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DrugBytes

7 Episodes

14 minutes | Apr 1, 2020
Diuretics
In this episode we review the basics of renal physiology in order to discuss the four classes of diuretics: Loop diuretics Thiazide diuretics Potassium sparing diuretics Osmotic diuretics Tune in to hear how these drugs work, and how we manage their side effects!You can access the show notes at https://medtutes.wordpress.com/podcasts/Follow us on Facebook, Twitter, Youtube and Reddit by searching "MedTutes".
13 minutes | Mar 23, 2020
Special Episode - Hydroxychloroquine in COVID19
Things are moving quickly at the moment, and we already have an update to our previous special podcast on COVID19.This podcast clears up where we stand on ibuprofen in COVID19, but mainly focuses on hydroxychloroquine based on a paper released by Liu et al available at -          https://www.nature.com/articles/s41421-020-0156-0.pdfThis podcast discusses some of the major side effects to be aware of when use hydroxychloroquine, as well as it's history and how the recent paper describes it may exert it's anti-SARS-CoV-2 effect.As always, the show notes are available at https://medtutes.wordpress.com/podcasts/Intro Music - Feelin' Good by Purple Planet MusicOutro - Burn Me Down by Sekai courtesy of NCS
15 minutes | Mar 19, 2020
Special Episode - Antivirals in COVID19
In this special episode we provide a brief rundown of the current antiviral treatments being trialled in critically ill COVID19 patients. We look at some of the (very) recent studies as well as previous research conducted during the original SARS outbreak in 2002, which is definitely of relevance due to the similarities in the mechanisms of entry and replication of SARS-CoV-2 compared with SARS-CoV.I repeatedly talk about the Internet Book of Critical Care source in this podcast, you can access it here:https://emcrit.org/ibcc/COVID19/They also have a podcast I would very highly recommend listening in to.Show notes for this episode are available at https://medtutes.wordpress.com/podcasts/The notes for this episode also contain numerous sources to the papers referenced in this podcast.Like the podcast? Then connect with us on social media so you don't miss the next one! You can follow us on Facebook, Twitter, Youtube, or Reddit. Just search MedTutes.Intro - Feeling Good by Purple Planet Music(Special) Outro - Everything by Diamond Eyes, available via NCS
18 minutes | Mar 15, 2020
NSAIDs and Aspirin
In this episode we discuss the Arachidonic Acid pathway, and how steroids and more specifically non-steroidal anti-inflammatory drugs (NSAIDs) work to limit inflammation and pain.We also discuss the special effects of aspirin as an anti-platelet agent, and the only NSAID that decreases cardiovascular risk rather than increasing.Show notes are available at www.medtutes.wordpress.com or here, at https://drive.google.com/open?id=1Egw_tHcIBjSt45i-9HJ1WPzEpPxTqCd5Get in touch! We're on Facebook, Twitter, YouTube and Reddit, and we'd love to hear from you!
28 minutes | Feb 25, 2020
Analgesia, Opioids and the WHO Pain Ladder
Buckle up, this is a big one! (with a long intro, sorry about that).In this episode we scrape the surface on the complicated world of pain management. This podcast is just a brief overview, including paracetamol/acetaminophen, opioids, gabapentinoids, and adjuvants. This podcast is meant to complement further teaching on pain pathways/pathophysiology, pain management, and substance use disorders. The field is very complicated, and we can't cover it all in one podcast! This episode also links in to the next podcast in the series on NSAIDs and Aspirin.There were 3 things I forgot to elaborate on in the podcast whilst trying to keep it as short as possible 1. Morphine (and many other opioids) are renally cleared. In patient with poor renal function (eg. elderly with CKD, or people with AKI) morphine must be dose adjusted! Opioids are notorious for precipitating delirium in the elderly populations especially if they aren't dose adjusted, and this can also lead to overdose. 2. Gabapentinoids work through Ca2+ Channels in the ascending pathway. The reason this is important is calcium is used to trigger degranulation of neurotransmitter into the synapse - therefore blocking its influx prevents transmission of nociceptive signals via the ascending pathway. 3. Opioids are a common source of nausea! Some are more nauseating than others (Tramadol being notorious for it), check out our previous episode on antiemetics for more info. The show notes can be accessed for free at https://medtutes.wordpress.com/podcasts  We also reference an article on Tox and Hound, accessible at https://emcrit.org/toxhound/mouddisorder  The EM Cases podcast episode that inspired this topic is accessible at https://emergencymedicinecases.com/drugs-that-work-analgesics  More content coming soon. If you enjoy the show please subscribe and review us wherever you listen!
16 minutes | Feb 12, 2020
Antiemetics
In this episode we briefly discuss the main mechanisms for nausea, then chat about the main anti-nausea drugs used in hospitals, including Ondansetron and Metoclopramide. We also discuss the drug classes commonly used for different types of nausea (yes, there are different types!), as well as some novel treatments for nausea in the emergency department (turns out alcohol swabs aren't just good at disinfecting).If you like the show, please subscribe for more great content, and we'd love your reviews on whatever platform you stream from.For show notes, check out www.medtutes.wordpress.com!
1 minutes | Feb 9, 2020
Welcome to DrugBytes!
Welcome to DrugBytes, the new pharmacology podcast by MedTutes. The main episodes will be around 15-20min long, running through the key clinical details you need to know in med school about common drug classes. Each episode will also be accompanied by a one-page set of show notes, that you will be able to access via the website - www.medtutes.wordpress.comMake sure you subscribe, our first episode will be out shortly! 
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