per the BALANCE trial, a 7-day course of ABX was non-inferior to 14 days.

Them: Is this in guidelines yet?

Me: …

What would YOUR response be??

Name that drug!

Whether a guideline recommends "50 mg q6h," "200 mg continuously," or "<400 mg/day" of hydrocortisone for septic shock, these all match the physiologic amount of cortisol the adrenal glands (are supposed to) release during stress.

Thanks for reading!

8/8

Therefore, hydrocortisone dosing (or equivalent) may be labeled as follows:

Low-dose: 25-200 mg/day
Stress-dose: 200-350 mg/day
Supra-physiologic dose: 351 to 1,000 mg/day
High-dose: >1,000 mg/day

7/8

The non-stressed daily production of cortisol (hydrocortisone) in adults is approximately 15-25 mg/day.

The maximal stressed daily production of cortisol (hydrocortisone) is approximately 200-350 mg/day.

6/8