Scribd Logo
Upload

Welcome to Scribd!

  • CASE 1 GBS ADULT Pharmacists Notes

    Uploaded by

    quina mj
    2 views3 pages
    The pharmacist recommends discontinuing the drug Tolvaptan for a patient due to risk of too rapid correction of hyponatremia when used with sodium chloride. For another patient taking enoxaparin and fish oil, the pharmacist suggests monitoring for suspected bleeding and adding Protamine Sulfate if bleeding occurs. For a third patient, the pharmacist recommends adding an additional drug for VAP-MDRO Carbapenem infection, and that culture and sensitivity testing be done first.

    Original Description:

    Original Title

    CASE-1-GBS-ADULT-Pharmacists-Notes

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The pharmacist recommends discontinuing the drug Tolvaptan for a patient due to risk of too rapid correction of hyponatremia when used with sodium chloride. For another patient taking enoxaparin and fish oil, the pharmacist suggests monitoring for suspected bleeding and adding Protamine Sulfate if bleeding occurs. For a third patient, the pharmacist recommends adding an additional drug for VAP-MDRO Carbapenem infection, and that culture and sensitivity testing be done first.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    2 views3 pages

    CASE 1 GBS ADULT Pharmacists Notes

    Uploaded by

    quina mj
    The pharmacist recommends discontinuing the drug Tolvaptan for a patient due to risk of too rapid correction of hyponatremia when used with sodium chloride. For another patient taking enoxaparin and fish oil, the pharmacist suggests monitoring for suspected bleeding and adding Protamine Sulfate if bleeding occurs. For a third patient, the pharmacist recommends adding an additional drug for VAP-MDRO Carbapenem infection, and that culture and sensitivity testing be done first.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 3

    St Paul University Philippines

    Tuguegarao City3500
    Tel: 078-846-4444; 078-844-0073
    Fax: 078-846-4305
    www.spup.edu.ph

    SCHOOL OF NURSING AND ALLIED HEALTH SCIENCES


    COLLEGE OF PHARMACY

    PHARMACIST’S NOTES

    To: Doctor/Nurse
    Re: Patient RCS Ward/Unit& Bed No: Date:

    Recommendation:

    Respectfully suggesting to discontinue Tolvaptan 15 mg ¼ tab OD

    Discussion:

    The use of sodium chloride in combination with tolvaptan may result in a too rapid correction of
    hyponatremia. Tolvaptan may cause the level of sodium in your blood to increase too quickly. 

    Pharmacist: Reference/s: Prescriber’s Digital Reference, Medline plus

    Remarks (Doctor/Nurse):
    __________________________________________________________________
    _________________________________________________________________________________
    _________
    Signature: ____________________________________ Control No. ________________________

    St Paul University Philippines


    Tuguegarao City3500
    Tel: 078-846-4444; 078-844-0073
    Fax: 078-846-4305
    www.spup.edu.ph
    SCHOOL OF NURSING AND ALLIED HEALTH SCIENCES
    COLLEGE OF PHARMACY

    PHARMACIST’S NOTES

    To: Doctor/Nurse
    Re: Patient RCS Ward/Unit& Bed No: Date:

    Recommendation:

    Respectfully suggesting to monitor suspected bleeding when taking enoxaparin and fish oil, and to
    add Protamine Sulfate when bleed occurs.

    Discussion:

    Enoxaparin is use in caution in patient with uncontrolled HTN and possible cause of decreased in
    blood cell counts. Protamine sulfate would help to reverse enoxaparin associated by bleeding or
    hemorrhage. If bleeding is suspected, anti facto Xa can be measured to adjust the dose of Enoxaparin
    accordingly. Fish oil may enhance the anticoagulant effect of enoxaparin

    Pharmacist: Reference/s: Rxlist, medscape, ncbi, ajemjournal

    Remarks (Doctor/Nurse):
    __________________________________________________________________
    ______________________________________________________________________________
    ____________
    Signature: ____________________________________ Control No.
    ________________________

    St Paul University Philippines


    Tuguegarao City3500
    Tel: 078-846-4444; 078-844-0073
    Fax: 078-846-4305
    www.spup.edu.ph

    SCHOOL OF NURSING AND ALLIED HEALTH SCIENCES


    COLLEGE OF PHARMACY

    PHARMACIST’S NOTES

    To: Doctor/Nurse
    Re: Patient RCS Ward/Unit& Bed No: Date:

    Recommendation:

    Respectfully suggesting to add drug for VAP-MDRO Carbapenem. Culture and sensitivity testing
    must done before initiating the therapy

    Discussion:

    Extended spectrum B lactamases represent a major source of antimicrobial resistance in gram


    negative bacteria so carbapenems have greater stability against ESBLs and are good choice to treat
    infections due to ESBLs.

    Pharmacist: Reference/s: Medscape

    Remarks (Doctor/Nurse):
    __________________________________________________________________
    ______________________________________________________________________________
    ____________
    Signature: ____________________________________ Control No.
    ________________________

    You might also like