Medicine and Health Sciences Commons^™

Fanconi Syndrome Leading To Hypophosphatemic Osteomalacia Related To Tenofovir Use., Mana Rao, Liam Dadey, Thomas Glowa, Peter Veldkamp

Parkview Pharmacy Department

Tenofovir disoproxil fumarate (TDF) is used worldwide to treat and prevent Human Immunodeficiency Virus (HIV) infection. Fanconi syndrome is a complication of TDF use and is characterized by inadequate reabsorption of glucose, phosphate and protein in the proximal tubule of the kidney which may eventually lead to osteomalacia manifested by symptoms of pain, muscular weakness and difficulty ambulating. We present a patient with severe osteomalacia due to progressive and unrecognized Fanconi's syndrome, who responded rapidly to TDF withdrawal, oral phosphate repletion and calcitriol. With the widespread use of TDF-containing antiviral regimens, it is critically important that physicians adhere to screening …

Intravenous Smart Pumps During Actual Clinical Use: A Descriptive Comparison Of Primary And Secondary Infusion Practices., Karen K Giuliano, Daleen Penoyer, Rebecca S. Mahuren, Melody Bennett

Parkview Pharmacy Department

This descriptive observational study was conducted to increase understanding of medication administration practices during actual clinical use between 2 commonly used, different types of intravenous (IV) smart pumps. Compliance with manufacturer-recommended setup requirements for both primary and secondary infusions and secondary medication administration delay was compared between a head-height differential system and a cassette system. A total of 301 medication administration observations were included in this study: 102 (34%) for the linear peristaltic IV smart pump (medical-surgical: N = 51; critical care: N = 51) and 199 (66%) for the cassette pump (medical-surgical: N = 88; critical care: N = …

Rasburicase Utilization After Protocol Implementation Focused On Fixed Dosing By Limiting Use Of Weight-Based Dosing To Oncology Providers, Dakota Smith Bs, Jamie Gaul Pharmd, Bcps, Liam Dadey Pharmd, Bcps

Parkview Pharmacy Department

Dec 2021 ASHP Midyear Clinical Meeting / Poster

Objective: Evaluate the change in rasburicase use pre- and post-implementation of dosing restriction protocol.

Evaluation Of Benefits Associated With Chemotherapy Dose-Banding Practices, Alexis Mann Pharmd, Mba, Kyle Becker Pharmd, Mba, Bcop, Jesse Christman Pharmd, Bcop

Parkview Pharmacy Department

2021 ASHP Midyear Clinical Meeting / Virtual Meeting / Poster # 1130014

The objective of this study was to evaluate the benefit of applying a 10% rounding strategy with predetermined dose-bands to the current chemotherapy dosing policy at Parkview Health.

Implementation And Outcomes Assessment Of A 4-Factor Prothrombin Complex Concentrate (4f-Pcc) Tiered Fixed Dosing Protocol In A Health System., Mark Botros Bs, Jamie Gaul Pharmd, Bcps, Dana Lorber Pharmd, Bcps, Sarah Koontz Pharmd, Bcps

Parkview Pharmacy Department

2021 ASHP Midyear Clinical Meeting / Poster

The aim of this study was to evaluate compliance to the newly implemented fixed dosing protocol while assessing for the need for repeat doses of 4F-PCC and the need for further invasive intervention to reverse the bleeding.

Evaluation Of Intravenous Immunoglobulin (Ivig) Utilization After The Implementation Of Indication And Dosing Protocol At A Community Health System., Nicholas Buttermore, Jamie Gaul Pharmd, Bcps, Kate Oetting

Parkview Pharmacy Department

2021 ASHP Midyear Clinical Meeting / Poster

Objective: This study was conducted to evaluate the patient landscape of IVIG use within our community health system, both before and after protocol implementation. Our goals were to identify potential changes with the indication for use along with any prescribed dosing decreases while under protocol.

