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Biomedical subjects

R L Lantos

Publications and source records attributed to R L Lantos.

18 recordsLinked to original sources

What new Rx services were implemented by hospitals in the 1980s?

New and exciting programs are being developed in hospital pharmacy. Pharmacists have responded effectively to the cost-containment challenges imposed by the DRGs, and they are continually seeking new methods for improving and modernizing pharmaceutical services to the patient.

Cost Control↗

Concurrent pharmacist monitoring of gentamicin therapy.

The results of concurrent monitoring of gentamicin therapy by a clinical pharmacist are reported. All patients in a 332-bed teaching hospital who were started on gentamicin therapy during a 72-day period were monitored. Predetermined criteria concerning maximum daily gentamicin dose based on serum creatinine and acceptable precautions for avoiding toxicity (i.e., serum creatinine, gentamicin serum level determinations) were used. Deviations from these criteria resulted in contact with the patient's physician, and specific recommendations were made by the pharmacist at that time. During this period, 120 courses of gentamicin therapy were monitored in 101 patients. Major criteria deviations were found in 15 (12.5%) courses, resulting in the contact of 10 physicians. Physicians responded to the pharmacists' recommendations in 9 (60%) of the 15 courses. It is concluded that a clinical pharmacist can interact effectively with physicians in monitoring drug therapy in the hospital.

Boston↗

Drug usage review and inventory analysis in promoting rational parenteral cephalosporin therapy.

Drug usage review and inventory analysis data on the cephalosporin antibotics were presented by the pharmacy to a hospital pharmacy and therapeutics committee in an effort to promote rational use of these drugs and decrease drug costs. The committee recommended that cefazolin be the parenteral cephalosporin of choice. Cephalothin was placed on a limited formulary status for ophthamology patients and patients with renal impairment. Efforts by the committee to promote physician compliance with its recommendations are discussed.

Bacterial Infections↗