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Automated Prior Authorization AHCA is implementing clinical edits in the Medicaid pharmacy benefit program. Clinical edits check a patient's Medicaid medical and drug claims histories to help determine whether the information on file indicates that the patient's medical condition matches the edit criteria for dispensing the requested drug without need of additional prior authorization. The edits are based on evidence-based clinical criteria and nationally recognized peer-reviewed information. Clinical edits, along with the Preferred Drug List PDL ; will help optimize the use of program funds while ensuring access to care through the therapeutically prudent use of pharmaceuticals. How the Clinical Edits Work With the clinical edits, prior authorization calls may be required for both preferred and non-preferred drugs. The prior authorization process will be similar to the process already used for the PDL. Through the clinical edit process therapy will automatically and transparently be approved for those patients who meet any of the system approval criteria. For those patients who do not meet the system approval criteria, therapy will require a call to the Medicaid Prior Authorization Call Center. Prior authorizations will be handled both through an automated point-of-sale system, Smart PA, and the Florida Prior Authorization Call Center. SmartPA will help minimize the need for prior authorization phone calls. AHCA will establish clinical criteria by which recipients will be able to receive certain products. The criteria may include age, diagnosis from medical history or inferred diagnosis from prescription claims history. These criteria will generally reflect those posted on the Medicaid Program website for regular PA. When a pharmacy submits a Medicaid claim for a product subject to a clinical edit, the SmartPA system will check the patient's available medical and prescription drug claims histories to determine whether the information in the system shows that the patient's condition meets the established criteria. If the patient's medical and claims histories demonstrate the criteria are met, the claim will be approved. If the patient's medical and claims histories do not meet the criteria, the pharmacy will receive a message indicating that the Prior Authorization Call Center will need to be contacted, because side effect.
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ANTIPLATELET DRUGS AGGRENOX cilostazol dipyridamole PLAVIX BLOOD DETOXICANTS lactulose RENAGEL ELECTROLYTES, IRRIGATING SOLUTIONS, ETC. bacteriostatic saline dextrose sodium chloride FLUORIDE PRODUCTS sodium fluoride stannous fluoride 1 and ciprofloxacin.
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This is an aortic valve replacement study intended for patients whose prognosis without surgery for replacement of the diseased natural valve or previous implanted prosthetic valve is unacceptably poor in terms of survival, quality of life, or both, in the opinion of the surgeon. All prosthetic heart valve implants carry risks of serious complications and or death. Valvular reconstruction is also an option for some patients. The purpose of this study is to evaluate the performance of this model of bioprosthetic heart valve. Based on pre-clinical studies, this valve is not expected to carry any increased risk over those of other bioprosthetic heart valves.
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Enter name as Last, First. Enter the recipient's name exactly as it is given to you as a result of the eligibility verification transaction. Please note that the recipient name on the claim form must match the name on file for the RID you enter in Block 15. If a recipient has two initials instead of a first name, enter the first initial along with a long space, then the second initial and no periods. If a recipient's first name contains an apostrophe, enter the first name including the apostrophe. Examples: For recipient A. B. Doe, enter "Doe, A B" with no punctuation. For recipient D'Andre Doe, enter "Doe, D'Andre" with an apostrophe and no spaces. Enter the patient's 13-digit RID from the Medicaid eligibility verification response. For instructions on performing an eligibility verification transaction, please refer to Chapter 3, Verifying Recipient Eligibility. Enter numerically MM DD YY ; the date of service for each procedure provided and clindamycin.