Evaluation Of Calcitonin Use For Hypercalcemia At Parkview Health, Alison Rydell, Jesse Christman Pharmd, Bcop, Jamie Gaul Pharmd, Bcps

Parkview Pharmacy Department

2021 ASHP Midyear Clinical Meeting / Poster

Objective: Evaluate the appropriateness of calcitonin use for hypercalcemia at Parkview Health, a not-for-profit community hospital health system.

Comparison Of Standard Dose Vs Higher Dose Low Molecular Weight Heparin And Unfractionated Heparin For Dvt Prophylaxis In Covid-19 Patients, Zachary Brown Pharmd, Munyaradzi Chakabva Md, Tabinda Akhtar Md, Sarah Polina Pharmd, Bcps, Michael Todt Pharmd, Bcccp, Mckenna Brauner Np, Meghan Mcguire Np, Aws Polina Md

Parkview Pharmacy Department

2021 ASHP Midyear Clinical Meeting / Virtual / Poster # 1121810

Objective: To evaluate whether higher dose VTE prophylaxis results in a significant reduction in VTE events without significant increase in bleeding risk when compared to standard dose VTE prophylaxis in patients with COVID-19 infection

Indomethacin Suppository Medication Use Evaluation For Prevention Of Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis (Pep) In A Community Health System, Caitlyn Patton, Jamie Gaul Pharmd, Bcps, Jennifer Sposito Pharmd

Parkview Pharmacy Department

2021 ASHP Midyear Clinical Meeting / Virtual / Poster

Objective: To evaluate the use and characterize the patient population receiving indomethacin suppositories for PEP with the goal of ensuring appropriate use.

Assessing Consistency With Standards Of Care Recommendations For Patients With Type 2 Diabetes At Hospital Discharge, Katherine Brown Pharmd, Timothy L. Johnston Bpharm, Pharmd, Bcps, Bcccp, Andrea Sloat Pharmd

Parkview Pharmacy Department

2021 ASHP Midyear Clinical Meeting / Poster ID#1129514

Objective: To assess the number of patients prescribed diabetic regimens consistent with American Diabetes Association (ADA) Standards of Care recommendations upon hospital discharge.

Characterization Of Infliximab And Biosimilar Use In A Community Health System, Abigail Geyer Pharmd, Luke Keller Pharmd, Bcps, Bcccp, Curtis Stump Pharmd, Renu Johnson Pharmd, Bcps

Parkview Pharmacy Department

2021 ASHP Midyear Clinical Meeting / Virtual / Poster #1129769

Objective: To identify characteristics of infliximab and relevant biosimilar use within a community health system.

Evaluation Of Emergency Department Treatment Of Pediatric Asthma Exacerbations, Paige Walker Pharmd, Amber Ooley Pharmd, Bcps, Bcccp, Kassandra Foellinger Pharmd, Bcps

Parkview Pharmacy Department

Objective:

Primary: to assess the appropriateness of medications ordered in the emergency department (ED).

Secondary: to assess the appropriateness of discharge medications and new encounters within 30 days for another asthma-related problem.

Pharmacist Impact On Cardiology Bundle Payments For Care Improvement And Patient Outcomes, Megan Wagner Pharmd, Jordan Holder Pharmd, Priya Verma Pharmd, Bcacp

Parkview Pharmacy Department

2021 ASHP Midyear Clinical Meeting - Poster ID:1127833

Background: The Medicare Bundle Payments for Care Improvement (BPCI) Initiative was created to better the transitions of care process, incentivize hospitals to reduce readmission rates, and improve overall care in hospitals nationwide.• As this payment structure has incorporated additional diagnoses, it has become a popular focus of research into interprofessional and pharmacy-based interventions to reduce readmission rates. • Data shows that pharmacist-led interventions during transitions of care can significantly contribute to decreased readmission rates. • This study examines the review process of the ambulatory-based cardiology pharmacists at Parkview Health in evaluating cardiology …