Kat Chester, PharmD, BCCCP, FNCS
@katskript.bsky.social
Neuro ICU PharmD 💊
PGY2 Neuro Pharmacy Residency RPD 🧠
Grady Atlanta 🏥🚑
views are my own 🤓
#PharmFresh
PGY2 Neuro Pharmacy Residency RPD 🧠
Grady Atlanta 🏥🚑
views are my own 🤓
#PharmFresh
We do more than rise and shine ☀️ We caffeinate and intubate! Thank you #SESCCM for the new, blue coffee machine! ☕️☕️☕️
#critcaremonth
#SCCM
#critcaremonth
#SCCM
May 16, 2025 at 3:20 PM
We do more than rise and shine ☀️ We caffeinate and intubate! Thank you #SESCCM for the new, blue coffee machine! ☕️☕️☕️
#critcaremonth
#SCCM
#critcaremonth
#SCCM
Reposted by Kat Chester, PharmD, BCCCP, FNCS
Today's the day to turn your ICU blue! 💙 Show off your blue scrubs, decorations, treats, and all the other ways you're celebrating today using #critcaremonth
#SCCM
#SCCM
May 16, 2025 at 10:01 AM
Today's the day to turn your ICU blue! 💙 Show off your blue scrubs, decorations, treats, and all the other ways you're celebrating today using #critcaremonth
#SCCM
#SCCM
Reposted by Kat Chester, PharmD, BCCCP, FNCS
1/9
🤔 Why doesn't an elevated BUN lead to extreme thirst? If increased serum osmolarity compels us to seek water, uremia should be a significant driver of this craving.
And yet, it isn't.
Let's examine why.
🤔 Why doesn't an elevated BUN lead to extreme thirst? If increased serum osmolarity compels us to seek water, uremia should be a significant driver of this craving.
And yet, it isn't.
Let's examine why.
November 28, 2024 at 2:40 AM
1/9
🤔 Why doesn't an elevated BUN lead to extreme thirst? If increased serum osmolarity compels us to seek water, uremia should be a significant driver of this craving.
And yet, it isn't.
Let's examine why.
🤔 Why doesn't an elevated BUN lead to extreme thirst? If increased serum osmolarity compels us to seek water, uremia should be a significant driver of this craving.
And yet, it isn't.
Let's examine why.
We need in-house free VPA levels everywhere, STAT for our SE pts. With total levels, what you see 👀 is NOT what you get 👺📈
For those of you attending #AES2024, be sure to check out our poster on the effect of ketogenic diet initiation on free valproate fraction in three patients with SRSE (abs 2.105)!
We found that free fraction increased by ~28% after keto started. Total VPA levels ⬇️, but free levels ⬆️!
We found that free fraction increased by ~28% after keto started. Total VPA levels ⬇️, but free levels ⬆️!
December 5, 2024 at 11:53 PM
We need in-house free VPA levels everywhere, STAT for our SE pts. With total levels, what you see 👀 is NOT what you get 👺📈
Intrigued by the PROPHY-VAP trial? Don’t miss this interview with author Claire Dahyot-Fizelier, MD, Ph.D. Great insights including this key takeaway: it’s not a blanket approach—consider inclusion/exclusion criteria for application in practice. Tune in for the full conversation! bit.ly/4eYuwUs
Neurocritical Care Society Podcast: HOT TOPICS: The PROPHY-VAP Study
In this episode of Hot Topics, Dr. Nicholas Morris interviews a professor of anesthesia and intensive care at the University of Poitiers, to explore the groundbreaking PROPHY-VAP trial published in ...
