Presentation Outline ICHP Annual Meeting September 13-15

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Common Challenges for Patients with Diabetes • Microvascular – Eye Complications – Kidney Complications – Nerve Damage (Neuropathy) • Macrovascular – Weight gain • Typically increases when started on insulin – Foot Complications – Heart and Brain Complications Which of the conditions below is an emergency complication/challenge? 1. Nerve damage 2. Weight gain 3. Foot Complications 4. Ketoacidosis References 1. Diabetes.org [Internet]. Alexandria: American Diabetes Association; c1995‐2012 [updated 2012 May 16; cited 2012 Aug <strong>13</strong>]. Available from: http://www.diabetes.org/. 2. CDC.gov [Internet]. Atlanta: Centers for Disease Control and Prevention; [updated 2012 Feb 16; cited 2012 Aug <strong>13</strong>]. Available from: http://www http://www.cdc.gov/. cdc gov/ 3. American Diabetes Association. Standards of medical care in diabetes. Diabetes Care 2012;35;S11‐S63. 4. Dipiro J, Talbert B, Yee GC, Matzke GR, Wells BG, Posey LM, editors. Pharmacotherapy: A Pathophysiologic Approach. 7th ed. New York: McGraw‐Hill; 2008. 5. Kitabchi A, Rose B. Treatment of diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults. UpToDate. Waltham; 2012. Common Challenges for Patients with Diabetes • Emergency Complication – Ketoacidosis • Body starts burning fat for energy instead of glucose • Possible cause is failure to treat high blood glucose • Serous condition that can lead to coma or even death • Treatment: – Intravenous regular insulin – Lower Blood Glucose (Hypoglycemia) • Treatment: – Glucagon injection Questions? 8/29/2012 4
Unraveling Unraveling The The Puzzle Puzzle of of Substance Substance Abuse Abuse and and Chemical Chemical Dependency Dependency Within Within Pharmacy Pharmacy Wally Cross, RPh, MHS, CADC Resurrection Behavioral Health – Professionals Program 847 493 3519 wcross@reshealthcare.org The speaker has no conflict of interest to disclose. What What we we will will cover cover • Addiction 101 –basic facts about addiction • Statistics regarding addiction • Issues associated with addictive disease in pharmacists • Observable signs of addiction • How to help a colleague or patient with addiction • Prescription drug abuse • Resources available to you Questions Questions you you will will be be able able to to answer answer • What is the likelihood that one of you will develop chemical dependency in your lifetime? • What is the primary drug of choice for pharmacists? • What is the best referral you can make to a colleague ll iin ttrouble bl ? • What differentiates pharmacists from other addicted health professionals ? • What is the most common way people get controlled drugs without a prescription ? 8/29/2012 1
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ACTIVITY DESCRIPTION Target Audienc
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Current Challenges • Expansion of
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Examples of Medication Consideratio
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Etiology (Dana Point, 2008) 1’. P
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PAH Therapy Targets Schulze-Neick I
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Chronic Adjuvant Therapies in PAH D
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Cummulative suurvival Survival in I
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ACCF/AHA Consensus PAH Treatment Al
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Study Name Drug SUPER-1 Oral silden
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IV Epoprostenol in PAH Due to Scler
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70 60 50 40 30 20 10 Inhaled Ilopro
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Conclusions • PAH therapy improve
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ESC/ERS Guidelines Galie N, et al.
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FUTURE DIRECTIONS WHICH MAY IMPACT
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Rationale for “Front-Loaded” Ap
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Addressing gthe Challenges g in PAH
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Considerations • Central vs. peri
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Pulmonary Hypertension • Approxim
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Example Cassette Calculations • V
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Assessment Question 1 Which of the
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Illinois Council of Health‐System
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Patient Activity ‐ 1 Patients in
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Hospitalists National Trends • Ja
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Pharmacy Landscape • PGY‐2: So
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Primary Care Physicians by Field, F
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Health Systems Pharmacy and TATAI
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Readings The 21 Irrefutable Laws of
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What is a “Practice Model”? •
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Completing the Self Assessment •
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Residency trained (B23p) Illinois N
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Solving the PPMI Puzzle ‐ Here Ar
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Overview of Value Based Purchasing
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Implementation of Medication‐ rel
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Question #1 Within which programs a
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Solving the PPMI Puzzle‐ Here are
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Discharge Education/Med Rec • New
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Media‐Worthy Trials? Making Sense
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Prevention of Recurrent VTE • Unp
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VTE recurrence during study period
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Which patient might be a candidate
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Azithromycin and CV Death • Endpo
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Azithromycin and CV Death Azithromy
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Hormonal Contraception and VTE •
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• Age • Calendar year • Educa
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ARR=2.20, 2.28 for stroke, MI when
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Which of the following combinations
