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Polotti AB, Bingham AL, Cawley MJ, Delic JJ, Finn LA, Koffer KF, Pontiggia L, Hollands JM. Impact of Student Pharmacist State Anxiety on Vasopressor Calculation Accuracy in Advanced Cardiac Life Support Simulations. Am J Pharm Educ 2024; 88:100674. [PMID: 38360186 DOI: 10.1016/j.ajpe.2024.100674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Revised: 01/29/2024] [Accepted: 02/11/2024] [Indexed: 02/17/2024]
Abstract
OBJECTIVE To assess the impact of student pharmacist state anxiety on vasopressor calculation accuracy in advanced cardiac life support (ACLS) simulations. METHODS Third-year professional students participated in 2 ACLS-related simulation laboratory sessions. In week 1, students completed 3 calculations at their workstation with no stressors. Students were then randomized into teams for a bedside simulation where they independently completed 3 additional calculations either with or without stressors. Team assignments were maintained for week 2 where all participants completed a high-fidelity ACLS simulation that included a team vasopressor calculation. At both encounters, calculation accuracy was assessed as well as pre- and post-state anxiety using the Spielberger State-Trait Anxiety Inventory (STAI) survey tool. RESULTS Students' (N = 145) trait anxiety aligned with normative data for similarly aged professional students. Post-simulation state anxiety in week 1 was found to be higher for those completing the activity with stressors than without (STAI score 44.7 vs 36.9) paired with lower bedside calculation accuracy, despite similar initial workstation calculation accuracy. In week 2, pre-simulation state anxiety score and calculation accuracy were not significantly different between the 2 groups. However, the state anxiety score significantly increased post-simulation for those exposed to stress in the previous week. CONCLUSION Stress negatively impacted student pharmacist vasopressor calculation accuracy. However, the repeated exposure to a stressed simulation did not result in a significant difference in pre- or post-simulation state anxiety score or calculation accuracy when compared to a non-stressed control. Consideration should be made whether to include more "real-life" simulations in student pharmacist education.
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Affiliation(s)
- Alyssa B Polotti
- Department of Pharmacy, St. Mary Medical Center, Langhorne, PA, USA.
| | - Angela L Bingham
- Department of Pharmacy Practice, Philadelphia College of Pharmacy, Saint Joseph's University, Philadelphia, PA, USA
| | - Michael J Cawley
- Department of Pharmacy Practice, Temple University School of Pharmacy, Philadelphia, PA, USA
| | - Justin J Delic
- Department of Pharmacy, Cooper University Health Care, Camden, NJ, USA
| | - Laura A Finn
- Department of Pharmacy Practice, Philadelphia College of Pharmacy, Saint Joseph's University, Philadelphia, PA, USA
| | - Katherine F Koffer
- Department of Pharmacy Practice, Philadelphia College of Pharmacy, Saint Joseph's University, Philadelphia, PA, USA
| | - Laura Pontiggia
- Institute of Emerging Health Professions, Thomas Jefferson University, Philadelphia, PA, USA
| | - James M Hollands
- Department of Pharmacy Practice, Philadelphia College of Pharmacy, Saint Joseph's University, Philadelphia, PA, USA
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2
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Nagy A, Delic J, Hollands JM, Oh S, Pasciolla S, Pontiggia L, Solomon D, Bingham AL. Response to "'Optimal energy provision early in ICU stay for critically ill patients receiving parenteral nutrition': A commentary". Nutr Clin Pract 2024. [PMID: 38317615 DOI: 10.1002/ncp.11127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Accepted: 01/06/2024] [Indexed: 02/07/2024] Open
Affiliation(s)
- Ahmed Nagy
- Department of Pharmacy Practice, Philadelphia College of Pharmacy, Saint Joseph's University, Philadelphia, Pennsylvania, USA
- Department of Pharmacy, Cooper University Health Care, Camden, New Jersey, USA
| | - Justin Delic
- Department of Pharmacy, Cooper University Health Care, Camden, New Jersey, USA
| | - James M Hollands
- Department of Pharmacy Practice, Philadelphia College of Pharmacy, Saint Joseph's University, Philadelphia, Pennsylvania, USA
- Department of Pharmacy, Cooper University Health Care, Camden, New Jersey, USA
| | - Song Oh
- Department of Pharmacy Practice, Philadelphia College of Pharmacy, Saint Joseph's University, Philadelphia, Pennsylvania, USA
- Department of Pharmacy, Cooper University Health Care, Camden, New Jersey, USA
| | - Stacy Pasciolla
- Department of Pharmacy Practice, Philadelphia College of Pharmacy, Saint Joseph's University, Philadelphia, Pennsylvania, USA
- Department of Pharmacy, Cooper University Health Care, Camden, New Jersey, USA
| | - Laura Pontiggia
- Institute of Emerging Health Professions, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Diana Solomon
- Department of Pharmacy, Cooper University Health Care, Camden, New Jersey, USA
| | - Angela L Bingham
- Department of Pharmacy Practice, Philadelphia College of Pharmacy, Saint Joseph's University, Philadelphia, Pennsylvania, USA
- Department of Pharmacy, Cooper University Health Care, Camden, New Jersey, USA
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Fedkiv V, Delic J, Hollands JM, Pasciolla S, Pontiggia L, Bingham AL. Prevalence and Value of Board Certification Among Pharmacy Practice Faculty in the United States. Am J Pharm Educ 2024; 88:100623. [PMID: 37951575 DOI: 10.1016/j.ajpe.2023.100623] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Revised: 10/29/2023] [Accepted: 11/06/2023] [Indexed: 11/14/2023]
Abstract
OBJECTIVE To determine the prevalence of board certification among pharmacy practice faculty in the United States, motivators and barriers to certification, and association between board certification and professional achievements and accomplishments that may support career advancement. METHODS In phase I, the prevalence of board-certified pharmacy practice faculty in the United States was determined by cross-referencing lists of faculty and board-certified pharmacists. In phase II, faculty were stratified by rank and invited to participate in a survey regarding professional characteristics, motivators and barriers to board certification, and professional achievements and accomplishments that may support career advancement for pharmacy practice faculty. RESULTS The prevalence of board certification among the 3276 pharmacy practice faculty was 56%. The prevalence was the highest among assistant professors (61%). A total of 746 faculty completed the survey (33% response rate). Of those respondents, 73% reported being currently certified, 23% never certified, and 4% previously certified. Overall, to be recognized as an expert in the field was identified as the most commonly perceived reason faculty obtain board certification (44%). Currently and previously certified faculty ranked the desire to be recognized as an expert in the field as the most common reason they obtained board certification (61%). There was a positive correlation between board certification and certain professional accomplishments. CONCLUSION The prevalence of board-certified pharmacy practice faculty has increased since 2011, but motivators and barriers for board certification remain similar. Board certification may support career advancement for pharmacy practice faculty.
