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Pharmacy Technicians on the Road to Regulation Focus on ...

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geriatric report<br />

elderly patients with renal impairment. The importance<br />

of utilizing a pharmacist in establishing and adjusting <strong>the</strong><br />

dosages of medicati<strong>on</strong>s for ill elderly patients cannot be<br />

overemphasized.<br />

• The hospital should develop and institute a professi<strong>on</strong>al<br />

practice policy <strong>to</strong> identify medicati<strong>on</strong>s requiring careful<br />

clinical m<strong>on</strong>i<strong>to</strong>ring at <strong>the</strong> time of discharge from <strong>the</strong> intensive<br />

care unit. The importance of direct physician <strong>to</strong><br />

physician communicati<strong>on</strong> as part of this policy cannot be<br />

overemphasized.<br />

• Health care professi<strong>on</strong>als should be reminded of <strong>the</strong><br />

importance of m<strong>on</strong>i<strong>to</strong>ring medicati<strong>on</strong>s prescribed in <strong>the</strong><br />

elderly. Even when medicati<strong>on</strong>s such as analgesics are<br />

required in <strong>the</strong> elderly, <strong>to</strong>xic side effects may still occur.<br />

• Health care professi<strong>on</strong>als should be reminded that <strong>the</strong><br />

comm<strong>on</strong>ly prescribed oral hypoglycaemic medicati<strong>on</strong> Glyburide<br />

may cause hypoglycaemia in <strong>the</strong> elderly even in <strong>the</strong><br />

presence of frequently high blood sugars.<br />

• Health care professi<strong>on</strong>als should be reminded that <strong>the</strong><br />

abrupt disc<strong>on</strong>tinuati<strong>on</strong> of beta blockers should be d<strong>on</strong>e<br />

with extreme cauti<strong>on</strong>.<br />

The complete list of recommendati<strong>on</strong>s and case reviews<br />

are available <strong>on</strong> <strong>the</strong> website of <strong>the</strong> Ontario Ministry of Community<br />

Safety and Correcti<strong>on</strong>s at www.mcscs.jus.gov.<strong>on</strong>.ca<br />

Select “Chief Cor<strong>on</strong>er” <strong>the</strong>n “Publicati<strong>on</strong>s and Reports.”<br />

16 pharmacyc<strong>on</strong>necti<strong>on</strong> • May/June 2010

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