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Bellelli G, Frisoni GB, Lucchi E, Guerini F, Geroldi C, Magnifico F et al. Blunted reduction in night-time blood pressure is associated with cognitive deterioration in subjects with long-standing hypertension. Blood Press Monit 2004; 9 2 ; : 71-76. Ref ID: 63 Keywords: Aged Aged, 80 and over blood Blood Pressure Blood Pressure Monitoring, Ambulatory Cerebrovascular Disorders Circadian Rhythm Cognition Disorders complications Confidence Intervals etiology Female Humans Hypertension Italy Male methods Multivariate Analysis physiology Abstract: OBJECTIVE: Data about the relationship of blunted reduction of night-time blood pressure BP ; with cognitive deterioration CD ; are conflicting. This study aims to explore this possible association in elderly people with long-standing hypertension. METHODS: Twenty-six hypertensive subjects consecutively admitted to a rehabilitation unit over a sixmonth period were recruited. Exclusion criteria concerned all clinical conditions potentially related to BP variability or leading to CD. All patients underwent a clinic and 24-h BP noninvasive monitoring assessment of BP, as well as a cognitive assessment with the Mini Mental State Examination MMSE ; . The presence of cerebrovascular disease CVD ; was assessed on CT films, with a standardized visual rating scale. RESULTS: Blunted reduction of both systolic and diastolic night-time BP were significantly associated with poorer cognitive performances r 0.61, p 0.001 for systolic; and r 0.57, p 0.002 for diastolic, respectively ; . In a multiple regression model, blunted reduction of night-time BP B 0.17, [95% confidence intervals: 1.1-1.3], p 0.008 for systolic; and B 0.15, [95% confidence intervals: 1.0-1.3], p 0.02 for diastolic ; independently predicted poorer cognitive performances. CONCLUSIONS: In subjects with long-standing hypertension the blunted reduction of night-time BP is independently associated with lower cognitive performances 6 ; Berry KL, Cameron JD, Dart AM, Dewar EM, Gatzka CD, Jennings GL et al. Largeartery stiffness contributes to the greater prevalence of systolic hypertension in elderly women. J Geriatr Soc 2004; 52 3 ; : 368-373. Ref ID: 222 Keywords: Aged analysis Aorta, Thoracic Arteries blood Blood Pressure Brachial Artery Carotid Arteries Comparative Study Compliance complications Elasticity epidemiology etiology Female Humans Hyperte nsion Male Multivariate Analysis physiology Prevalence Pulse Sex Characteristics ultrasonography Abstract: OBJECTIVES: To determine whether sex differences in large-artery stiffness contribute to the greater prevalence of systolic hypertension in elderly women than in elderly men. DESIGN: During a single visit arterial stiffness was assessed in the unmedicated state using four parameters. PARTICIPANTS: Three hundred seventy-four women with a mean age + -standard deviation of 72 + -5 and 296 men aged 71 + -5 participated. SETTING: Hypertensive patients were recruited from general practice as part of the second Australian National Blood Pressure Study in Melbourne, Australia. MEASUREMENTS: Large-artery stiffness was assessed using multiple methodologies, including aortic arch stiffness beta-index ; using M-mode ultrasound and arterial compliance and augmentation index using noninvasive carotid pressure and aortic flow measurements. RESULTS: Women had greater carotid and brachial pulse pressure PP ; than men P .001 ; , despite higher mean arterial pressure in men. Mean arterial compliance was lower in women 0.20 + -0.12 vs 0.28 + -0.16 mL mmHg, P .001 ; even after correction for aortic area, and aortic arch stiffness was higher 30 + -36 vs 23 + -22; P .01 ; . Consistent with both a stiffer proximal circulation and a shorter distance to reflection sites, women had higher augmentation index 38 + -11% vs 29 + -12%, P .001 ; . In multivariate analysis, sex and clobetasol.
