Thursday, December 19, 2013

JNC 8 Guidelines Update

http://www.medscape.com/viewarticle/817991

Nine Recommendations
Those questions then form the basis for nine recommendations, discussed in depth and assigned a score for both the strength of the recommendation and the evidence supporting it. Among the recommendations:
  • In patients 60 years or over, start treatment in blood pressures >150 mm Hg systolic or >90 mm Hg diastolic and treat to under those thresholds.
  • In patients <60 140="" and="" be="" goals="" hg="" in="" initiation="" mm="" patients="" same="" should="" the="" threshold="" treatment="" u="" used="" years="">>
18 years with either chronic kidney disease (CKD) or diabetes.
  • In nonblack patients with hypertension, initial treatment can be a thiazide-type diuretic, CCB, ACE inhibitor, or ARB, while in the general black population, initial therapy should be a thiazide-type diuretic or CCB.
  • In patients >18 years with CKD, initial or add-on therapy should be an ACE inhibitor or ARB, regardless of race or diabetes status.
  • Tuesday, December 17, 2013

    Embedding pharmacists throughout a health system

    Phillip Olley, PharmD, talks with Michelle Ma, RN, flow coordinator 
     (left) and Zin Mie Oo, MD, infectious disease fellow (right)


    From APhA

    It's almost end of 2013. This is what pharmacist can do and we definitely can make a difference. Keep up the good work everyone!

    Many Faces of MTM
    Froedtert Hospital joins with two community hospitals and 30 clinics to make up Froedtert & the Medical College of Wisconsin, which has 772 beds, nearly 40,000 annual admissions, and more than 900,000 annual outpatient visits.
    Pharmacists are everywhere at Froedtert & the Medical College of Wisconsin Froedtert Hospital. From the moment patients enter the hospital to the moment they leave, pharmacists play an active role in managing and monitoring medications. 
    “We have pharmacists on the [hospital] floors, in ambulatory clinics, and in medical homes, so our pharmacists really take ownership of the patient no matter where he or she is in the transition of care,” said Erika Smith, PharmD, Clinical Pharmacy Manager at Froedtert Hospital in Milwaukee.
    With more than 200 pharmacists, pharmacy technicians, and pharmacy administration and informatics team members, Froedtert Hospital has a longstanding history of embedding pharmacists at transition points in the hospital.
    Four clinical pharmacy managers are aligned with each medical service line and manage the corresponding inpatient pharmacy services all the way through ambulatory pharmacy services. This model helps the organization and its pharmacists gain a better understanding of how pharmacy services can best meet the needs of patients.

    Read More [Click Here]