17 results
Warfarin to DOAC and DOAC to Warfarin Transitions 

Here are a couple of charts to help
DOACs for easier dosing ... that drug is not as ... commonly used as ... Anticoagulation #Pharmacology ... #Table
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
and sodium • Dosing ... increase dose as ... and calcium • Dosing ... #medications #pharmacology ... #table #comparison
Warfarin - INR Goals, Initial Dosing and Bridging

Mechanical Mitral Valve Replacement 2.5-3.5 
Other Valve Replacement 2-3
, Initial Dosing ... dosing in ambulatory ... If the patient has ... Goals #Targets #Dosing ... Bridging #Initiation #Pharmacology
Phosphate binders - quick reference chart of maximum daily dose. Most patients with CKD will require
since they are not able ... restricted due to hypercalcemia ... Only* #CKD #Nephrology ... Hyperphosphatemia #Dose #Dosing ... #Pharmacology #
The 8 A’s — drugs that interact with warfarin
Antibiotics 
 - Most agents, but especially co-trimoxazole,
interact with warfarin ... Gingko biloba, dong ... #Interactions #Table ... #Mnemonic #8As ... #Pharmacology #Medications
Intern Pocket Cards - Inpatient Bowel Regimen Guide
Osmotic agents (draws water into bowel, thereby loosening stool
Pocket Cards - Inpatient ... enema - Discomfort during ... is not on here as ... #constipation #pharmacology ... #table #agents
Intern Pocket Cards - Inpatient Blood Pressure Management Guide
ß-blockers:
 • Metoprolol, Carvedilol, Labetalol
 • Bradycardia, heart
Pocket Cards - Inpatient ... Valsartan • AKI, hyperkalemia ... dinitrate • Severe AS ... #pharmacology # ... table #agents #internship
Perioperative Management of DOACs
Problem:
 ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
For patients on warfarin ... clearance (calculated using ... per treatment table ... ✔ Assess patient-specific ... Management #Treatment #pharmacology
Long-Acting Injectable (LAI) - Atypical Antipsychotics 
INVEGA TRINZA 3 MONTHS 
ARISTADA 2 MONTHS 
INVEGA 1 MONTH
SUSTENNA
otherwise known as ... tough for any patient ... which requires dosing ... Pharmacists are able ... Antipsychotics #Pharmacology
Clinically Significant Cardiovascular Drug-Drug Interactions With OTC Supplements and Herbal Products
Angiotensin-Converting Enzyme Inhibitors (ACEIs)
 • Night-blooming
Licorice - Causes hypokalemia ... spironolactone Warfarin ... Bilberry, Danshen, Dong ... supplementals #herbal #pharmacology ... #DDI #table #cardiology