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New Jersey and several other states have adopted what might be viewed as weaker versions of the "FDA compliance" defense. For example, New Jersey law creates a rebuttable presumption in a pharmaceutical products liability case that the drug's warnings or instructions are adequate. N.J.S.A. 2A: 58C-4. This presumption "does not change the burden of proof" in a pharmaceutical failure-to-warn case, and, though a court may instruct them otherwise, jurors remain "free to disregard evidence of `approval' by the FDA." Feldman v. Lederle Labs, 125 N.J. 117, 157; 592 A.2d 1176, 1197 1991 ; . Colorado's law applies generally to compliance with government standards and is not specific as to FDA compliance, but also creates a rebuttable presumption that a product was not defective if, at the time of and
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20. Blankenhorn DH, Azen SP, Crawford DW, et al. Effects of colestipolniacin therapy on human femoral atherosclerosis. Circulation 1991; 83: 438447. Furberg CD, Adams HP Jr., Applegate WB, et al. Effect of lovastatin on early carotid atherosclerosis and cardiovascular events. Asymptomatic Carotid Artery Progression Study ACAPS ; Research Group. Circulation 1994; 90: 16791687. Mercuri M, Bond MG, Sirtori CR, et al. Pravastatin reduces carotid intima-media thickness progression in an asymptomatic hypercholesterolemic Mediterranean population: the Carotid Atherosclerosis Italian Ultrasound Study. J Med 1996; 101: 627634. Jonason T, Bergstrom R. Cessation of smoking in patients with intermittent claudication. Effects on the risk of peripheral vascular complications, myocardial infarction and mortality. Acta Med Scand 1987; 221: 253260. Krupski WC. The peripheral vascular consequences of smoking. Ann Vasc Surg 1991; 5: 291304. Dormandy J, Heeck L, Vig S. The natural history of claudication: risk to life and limb. Semin Vasc Surg 1999; 12: 123137. Dormandy J, Heeck L, Vig S. Predicting which patients will develop chronic critical leg ischemia. Semin Vasc Surg 1999; 12: 138141. Verhaeghe R. Epidemiology and prognosis of peripheral obliterative arteriopathy. Drugs 1998; 56: 110. Jonason T, Ringqvist I. Diabetes mellitus and intermittent claudication. Relation between peripheral vascular complications and location of the occlusive atherosclerosis in the legs. Acta Med Scand 1985; 218: 217221. Reiber GE, Pecoraro RE, Koepsell TD. Risk factors for amputation in patients with diabetes mellitus. A case-control study. Ann Intern Med 1992; 117: 97105. Nehler MR, Hiatt WR. Exercise therapy for claudication. Ann Vasc Surg 1999; 13: 109114. Golledge J. Lower-limb arterial disease. Lancet 1997; 350: 14591465. Hess H, Mietaschk A, Deichsel G. Drug-induced inhibition of platelet function delays progression of peripheral occlusive arterial disease. A prospective double-blind arteriographically controlled trial. Lancet 1985; 1: 415419. Goldhaber SZ, Manson JE, Stampfer MJ, et al. Low-dose aspirin and subsequent peripheral arterial surgery in the Physicians' Health Study. Lancet 1992; 340: 143145. Quinn MJ, Fitzgerald DJ. Ticlopidine and clopidogrel. Circulation 1999; 100: 16671672. Porter JM, Cutler BS, Lee BY, et al. Pentoxifylline efficacy in the treatment of intermittent claudication: multicenter controlled doubleblind trial with objective assessment of chronic occlusive arterial disease patients. Heart J 1982; 104: 6672. Money SR, Herd JA, Isaacsohn JL, et al. Effect of cilostazol on walking distances in patients with intermittent claudication caused by peripheral vascular disease. J Vasc Surg 1998; 27: 267275. Reilly MP, Mohler ER 3rd. Cilostazol: treatment of intermittent claudication. Ann Pharmacother 2001; 35: 4856. Jeans WD, Cole SE, Horrocks M, Baird RN. Angioplasty gives good results in critical lower limb ischaemia. A 5- year follow-up in patients with known ankle pressure and diabetic status having femoropopliteal dilations. Br J Radiol 1994; 67: 123128. Matsi PJ, Manninen HI, Suhonen MT, Pirinen AE, Soimakallio S. Chronic critical lower-limb ischemia: prospective trial of angioplasty.
