Pharmacy and Therapeutics
Insulin type Onset of action Peak Duration of action Comments Lispro, aspart, glulisine 5 to 15 mins 45 to 75 mins 2-4 h Give immediately before meal Regular about 30 mins 2-4 h 5-8 h Give ~ 30 min before meal NPH about 2 h 4 to 12 h 18 to 28 h Can cause protamine Ab...
Pharmacy and Therapeutics
First line agents Nicotine replacement therapy (NRT): Nicotine gum, transdermal patch, lozenges, nasal spray, inhaler. Varenicline (Chantix) Bupropion Second line agents For people who can’t use a first-line agent or need an adjunct with it. Nortriptyline...
Pharmacy and Therapeutics
“Analysis of 78 randomized clinical trials has shown an increase in all-cause mortality associated with supplementation with vitamin E, vitamin A, and beta-carotene. No benefits or reductions in all-cause mortality were demonstrated for vitamin C or selenium...
Pharmacy and Therapeutics
EVERY EMERGENCY PHYSICIAN SHOULD KNOW Click to access AAEM-RSA50DrugFactsEveryEPShouldKnow.pdf
Hospital A/P, Adults, Hospital A/P, Peds, Pharmacy and Therapeutics
“A patient with known adrenal insufficiency secondary to hypopituitarism who is undergoing a period of stress such as illness or surgery should be given intravenous corticosteroids. For moderate-risk procedures such as vascular or orthopedic operations, 50 mg of...
Pharmacy and Therapeutics
Sympathomimetic agents, such pseudoephedrine and phenylephrine, can have the following side effects: Elevate blood pressure Elevate intraocular pressure, worsen existing urinary obstruction adversely interact with $-blockers, methyldopa, tricyclic antidepressants,...