American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists
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Am J Health Syst Pharm · Dec 2015
Development of an opioid reduction protocol in an emergency department.
Results of a study of an opioid-sparing protocol for acute pain management in the emergency department (ED) are reported. ⋯ The 17 patients treated for acute or chronic pain during the opioid-free shift were managed mainly with i.v. ketorolac and oral ibuprofen, with only 1 patient requiring rescue opioid therapy.
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Am J Health Syst Pharm · Dec 2015
Evaluation of the treatment of diabetic ketoacidosis in the medical intensive care unit.
To determine if treatment of DKA in a sample of adult medical intensive care unit (MICU) patients was consistent with the 2006 ADA Hyperglycemic Crises in Adult Patients with Diabetes Clinical Guidelines. ⋯ Compliance with the 2006 ADA Hyperglycemic Crises in Adult Patients with Diabetes clinical guidelines was low for treatment of DKA in a sample of adult patients admitted to a MICU. Institutional guidelines for the management of diabetic ketoacidosis should be investigated as a strategy to improve compliance with national guidelines.
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Am J Health Syst Pharm · Nov 2015
Effect of i.v. acetaminophen on total hip or knee replacement surgery: a case-matched evaluation of a national patient database.
The effects of i.v. acetaminophen on adverse events, hospital length of stay (LOS), and overall hospital costs for total hip or knee replacements were evaluated. ⋯ In this retrospective cohort study of case-matched patients who underwent total hip or knee replacement surgery, multimodal analgesia with i.v. acetaminophen was associated with improved clinical outcomes in terms of fewer adverse events, shortened LOS, and reduced total hospital resources compared with patients who did not receive i.v. acetaminophen.
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Am J Health Syst Pharm · Nov 2015
Major publications in the critical care pharmacotherapy literature: January-December 2014.
Nine recently published articles and one guideline with important implications for critical care pharmacy practice are summarized. ⋯ There were many important additions to the critical care pharmacotherapy literature in 2014, including a joint guideline for the management of AF and reports of clinical trials.
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Am J Health Syst Pharm · Nov 2015
Biography Historical ArticleInterdisciplinary care team advocate Thomas J. Mattei dies at 70.