Summary The Southern African region is currently experiencing a drought, which has impacted adversely on all sectors of the economy. The impact is however disproportionate, with marginal rural areas bearing the brunt of the effect. In Zimbabwe, the most vulnerable communities are those in the arid and semi-arid regions of the country, which receive an average of 450mm of annual rainfall in a good year. The unavailability of reliable sources of domestic water has increased the economic vulnerability of rural communities in arid and semi-arid regions of the country as some are using 50% of their time looking for water. Queuing for domestic water starts as early as 3 am. A single borehole with a low water capacity can serve up to 6 villages with a total of up to 2000 people. Average distances to the nearest water point can range up to 7 kilometres in the worst affected areas. Communities in these areas also practise subsistence agriculture, which is complemented by nutritional gardens irrigated by borehole and well water or seasonal streams. The incidence of a drought threatens the viability of the nutritional gardens as it usually results in inadequate water for drinking and personal hygiene. Wells and boreholes are drying up while in some areas the water table has gone deeper, resulting in the available infrastructure being unable to avail the needed water. The District Development Fund DDF ; , a government agent responsible for looking after rural infrastructure no longer has resources to carry out its work, according to their data base an average of 50 % of the rural water points are not functioning for various reasons. In certain areas it can be as high as 85 %. It against this background that German Agro Action GAA ; is proposing an emergency water supply initiative. The intervention will target the most needy areas in Zimbabwe through using preliminary data from DDF, Ministry of Health and other key players. Established selection criteria distance to nearest well, number of families connected, etc. ; will be applied on target districts in order to assure a maximum impact of the programme. A total of app. 270, 000 people will be reached 40 families per well ; . The objective of this proposed emergency intervention is: To increase the availability and access to hygienically safe water through rehabilitation and or new construction of water points in selected districts. This activity will be accompanied by supporting measures, e.g. Training for the water committees with respect to O&M, Health and hygiene education, Development of long term solutions for mechanical problems on the hand pump Establishment of a water quality surveillance and monitoring system and cyproheptadine.
B baclofen tablet .9, 23 BACTROBAN CREAM .15 BECONASE AQ .22 benazepril & hydrochlorothiazide tablet .12 benazepril tablet .12 BENICAR HCT TABLET .12 BENICAR TABLET .12 BENZACLIN GEL.15 benzoyl peroxide gel.15 benzoyl peroxide liquid .15 benztropine tablet .7 betamethasone dipropionate cream .15 betamethasone dipropionate ointment.15 BETASERON INJ.19 betaxolol ophth .20 BETIMOL .20 BETOPTIC-S .20 BICNU INJ .5 BILTRICIDE TABLET.7 Bipolar Agents.10 bisoprolol fumarate tablet.9, 12 bisoprolol tablet .4 Blood Glucose Regulators.10 Blood Products Modifiers Volume Expanders.11 BOTOX INJ.20 brimonidine tartrate ophth .20 bromocriptine tablet.7, 17 brompheniramine maleate sr tab .22 bumetanide tablet.12 BUPHENYL POWDER .16 BUPHENYL TABLET.16 bupivacaine hcl soln .1 bupropion.3 buspirone tablet .9 BUSULFEX INJ.5 BYETTA INJ.10 C calcitriol.18 calcitriol caps.23 CAMPRAL TABLET.16 CAMPTOSAR INJ .5 CANASA SUPP .16, 20 captopril & hydrochlorothiazide tablet.12 captopril tablet .12 carbachol ophth .20 carbamazepine. 2 carbamazepine tablet. 10 CARBATROL CAP. 2, 10 carbidopa & levodopa tablet . 7 carboplatin inj . 5 Cardiovascular Agents . 11 carisoprodol tablet. 9, 23 carteolol ophth . 20 CASODEX TABLET . 5 CATAPRES-TTS. 12 CATAPRES-TTS. 9 CEENU PAK . 5 cefaclor. 1 cefadroxil . 1 cefpodoxime proxetil tablet . 1 CEFTIN SUSP . 1 CEFTIN TABLET . 1 ceftriaxone inj . 1 cefuroxime axetil tablet . 1 CELEBREX CAP . 1, 4 CELESTONE INJ. 20 CELLCEPT TABLET . 19 CELONTIN CAP. 2 CENESTIN TABLET. 18 Central Nervous System Agents . 14 cephalexin . 2 CEREDASE INJ . 16 CEREZYME INJ . 16 CHANTIX TABLET . 16 chloral hydrate syrup . 23 chlorhexidine gluconate rinse . 14 chloroprocaine hcl soln. 1 CHLOROPTIC . 20 chlorothiazide tablet. 12 chlorpheniramine maleate sr cap . 22 chlorpromazine tablet . 8, 10 chlorthalidone tablet . 12 cholestyramine powder . 12 choline & magnesium salicylates . 1 choline & magnesium salicylates . 4 colostazol tablet . 11 cimetidine tablet. 16 CIPRO HC OTIC. 21 CIPRODEX. 21 ciprofloxacin . 2 ciprofloxacin ophth . 20 cisplatin inj. 5.
