PharmD Signal

Deep dives, evidence grades, and clinical tools, all in one place.

📚 Clinical Reference

PharmD Clinical Reference

Structured, opinionated reference pages for working pharmacists, not textbook chapters. Curated and reviewed by a licensed pharmacist. Updated as evidence evolves.

Quick-Reference Cards

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DOAC Quick Card
Dosing, renal adjustment, reversal, and red flags for the four FDA-approved DOACs, on one printable page.
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Vancomycin AUC Quick Card
AUC-guided targets, empiric dosing, monitoring, and nephrotoxicity: the ASHP/IDSA/SIDP 2020 essentials on one page.
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Vasopressors Quick Card
The septic-shock escalation ladder: norepinephrine first, vasopressin add-on, refractory options, and steroids, per SSC 2021.
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Opioid Conversion Quick Card
Equianalgesic estimates, the 5-step conversion method, and the safety rules, incomplete cross-tolerance, methadone, and fentanyl patches.
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Beta-Lactam Extended Infusion Quick Card
Piperacillin-tazobactam, meropenem, and cefepime: EI dosing, stability windows, renal adjustment, and the BLING III evidence, on one printable page.
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DKA Insulin Protocol Quick Card
Insulin drip initiation, rate adjustment, BG targets, dextrose add-on, subQ transition criteria, and the pitfalls that cause DKA bounce-back.

Cardiology / Anticoagulation

❤️ Direct Oral Anticoagulants (DOACs)

A PharmD-curated clinical reference for the four FDA-approved DOACs: apixaban, rivaroxaban, dabigatran, and edoxaban. Co…

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🩸 Anticoagulation Reversal

A PharmD reference for reversing warfarin, heparin/LMWH, and DOACs in the setting of major bleeding or an urgent procedu…

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Pharmacokinetics / TDM

📈 Vancomycin Therapeutic Drug Monitoring (AUC-guided)

ASHP/IDSA/SIDP 2020 consensus guidelines moved vancomycin monitoring from trough-only to AUC/MIC-guided dosing. This ref…

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Critical Care / ICU

💉 Vasopressors in Septic Shock

A PharmD reference for vasopressor selection, dosing, and escalation in septic shock. Based on the 2021 SSC guidelines a…

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Infectious Disease / Antimicrobials

🦠 Beta-Lactam Antibiotics: Clinical Overview

A PharmD reference covering the major beta-lactam classes: penicillins, cephalosporins, carbapenems, and monobactams. In…

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Pain Management / Opioids

💊 Pain Management & Opioids

A PharmD reference for opioid selection, equianalgesic conversion, and safe prescribing in acute and chronic pain. Cover…

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Coming Soon

Renal Dosing Principles Aminoglycosides & TDM COPD Pharmacotherapy Immunosuppression Basics Chemotherapy-Induced N/V Drug-Induced QTc Prolongation

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