bit.ly
December 5, 2024 at 11:07 PM
Intrigued by the PROPHY-VAP trial? Don’t miss this interview with author Claire Dahyot-Fizelier, MD, Ph.D. Great insights including this key takeaway: it’s not a blanket approach—consider inclusion/exclusion criteria for application in practice. Tune in for the full conversation! bit.ly/4eYuwUs
💫 Practical advice for intraventricular meds (Part 1):
🔎 Determine the volume of the EVD lumen, from med access site to catheter tip. That’s your flush volume. It’s like a small chaser (usually 2-3 mL) to ensure the entire dose goes in smoothly. 💉🧠
#Pharmsky #Pharm2Table #neurocrit
🔎 Determine the volume of the EVD lumen, from med access site to catheter tip. That’s your flush volume. It’s like a small chaser (usually 2-3 mL) to ensure the entire dose goes in smoothly. 💉🧠
#Pharmsky #Pharm2Table #neurocrit
December 3, 2024 at 3:01 AM
💫 Practical advice for intraventricular meds (Part 1):
🔎 Determine the volume of the EVD lumen, from med access site to catheter tip. That’s your flush volume. It’s like a small chaser (usually 2-3 mL) to ensure the entire dose goes in smoothly. 💉🧠
#Pharmsky #Pharm2Table #neurocrit
🔎 Determine the volume of the EVD lumen, from med access site to catheter tip. That’s your flush volume. It’s like a small chaser (usually 2-3 mL) to ensure the entire dose goes in smoothly. 💉🧠
#Pharmsky #Pharm2Table #neurocrit
📣 🛑 Don’t combine these two drugs! More VPA levels & higher doses won’t solve the issue. It’s often easier to choose a different antibiotic than adjust a patient’s AED regimen, which may need EEG—hard to get in resource-limited settings. Neuro, ID, & Pharm must collaborate. #IDsky #Pharmsky #Medsky
⚠️Carbapenem antibiotics+valproate combo not advised. VPA levels ↓ markedly & persistently (up to 2 weeks), risking uncontrolled seizures. Even higher doses may not fully counteract this. Carbapenems inhibit key GI enzyme, boosting VPA elimination. See skeetorial👇 #medsky #pharmsky #EMsky #HMsky
ICU Stories:
Middle-aged patient w multiple co-morbidities (CAD/DM2/strokes/seizures/peripheral vasc dz/atrial fibrillation/chronic Foley - UTIs etc) was sent from nursing home to the ED for evaluation of fever/ hypotension. Urine was purulent. CT showed hydronephrosis & bladder wall thickening:
Middle-aged patient w multiple co-morbidities (CAD/DM2/strokes/seizures/peripheral vasc dz/atrial fibrillation/chronic Foley - UTIs etc) was sent from nursing home to the ED for evaluation of fever/ hypotension. Urine was purulent. CT showed hydronephrosis & bladder wall thickening:
November 30, 2024 at 2:10 PM
Reposted by Kat Chester, PharmD, BCCCP, FNCS
Thanksgiving is a cranial nerve celebration! 🦃🧠 #neurosky
CN I: Smell the turkey
CN Il: See the feast
CN III, IV, VI: Keep eyes on the pie
CN V: Chew the stuffing
CN VII & IX: Taste the flavors
CN VIII: Hear the laughter
CN X: Digest it all
CN XI: Lift the turkey platter
CN XII: Toast your thanks
CN I: Smell the turkey
CN Il: See the feast
CN III, IV, VI: Keep eyes on the pie
CN V: Chew the stuffing
CN VII & IX: Taste the flavors
CN VIII: Hear the laughter
CN X: Digest it all
CN XI: Lift the turkey platter
CN XII: Toast your thanks
November 28, 2024 at 12:30 PM
Thanksgiving is a cranial nerve celebration! 🦃🧠 #neurosky
CN I: Smell the turkey
CN Il: See the feast
CN III, IV, VI: Keep eyes on the pie
CN V: Chew the stuffing
CN VII & IX: Taste the flavors
CN VIII: Hear the laughter
CN X: Digest it all
CN XI: Lift the turkey platter
CN XII: Toast your thanks
CN I: Smell the turkey
CN Il: See the feast
CN III, IV, VI: Keep eyes on the pie
CN V: Chew the stuffing
CN VII & IX: Taste the flavors
CN VIII: Hear the laughter
CN X: Digest it all
CN XI: Lift the turkey platter
CN XII: Toast your thanks
Reposted by Kat Chester, PharmD, BCCCP, FNCS
‼️🫀 Looking for a CV surgery/ECMO pharmacist job? Check out this opportunity at Mayo Clinic
💊 Work with some rockstar pharmacists
📖 Lots of research opportunities
👩⚕️ Collaborative multidisciplinary environment
❓Feel free to message me with questions!
www.healthecareers.com/job/Cardiova...
💊 Work with some rockstar pharmacists
📖 Lots of research opportunities
👩⚕️ Collaborative multidisciplinary environment
❓Feel free to message me with questions!
www.healthecareers.com/job/Cardiova...
Cardiovascular Surgery / ECMO Critical Care Pharmacist | Mayo Clinic | Rochester, Minnesota
Mayo Clinic is hiring for Cardiovascular Surgery / ECMO Critical Care Pharmacist . Rochester, Minnesota · Apply on HealtheCareers.com
www.healthecareers.com
November 27, 2024 at 3:21 AM
‼️🫀 Looking for a CV surgery/ECMO pharmacist job? Check out this opportunity at Mayo Clinic
💊 Work with some rockstar pharmacists
📖 Lots of research opportunities
👩⚕️ Collaborative multidisciplinary environment
❓Feel free to message me with questions!
www.healthecareers.com/job/Cardiova...
💊 Work with some rockstar pharmacists
📖 Lots of research opportunities
👩⚕️ Collaborative multidisciplinary environment
❓Feel free to message me with questions!
www.healthecareers.com/job/Cardiova...
I’m thankful for the glymphatic system that launders my brain each night. Time for a deep clean! Good night 😴
The anatomy of brainwashing: Glymphatic-lymphatic brain cleansing may reveal new therapeutic strategies
www.science.org/doi/10.1126/...
www.science.org/doi/10.1126/...