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PRESCRIPTION DRUG CLAIM PROCESS The prescription drug plan reimbursement process discussed below is illustrated in the flowchart in Exhibit I. Step 1: Members purchase prescription drugs from pharmacies and pay copays to the pharmacists. Currently copays for generic, brand formulary, and brand non-formulary prescription drugs are $10, $25, and $50, respectively. Step 2: The pharmacists submit paper electronic claims for reimbursement AdvancePCS. The claims consist of pharmacy's price plus a dispensing fee less member's copay. or to the the.
The histopathological reactions have not been widely studied. In cases of dissemination of an originally localized process, the changes will usually mimic those seen in the initial lesions. In other instances, the generalized reaction is that of a spongiotic process of variable intensity. In the author's experience, there has often been some edema of the superficial papillary dermis with some large presumably activated ; lymphocytes in the upper dermis. These two features may also be seen in spongiotic drug reactions see p. 114 ; and dermal, systemic and protein contact dermatitis see p. 107 ; . Dermal edema may also be seen in the pompholyx associated with this process of autoeczematization see p. 111 ; . However, when epidermal spongiosis is associated with subepidermal edema and a history of rapid generalization of an initially localized lesion, autoeczematization will usually be present Fig. 5.23 and diclofenac and cilostazol, because cilostwzol tablets.
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For aid in interpretation of actual mean persistency rates, adjusted and unadjusted means are presented in the Table below. For the MS and IC conditions, these findings were generated from analysis of variance models, controlling for average age, copayment amount, continuous users and gender. Means for the hepatitis C patients are unadjusted. Appendix A and dimenhydrinate.
When cilostazol was administered to rats during late pregnancy and lactation, an increased incidence of stillborn and decreased birth weights of offspring was seen at doses of 150 mg kg day 5 times the mrhd on a systemic exposure basis.
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Pure -hydroxy esters. Also based on the Nicholas effect is a new access to unstable homopropargylic ketones.37 The formation of a key fragment in the challenging total synthesis of the furaquinocines is shown to proceed via an interesting alkynyl migration Scheme 24 ; .38 Alkyne substrate 69, prepared from an optically active epoxy alcohol, was converted into the cobalt complex and treated with TiCl4. Despite the poor migratory aptitude of an alkynyl group, the complexation-facilitated 1, 2-migration occurred smoothly to afford an aldolate, reduced in situ with triethylsilane. Oxidative decomplexation gave diol 70 with no overall loss of stereochemical integrity. Desilylation provided the fragment key to the success of the natural product synthesis.
149; agents that dissolve blood clots antacids antiinflammatory agents nsaids such as ibuprofen ; aspirin blood thinners such as warfarin cimetidine cilostazol clopidogrel cyclosporine digoxin dipyridamole doxercalciferol fish oil omega-3 fatty acids ; supplements herbal or dietary supplements like feverfew, garlic, ginger, ginkgo biloba, and horse chestnut phenytoin prasterone, dehydroepiandrosterone, dhea supplements theophylline tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines.
