American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
-
Am J Health Syst Pharm · Jun 2010
ReviewDaily interruption of sedation in patients treated with mechanical ventilation.
The evidence evaluating daily interruption of sedation (DIS) in mechanically ventilated patients, the benefits of this intervention, and the barriers to its incorporation into clinical practice are reviewed. ⋯ DIS limits oversedation in the ICU without compromising patient comfort or safety and should be incorporated into the routine care of mechanically ventilated patients. Clinicians should be aware of the numerous barriers that prevent the use of DIS and address these at their institution to increase its use.
-
The stability of sodium bicarbonate solutions in sterile water for injection or 5% dextrose injection stored at 21-24 degrees C or 2-4 degrees C was evaluated. ⋯ Sodium bicarbonate solutions of 50, 100, and 150 meq in sterile water for injection or 5% dextrose injection were stable for up to seven days when refrigerated. The 50-meq solution was stable for up to 48 hours when stored at room temperature, and the 100- and 150-meq solutions were stable for up to 30 hours when stored at room temperature.
-
Am J Health Syst Pharm · Jun 2010
Case ReportsVentilator-associated pneumonia due to Shewanella putrefaciens.
The first reported U.S. case of ventilator-associated pneumonia evidently caused by Shewanella putrefaciens is described. ⋯ A 39-year-old man developed ventilator-associated pneumonia evidently caused by S. putrefaciens. The pneumonia resolved after treatment with cefepime.
-
Am J Health Syst Pharm · Jun 2010
Case ReportsWithdrawal symptoms after gabapentin discontinuation.
A case of apparent gabapentin withdrawal symptoms after discontinuation of gabapentin therapy is reported. ⋯ A patient developed apparent withdrawal symptoms beginning two days after gabapentin therapy was discontinued. The symptoms were unresponsive to treatment with benzodiazepines but completely resolved with the reinitiation of gabapentin therapy.