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H W Winship

Publications and source records attributed to H W Winship.

15 recordsLinked to original sources
PubMed1977

Pharmacist as applied pharmocologist in association with a pediatric clinical pharmacologist.

The ability of a pharmacist to act as an applied pharmacologist and assist the pediatric clinical pharmacologist in providing influential drug information to attending pediatricians was studied. One hundred consecutive admissions to a pediatric unit of a university hospital were studied. The pharmacist, acting as a member of the department of pharmacology, attended ward rounds and closely followed patient therapy. He attempted to provide all information requested by the attending team of pediatricians and identify all problems in therapy without involving the pharmacologist. Regular meetings were held with the clinical pharmacologist in which the pharmacist made patient presentations and sought assistance in answering those requests for which he had been unable to provide sufficient information. The information provided by the pharmacist during the patient presentations was judged adequate for the clinical pharmacologist's evaluation of patient therapy 96% of the time. The pharmacist successfully answered 81% of the information requests and made 88% of the recommendations directed at change in therapy without involving the pharmacologist. It was concluded that the pharmacist performed successfully as an applied pharmacologist in this study.

Drug Information Services↗
PubMed1977

Neonatal medication surveillance by the pharmacist.

Data on prenatal, labor and delivery, and postnatal medication exposure to neonates were collected. During an 11-week period, 100 neonates consecutively admitted to a hospital were studied. The pharmacist obtained a social and medication history from the mothers and reviewed maternal anesthesia records and the charts of the neonates. Fifteen definite and possible adverse medication reactions were detected in 13 neonates. The median number of different medications ingested prenatally was 4.7. The four most commonly ingested prenatal medications were vitamins (97%), iron preparations (90%), headache/pain/arthritis medications (68%) and antinausea/vomiting medications (40%). The most commonly used medications during labor and delivery were oxytocin (73%), meperidine (33%) and promazine (25%). The use of strong narcotics during this period produced neonatal respiratory depression in some cases. The four most commonly prescribed postnatal medications were vitamin K1 (100%), gentamicin (10%), ampicillin (8%) and Poly-Vi-Sol (6%). The maternal interview indicated that most mothers were unaware of the influence that many medications can play upon the fetus. It is recommended that the pharmacist conduct a maternal medication interview prior to labor and delivery.

Adult↗