By the literature to be ``helpful'' toward student learning were included. The questionnaire was piloted with a convenience sample of 22 students and 7 clinical instructors to gather information about clarity, format, redundancies, and relevance. As a result of the feedback from the pilot study, the 8 subgroups were unchanged; however, 7 individual items were eliminated, leaving a 42-item questionnaire. The subgroups included in the questionnaire were Student Participation 4 items Clinical Instructor Attitude Toward Teaching 4 items Problem Solving 5 items Instructional Strategy 6 items Humanistic Orientation 6 items Knowledge and Research 6 items Modeling 7 items and Self-Perception 4 items ; . Packets with questionnaires, instructions, and postage-paid return envelopes were mailed to all directors of athletic training education programs accredited by the Commission on Accreditation of Allied Health Education Programs in NATA District 4 n 20 ; , excluding Ball State University. Program directors were informed that the study was approved by the institutional review board and that participation was voluntary. We asked that the questionnaires be distributed to clinical instructors and undergraduate student athletic trainers. A clinical instructor was defined as a person who provides direct supervision and instruction to students in the clinical aspect of athletic training education. Graduate assistants were considered clinical instructors if they were classified as such by the program director. Student athletic trainers were defined as students who were formally accepted into the undergraduate athletic training education program and who were deemed by the program director to have an opinion on helpful clinical instructor characteristics. Respondents were asked to rate each characteristic on a 1 Likert scale, indicating the characteristic's helpfulness to student learning, with 1 being among the least helpful and 10 being among the most helpful. Each item was scored independently. Respondents were then asked to identify the 10 most helpful and 10 least helpful characteristics overall in a directed, open-ended format. For this section, respondents could choose any of the 42 items from the questionnaire, regardless of their prior rating of helpfulness. This was done to compare the mean ratings of the individual items. Sixteen 80.0% ; of the program directors returned questionnaires. We computed individual-item and subgroup mean scores for students, clinical instructors, and combined students and instructors. Subgroup mean scores were also computed. We computed Pearson product moment correlations to evaluate the level of agreement between the students' and instruc and ciprofloxacin.
28. CAPRIE Steering Committee. A randomised, blinded trial of clopidogrel versus aspirin in patients at risk of ischaemic events CAPRIE ; . Lancet 1996; 348: 1329-1339. Sukhija R, Yalamanchili K, Aronow WS, et al. Clinical characteristics, risk factors, and medical treatment of 561 patients with peripheral arterial disease followed in an academic vascular surgery clinic. Cardiol Rev 2005; 13: 108-110. Smith SC Jr, Blair SN, Bonow RO, et al. AHC ACC guidelines for preventing heart attack and death in patients with atherosclerotic cardiovascular disease: 2001 update. A statement for healthcare professionals from the American Heart Association and the American College of Cardiology. J Coll Cardiol 2001; 38: 1581-1583. Radack K, Deck C. Beta-aderenergic blocker therapy does not worsen intermittent claudication in subjects with peripheral arterial disease: A meta-analysis of randomized controlled trials. Arch Intern Med 1991; 151: 1769-1776. Aronow WS, Ahn C. Effect of beta blockers on incidence of new coronary events in older persons with prior myocardial infarction and symptomatic peripheral arterial disease. J Cardiol 2001; 87: 1284-1286. Ernst E. Chelation therapy for peripheral arterial occlusive disease: A systematic review. Circulation 1997; 96: 1031-1033. Hiatt WR. Medical treatment of peripheral arterial disease and claudication. N Engl J Med 2001; 344: 1608-1621. Eberhardt RT, Coffman JD. Drug treatment of peripheral vascular disease. Heart Dis 2000; 2: 62-74. Mohler ER III, Hiatt WR, Olin JW, et al. Treatment of intermittent claudication with beraprost sodium, an orally active prostaglandin I2 analogue: A doubleblinded, randomized, controlled trial. J Coll Cardiol 2003; 41: 1679-1686. Radack K, Wyderski RJ. Conservative management of intermittent claudication. Ann Intern Med 1990; 113: 135-146. Porter JM, Cutler BS, Lee BY, et al. Pentoxifylline efficacy in the treatment of intermittent claudication: Multicenter controlled double-blind trial with objective assessment of chronic occlusive arterial disease patients. Heart J 1982; 104: 66-72. Dawson DL, Cutler BS, Meissner MH, Strandness DE Jr. Cilodtazol has beneficial effects in treatment of intermittent claudication: Results from a multicenter, randomized, prospective, double-blind trial. Circulation 1998; 98: 678-686.