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3 Months of Treatment for Latent TB
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3 Months of Treatment for Latent TB
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T/F: Rifapentine in combination wit
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2. Which of the following statement
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Fitting the Counseling Piece into M
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Current Evidence: Implementing Bund
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Teach Back Process • Step 1 Expla
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Questions for Consideration and Dis
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Why do we care about ADE? • Adver
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True or False • Medication errors
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Check Point Which of the following
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Proactive Screening Process Patient
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MTI Pilot at NAH PharmD Students tr
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ASHP PPMI Case Study Adding Value:
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Interdisciplinary Teamwork: How Phy
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Highly Effective Healthcare • Wha
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Inter‐Professional Teams ‐ Chan
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Meeting the PPMI Goals for Technolo
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Drug‐Bug Mismatch Example Con’t
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Drug‐Bug Mismatch Build Rules •
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Patient Scanning Compliance Sample
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Global Immunizations 3 • Jan 2012
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Mobile Devices: Beyond Angry Birds
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Google Play • Google Play - Inter
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Other Useful Productivity Apps •
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Mobile Devices: Beyond Angry Birds
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Net Activations by Industry Source:
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News Readers/Aggregators Features S
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Contact Information • E‐mail: -
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Early‐Onset Sepsis • Sign and s
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• BR is on day 2 of cefotaxime wi
Page 159 and 160: Immunizations: The Superheroes to P
Page 161 and 162: Current ACIP Recommendations Influe
Page 163 and 164: Herpes Zoster Vaccine Recommendatio
Page 165 and 166: Assessment Questions 1. What are th
Page 167 and 168: HIV Linkage and Retention in Care T
Page 169 and 170: DHHS Guidelines, March 2012: When t
Page 171 and 172: Protease Inhibitors • Require “
Page 173 and 174: Mean Change (mg/ /dL) STARTMRK: Lip
Page 175 and 176: RAL Drug Interactions • Does not
Page 177 and 178: Instructions for Credit In order to
Page 179 and 180: Staging Stage Criteria (Durie‐Sal
Page 181 and 182: Salvage Therapy Partial List Regime
Page 183 and 184: Bortezomib-Thalidomide-Dexamethason
Page 185 and 186: Case 2 ST is a 76 y/o African Ameri
Page 187 and 188: Thalidomide and Lenalidomide • Ad
Page 189 and 190: Fixed Low-Dose Warfarin Study Thera
Page 191 and 192: New Drugs 2012 Anna Nowobilski‐Va
Page 193 and 194: Pulmonology » Cystic Fibrosis •
Page 195 and 196: Oncology » MTX Toxicity • MTX 1o
Page 197 and 198: NEW DRUGS AND BIOLOGICALS 2012 RESO
Page 199 and 200: Disease State Reviews for Pharmacy
Page 201 and 202: Chronic Obstructive Pulmonary Disea
Page 205 and 206: Green Zone • Patient is not havin
Page 209: • A hormone produced by the pancr
Page 213 and 214: The Reward Center In time, serious
Page 215 and 216: So what makes addicted pharmacists
Page 217 and 218: How to find a treatment center Onli
Page 219 and 220: Internet Drug Abuse Study conducted
Page 221 and 222: NIAAA = best resource for alcohol d
Page 223 and 224: Impact of Postoperative Pain • Pi
Page 225 and 226: Safety Profile • Amar et al confi
Page 227 and 228: References 1. Rømsing J, Møiniche
Page 229 and 230: Society of Regional Anesthesia Meet
Page 231 and 232: A New Approach IV Acetaminophen •
Page 233 and 234: References • Schechter, Leslie N.
Page 235 and 236: Bupivacaine liposome injectable sus
Page 237 and 238: Error Potential • Inadvertent IV
Page 239 and 240: Decolonization Methods • Anti-sep
Page 241 and 242: Evidence: Inpatient ICU MRSA Coloni
Page 243 and 244: Residency Project Pearls Adherence
Page 245 and 246: 650 subjects id identified tifi d R
Page 247 and 248: Overtreatment versus Appropriate Tr
Page 249 and 250: Adherence to and Outcomes Associate
Page 251 and 252: Background • Lack of comprehensiv
Page 253 and 254: Results Results‐User User Audits
Page 255 and 256: Special thanks to: • Carol Heunis
Page 257 and 258: Antibiotic Prophylaxis American Hea
Page 259 and 260: Study Limitations • Dependent on
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Study Background • Observation of
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A patient has a CrCl of 25 mL/min.
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• Cysteine hydrochloride: antioxi
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Sample Preparation • Intravenous
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Questions? Residency Project Pearls
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The Interview: Your Preparation •
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PGY1 Residency Options Carol Heunis
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RESIDENCY PROGRAM BASICS • Progra
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CV: The key to a top curriculum vit
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Tips for a Top Notch CV • Focus o
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What is PhORCAS? • PhORCAS is the
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Piecing together the new CHEST guid
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Initiating therapy CHEST 2012 2.1.8
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What is “Consistently Stable?”
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Puzzle # 2A: patient has just compl
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What would you do for JJ? • A. Ho
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Considerations for SB • Bleeding
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Presentation Outline ICHP Annual Meeting September 13-15

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