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the County Consult

A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.

Pharm & Cheese: Mannitol in the ED

December 10, 2025

Clinical Question: Mannitol Use in the ED – How to dose and Where it Is Kept? 

Mariam Isa, PharmD and Joanne Routsolias, ED Clinical PharmD 

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In Neurology, Critical Care, HEENT Tags Pharmocology, PharmD Pearl
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Pharm & Cheese: Nebulized TXA

August 14, 2025

Bedside Clinical Question: Can nebulized tranexamic acid (TXA) be used as treatment in a patient presenting with hemoptysis?

Yasmeen Ettrick, PharmD PGY1 Pharmacy Resident and Joanne Routsolias, PharmD, RN, BCPS, Clinical PharmD Specialist

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In Pharmacology Tags Pharmocology, PharmD Pearl
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Source: Image by karlyukav on Freepik

PharmD Pearls - Are Loop Diuretics Safe in Those With a "Sulfa" Allergy?

May 1, 2024

“Sulfa” allergies are a commonly listed allergen. Each time we see this, we have to mentally or physically review the list of medications that contain “sulfa” as the many are not intuitive. Here, we evaluate whether non-antibiotic “sulfa” containing medications are safe to give those in patients with previous reactions to “sulfa” antibiotics.

Joanne C Routsolias, PharmD, RN, BCPS

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In Pharmacology Tags PharmD Pearl, Pharmocology
2 Comments
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