The anatomy of brainwashing
Glymphatic-lymphatic brain cleansing may reveal new therapeutic strategies
www.science.org
November 26, 2024 at 2:12 AM
I’m thankful for the glymphatic system that launders my brain each night. Time for a deep clean! Good night 😴
Reposted by Kat Chester, PharmD, BCCCP, FNCS
The drug we all need: doxycontin
November 25, 2024 at 10:51 PM
The drug we all need: doxycontin
Any PGY1 Pharmacy residents on here?
💎💎💎
Grady’s Neurology Pharmacy Residency program isn’t just about learning—it’s about growing your expertise in a specialty few others get to master 🦄
💎💎💎
#Pharmsky
#NeuroPharm #PharmacyResidency
November 23, 2024 at 10:47 PM
Any PGY1 Pharmacy residents on here?
💎💎💎
Grady’s Neurology Pharmacy Residency program isn’t just about learning—it’s about growing your expertise in a specialty few others get to master 🦄
💎💎💎
#Pharmsky
#NeuroPharm #PharmacyResidency
Can we use direct thrombin inhibitors or GPIIbIIIa inhibitors with thrombolytics for AIS? Dr. Morgan Daniel walks us through the literature
Next up: Morgan Daniel, PharmD, PGY2 neurology resident at Grady Health presents the MOST trial evaluating adjunctive argatroban or eptifibatide for ischemic stroke
How can we extend the effectiveness of thrombolytics after AIS? MOST aimed to assess this!
@katskript.bsky.social
#NCSPharmJC
How can we extend the effectiveness of thrombolytics after AIS? MOST aimed to assess this!
@katskript.bsky.social
#NCSPharmJC
November 22, 2024 at 7:27 PM
Can we use direct thrombin inhibitors or GPIIbIIIa inhibitors with thrombolytics for AIS? Dr. Morgan Daniel walks us through the literature
Reposted by Kat Chester, PharmD, BCCCP, FNCS
First up on #NCSPharmJC: Medina Halimanovic, PharmD, PGY2 CC resident an IU Health is presenting the TRACE III trial on TNK up to 24 hours after AIS with LVO without thrombectomy
@neurocritical.bsky.social
@neurocritical.bsky.social
November 22, 2024 at 7:01 PM
First up on #NCSPharmJC: Medina Halimanovic, PharmD, PGY2 CC resident an IU Health is presenting the TRACE III trial on TNK up to 24 hours after AIS with LVO without thrombectomy
@neurocritical.bsky.social
@neurocritical.bsky.social
✨Starting soon! ✨
Log in to learn and support our Grady PGY2 Neurology Resident, Morgan Daniel, PharmD
Log in to learn and support our Grady PGY2 Neurology Resident, Morgan Daniel, PharmD
Join us for the @neurocritical.bsky.social November Pharmacy Journal Club TOMORROW, 11/22 at 2pm EST! DM me for Zoom information or find it on the NCS Pharmacy Connect page.
Two excellent articles on AIS care - TRACE III and MOST - will be presented!
#NCSPharmJC
Two excellent articles on AIS care - TRACE III and MOST - will be presented!
#NCSPharmJC
November 22, 2024 at 6:54 PM
✨Starting soon! ✨
Log in to learn and support our Grady PGY2 Neurology Resident, Morgan Daniel, PharmD
Log in to learn and support our Grady PGY2 Neurology Resident, Morgan Daniel, PharmD
Reposted by Kat Chester, PharmD, BCCCP, FNCS
Join us for the @neurocritical.bsky.social November Pharmacy Journal Club TOMORROW, 11/22 at 2pm EST! DM me for Zoom information or find it on the NCS Pharmacy Connect page.
Two excellent articles on AIS care - TRACE III and MOST - will be presented!
#NCSPharmJC
Two excellent articles on AIS care - TRACE III and MOST - will be presented!
#NCSPharmJC
November 21, 2024 at 1:59 PM
Join us for the @neurocritical.bsky.social November Pharmacy Journal Club TOMORROW, 11/22 at 2pm EST! DM me for Zoom information or find it on the NCS Pharmacy Connect page.
Two excellent articles on AIS care - TRACE III and MOST - will be presented!
#NCSPharmJC
Two excellent articles on AIS care - TRACE III and MOST - will be presented!
#NCSPharmJC
Reposted by Kat Chester, PharmD, BCCCP, FNCS
Writing a letter of reference for someone? Or (gasp) drafting for someone who’s writing for you?
If you haven’t seen this graphic on avoiding gender bias, read it. Ref letters are broadly biased in both major and seemingly tiny ways. The bias is avoidable once you’re aware.
If you haven’t seen this graphic on avoiding gender bias, read it. Ref letters are broadly biased in both major and seemingly tiny ways. The bias is avoidable once you’re aware.
November 21, 2024 at 1:40 AM
Writing a letter of reference for someone? Or (gasp) drafting for someone who’s writing for you?
If you haven’t seen this graphic on avoiding gender bias, read it. Ref letters are broadly biased in both major and seemingly tiny ways. The bias is avoidable once you’re aware.
If you haven’t seen this graphic on avoiding gender bias, read it. Ref letters are broadly biased in both major and seemingly tiny ways. The bias is avoidable once you’re aware.