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Results: Results and data analysis are currently in progress. R-47 Evaluation of cancer patient education retention in an ambulatory infusion center N.S. Ochuwa, S. Blake, M.E. Rambin, K.W. Garey, G.K. Rice Kelsey-Seybold Clinic and the University of Houston College of Pharmacy, Houston, TX. Background: Medication education is important for oncology patients as chemotherapy treatment regimens generally involve many drug combinations with numerous deleterious side effects. Patient education has been shown to significantly decrease treatment-associated anxiety in breast cancer patients during radiation therapy. However, published studies have only illustrated the effectiveness of chemotherapy education conducted by nurses. This study intends to show the benefits of pharmacist-coordinated chemotherapy education. Objective: The objective of this study is to evaluate whether pharmacist chemotherapy education, improves patient information retention. Methods: A prospective study involving newly diagnosed colorectal or breast cancer patients who have not previously received chemotherapy education at the Kelsey-Seybold infusion center. Before pre-treatment education, a 10 question test will be administered to each patient to assess baseline knowledge of their specific chemotherapy regimen. On the initial day of therapy, an identical test will be re-administered to evaluate education retention. Results: To date, 20 patients have completed a pre-education questionnaire. Patients were most commonly female 80% ; aged 5411 years AVGSD ; diagnosed with breast 80% ; or colorectal 20% ; cancer. 9 of 10 patients who have the two tests have more than doubled their score. We plan to enroll 24 more patients in the program to prove the effectiveness of pharmacist education. R-48 Assessment of medications and fall risk model in non-ICU, non-rehabilitation inpatients of a 600-bed non-profit teaching institution. K. Severson, K. Putney, B. Adams, L. Egle, J. Tipton, S. Greene St. Luke's Episcopal Hospital, Houston, TX. Background: An institutional fall risk model is used to assess fall risk and a protocol is in place to implement safety measures to prevent falls. There is also an electronic reporting system for all patient falls occurring on hospital property. The electronic reporting system has been in place for approximately four years and collects more data related to medications than the fall risk model. Objective: The objectives of this study were to determine which medications play a role in causation or severity of falls, to identify ways to reduce the fall risk associated with medication use by assessing the current fall risk model, and to report results to the patient safety team to act upon pertinent findings. Methods: A retrospective analysis of patient falls over six-months in non-ICU non-rehabilitation patient care areas. The institution's electronic medical record system was used to identify medications and other possible causative factors associated with each fall. Common denominators from falls were identified and evaluated to identify methods to decrease fall risk. Results: Out of 165 patients, 33 charts were evaluated for falls. The average number of medications taken within 24 hours possibly contributing to the fall or injury resulting from the fall was 5.85 medications per patient. Conclusions: Many patients were on 3 or more medications that can cause delirium and or dizziness. The medications currently on the fall risk model were the most commonly occurring medications. However, sedating antihistamines, antiarrhythmics, skeletal muscle relaxants, and antiparkinson medications possibly contributed to the falls. R-49 The effectiveness of a pharmacist-led diabetes clinic in lowering A1C and LDL-C levels R.G. Bethany, S. M. Loughlin, J. D. Hayes, K. W. Garey, G. K. Rice Kelsey-Seybold Clinic and the University of Houston College of Pharmacy, Houston, TX 34 TSHP 58th Annual Seminar.
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G. Thabut and D. Logeart Thrombolysis for Pulmonary Embolism in Patients With Right Ventricular Dysfunction: Con Archives of Internal Medicine, October 24, 2005; 165 ; : 2200 - 2203. [Full Text] [PDF].
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