Summary writer: Cynthia Yang
Editor: Bruce Way
Interviewee: Chi Tran
Bruce Way talks to Chi Tran, Senior Pharmacist about common prescribing errors, interactions and side-effects.
Chi Tran is a Senior Pharmacist in Projects at Prince of Wales Hospital. She studied pharmacy at Monash University (Victorian College of Pharmacy) a has a particular interest in quality use of medicines projects.
With Chi Tran, Senior Pharmacist, and Dr Bruce Way, Emergency Physician and Director of Prevocational Education and Training, at Prince of Wales Hospital, New South Wales, Australia
Medication prescribing errors are serious, yet preventable errors that significantly impact on patient care.
If there is any uncertainty, a ward pharmacist can be consulted.
Case 1 – An 87 year old non-English speaking lady from home BIBA is admitted after an unwitnessed fall and long lie at home. She has suffered a fracture of the greater trochanter, awaiting orthopedeic review for potential surgery. She also suffered AKI secondary to dehydration and rhabdomyolysis and could only convey a part of her medications during ED.
You have just received the GP’s complete list of medications for the patient and asked to chart her regular medications: Avapro HCT for hypertension, aspirin and warfarin (for metallic mitral valve), metformin for type 2 diabetes, atorvastatin for cardiovascular protection, pantoprazole for GORD, long term diazepam and fluoxetine initially prescribed for sleeping and anxiety. The patient’s warfarin dose for the day was withheld at ED in view of potential surgery. The INR just came back as 2.1
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