Study of Drug Related Problems in Ambulatory Hemodialysis Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
A prospective, observational study was conducted for a period of six months in a quaternary care hospital in south India to detect and categorize drug related problems in ambulatory haemodialysis patients. Medication related problems were identified through reviewing patient charts, patient interview and communication with other healthcare disciplines.79 ambulatory haemodialysis patients were enrolled with 56 males and 23 females. In that 86.07% patients were hypertensive and 43.03% patients were suffering from diabetes. A total of 660 drugs were prescribed for 79 patients with a mean of 8.35 ± 2.33 drugs per patients. We found a total of 301 Drug Related Problems (DRPs). The most common DRP identified was drug interactions 86.38% and the second was ADR 4.98%. Other DRPs identified were indication without drug therapy 3.98 %, improper drug selection 1.32%, overdose 2.99 % and failure to receive drug 0.33 %. Supplements like iron, calcium, vitamins and antihypertensives were the widely prescribed drugs. Presence of co-morbidities increases the number of drugs. A direct proportionality is seen with number of drugs prescribed and DRPs. Health professionals like clinical pharmacists must be aware of these problems, and efforts must be made to terminate or resolve DRPs.
Authors and Affiliations
Dr. ChinnuReeba George, Dr. Daphna Jacob, Dr. Priya Thomas, Ravinandan A. P2, ,Srinivasan R2,, Dr. Jessy Thomas 2
Keywords
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- EP ID EP390266
- DOI 10.9790/3008-1204063236
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