RT Book, Section
A1 Wong, Adrian
A1 Kane-Gill, Sandra L.
A2 DiPiro, Joseph T.
A2 Yee, Gary C.
A2 Posey, L. Michael
A2 Haines, Stuart T.
A2 Nolin, Thomas D.
A2 Ellingrod, Vicki
SR Print(0)
ID 1182428226
T1 Critical Care: General Topics in Critical Care
T2 Pharmacotherapy: A Pathophysiologic Approach, 11e
YR 2020
FD 2020
PB McGraw-Hill Education
PP New York, NY
SN 9781260116816
LK accesspharmacy.mhmedical.com/content.aspx?aid=1182428226
RD 2024/04/19
AB KEY  CONCEPTS  Pharmacists  are  one  member  of  the  interdisciplinary  patient  care  team;  other  members  include  physicians,  nurses,  advanced  providers,  physical  therapists,  and  respiratory  therapists.  There  are  numerous  types  of  ICUs  that  pharmacists  can  work  in  such  as  burn,  cardiovascular,  medical,  neurology,  surgical,  trauma,  and  tele-ICU.  Patients  in  each  of  these  units  will  have  specific  care  needs.  Fundamental  activities  of  a  critical  care  pharmacist  include  evaluation  of  medications  for  appropriate  indication,  dose,  and  general  appropriateness;  monitoring  of  medications  and  identification  of  ADEs.  The  management  of  ICU  patients  may  lead  to  long-term  cognitive  effects  in  survivors.  Medication  errors  and  ADEs  are  more  common  in  the  ICU  than  general  care  units.  Medication  errors  can  lead  to  ADEs,  which  are  often  preventable.  Management  of  renally-excreted  and  nephrotoxic  drugs  is  important  to  avert  unwanted  adverse  effects  and  possibly  prevent  disease  progression.  Critical  care  pharmacists’  participation  in  patient  care  rounds  decreases  the  rate  of  ADEs.  One-third  of  total  hospital  drug  costs  are  attributed  to  drug  use  in  the  ICU,  so  pharmacoeconomic  analyses  are  important  to  make  informed  decisions  about  drug  selection.