SCCM Resource Library-Putting Lipstick on the Prophylaxis Pig

Video Transcription

Video Summary

In this video, Arzo Hamidi, a medical ICU pharmacist, discusses dosing recommendations for venous thromboembolism (VTE) prophylaxis and stress ulcer prophylaxis (SUP). For VTE prophylaxis, low molecular weight heparin (LMWH) is preferred over unfractionated heparin (UFH) in medical patients. Dosing recommendations for LMWH vary depending on body weight, with 40 mg once a day being appropriate for most patients. In obese patients with a BMI greater than 40, a higher dose or weight-based dosing may be necessary. For SUP, recent guidelines recommend initiating therapy within 24 to 48 hours based on patient risk factors. Studies comparing proton pump inhibitors (PPIs) and H2 receptor antagonists (H2RAs) for SUP show mixed results, with no clear preference for one over the other. It is important to consider a patient's individual risk factors and discontinue therapy when no longer indicated.

Asset Subtitle

Pharmacology, 2022

Asset Caption

This session will cover new controversies in the medication management of classical disease states, touching base with our critical care roots.

Meta Tag

Content Type Presentation

Knowledge Area Pharmacology

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Membership Level Select

Tag Pharmacology

Year 2022

Keywords

Arzo Hamidi

medical ICU pharmacist

dosing recommendations

venous thromboembolism prophylaxis

stress ulcer prophylaxis

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