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PubMedDate not supplied

Aminoglycoside dosing in the critical care patient: a case report of tertiary pharmaceutical care.

OBJECTIVE: To describe special dosage considerations for aminoglycoside antibiotics in critically ill patients from a pharmaceutical care perspective. DESIGN: Case report and discussion. SETTING: A nontertiary care regional medical center. PATIENT: A 21-year-old male college student involved in a moving vehicle accident who sustained a closed head injury and collapsed right lung with subsequent development of nosocomial pneumonia. OUTCOME MEASURES: Resolution of pneumonia and discharge from hospital. INTERVENTION: Tertiary level pharmaceutical care. RESULTS: Pneumonia resolved and patient was transferred to rehabilitation center. CONCLUSION: Tertiary pharmaceutical care provided by the pharmacist includes appropriate choice and monitoring of pharmacotherapy and pharmacokinetic drug dosing to promote good patient outcome.

Adult↗

PubMedDate not supplied

Cost analysis of the American College of Chest Physicians guidelines for deep vein thrombosis prophylaxis in patients undergoing orthopedic arthroplastic surgery.

Guidelines for prophylaxis of deep vein thrombosis secondary to orthopedic surgery have been developed. In selecting a specific drug for formulary inclusion, it is ideal for an individual institution to determine the cost of therapy, as well as the frequency of adverse events and the cost of treating them for each agent undergoing consideration. Cost-effectiveness analysis using incremental cost-effectiveness ratios and sensitivity analyses are useful for determining which drug may be most cost effective.

Anticoagulants↗