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the County Consult

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

Pharm & Cheese: Neffy

October 7, 2025

Clinical Question:  How does Neffy (epinephrine nasal spray) compare to the Epinephrine autoinjectors? 

Joanne Routsolias, PharmD

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In Pharmacology Tags Critical Care, Pharmocology
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Pharm & Cheese: ⚡ Thyroid Storm 🌩

September 22, 2025

There are no specific lab value parameters that differentiate thyroid storm from less severe thyrotoxicosis, but the presence of multiorgan dysfunction is key8. We have a great guideline for general thyrotoxicosis management (“Thyrotox Updated Guideline”) on the Intranet, so this Cheese is only a closer look at thyroid storm in particular. 

Nanditha Ravichandran MD, Joanne Routsolias PharmD, and Eric Leser MD

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In Endocrine, Pharmacology Tags Pharmocology, Weekly Cheese
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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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