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 2011
Review Comparative StudyCombination of ketamine and propofol versus either agent alone for procedural sedation in the emergency department.
The safety of using ketamine-propofol combinations as an alternative to using either agent alone for procedural sedation is discussed. ⋯ The combined use of ketamine and propofol is a reasonable alternative to propofol alone for procedural sedation in patients at higher risk for respiratory depression or hypotension. Use of the combination requires the development of standardized protocols for drug preparation and dosage to minimize the potential for errors.
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Am J Health Syst Pharm · Dec 2011
Evaluating and classifying pharmacists' quality interventions in the emergency department.
The results of an evaluation of the impact of pharmacists' medication-related interventions on quality of care in the emergency department (ED) setting are reported. ⋯ A secondary analysis of data from a previously published study at four medical centers indicated that ED pharmacists often recommend interventions that improve the quality of medication use and adherence to EBM and national quality standards.
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Am J Health Syst Pharm · Dec 2011
Physical compatibility of telavancin hydrochloride with select i.v. drugs during simulated Y-site administration.
The physical compatibility of telavancin with select i.v. drugs during simulated Y-site administration was evaluated. ⋯ Telavancin 7.5 mg/mL in 0.9% sodium chloride injection, 5% dextrose injection, and lactated Ringer's injection was found to be physically compatible for 120 minutes at room temperature with 39 of the 52 drugs tested during simulated Y-site administration. Seven drugs were incompatible in all diluents, and 6 were incompatible in at least one diluent.
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Am J Health Syst Pharm · Nov 2011
Improving patient care through implementation of an antimicrobial stewardship program.
The implementation of an antimicrobial stewardship program at a health system is described. ⋯ Implementation of an antimicrobial stewardship program at a health system helped decrease the inappropriate use of antibiotics, improve patient care and outcomes, further clinical research, and increase training opportunities for future clinical infectious diseases pharmacists.