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Affiliation(s)
- Volodymyra Fedkiv
- Saint Francis Hospital, Department of Pharmacy, Wilmington, DE, USA.
| | - Justin Delic
- Cooper University Health Care, Department of Pharmacy, Camden, NJ, USA
| | - James M Hollands
- Saint Joseph's University, Philadelphia College of Pharmacy, Department of Pharmacy Practice, Philadelphia, PA, USA
| | - Stacy Pasciolla
- Saint Joseph's University, Philadelphia College of Pharmacy, Department of Pharmacy Practice, Philadelphia, PA, USA
| | - Laura Pontiggia
- Thomas Jefferson University, College of Health Professions, Philadelphia, PA, USA
| | - Angela L Bingham
- Saint Joseph's University, Philadelphia College of Pharmacy, Department of Pharmacy Practice, Philadelphia, PA, USA
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Oh S, Cobb BT, Hollands JM, Kavelak HL, Waite LH, Bingham AL. Student Pharmacist-Led Basic Life Support Training for High School Students Improves Knowledge and Skill Achievement. Innov Pharm 2023; 14:10.24926/iip.v14i4.5730. [PMID: 38495356 PMCID: PMC10939484 DOI: 10.24926/iip.v14i4.5730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/19/2024] Open
Abstract
Introduction: The performance of bystander cardiopulmonary resuscitation (CPR) improves survival among cardiac arrest victims. Near-peer teaching of Basic Life Support (BLS) may be an effective way to deliver resuscitation education. This article aims to assess the effectiveness of a student pharmacist-led American Heart Association (AHA) BLS course on high school students' knowledge and skill achievement. Methods: Student pharmacists were trained as AHA instructors and delivered BLS certification courses to high school students. Participants completed pre- and post-assessments adapted from the course learning objectives. Skills performance was evaluated using the AHA's standardized forms. Participants completed questions regarding their perceptions of the pharmacist's role in BLS and confidence in pursuing a career in healthcare. Results: There were 321 participants with the majority in 11th or 12th grade (86.6%) and attending public school (99.1%). After completing the training, the mean percentage of correct assessment responses increased from 41.2% to 89% (p <0.0001). All participants correctly performed BLS skills. Most participants strongly agreed or agreed that the course changed their perspective of the pharmacist's role during BLS (74.8%) and increased their confidence in their decision to pursue future careers in healthcare (61.7%). Conclusion: Student pharmacist-led BLS training, using near-peer delivery, improves high school students' knowledge and skill achievement. This strategy promotes high school students' positive perceptions regarding pharmacists and their role in BLS, as well as their confidence in pursuing careers in healthcare.
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Affiliation(s)
- Song Oh
- Philadelphia College of Pharmacy, Saint Joseph’s University
| | | | | | | | - Laura H. Waite
- Philadelphia College of Pharmacy, Saint Joseph’s University
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Dickerson RN, Bingham AL, Canada TW, Neander Chan L, Petrea Cober M, Cogle SV, Tucker AM, Kumpf VJ. Significant Published Articles in 2022 for Pharmacy Nutrition Support Practice. Hosp Pharm 2023; 58:504-510. [PMID: 37711416 PMCID: PMC10498963 DOI: 10.1177/00185787231161515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/16/2023]
Abstract
Purpose: The purpose of this article is to assist the pharmacist engaged in nutrition support therapy in staying current with pertinent literature. Methods: Several clinical pharmacists engaged in nutrition support therapy compiled a list of articles published in 2022 considered important to their clinical practice. The citation list was compiled into a spreadsheet where the author participants were asked to assess whether the article was considered important to nutrition support pharmacy practice. A culled list of publications was then identified whereby at least 5 out of the 8 author participants considered the article to be important. Guideline and consensus papers, important to practice but not ranked, were also included. Results: A total of 162 articles were identified; 8 from the primary literature were voted by the group to be of high importance. An additional 10 guidelines, position, recommendation, or consensus papers were also identified. The top-ranked articles from the primary literature were summarized and a narrative regarding its implications to pharmacy nutrition support practice were provided. Conclusion: We recommend that pharmacists engaged in nutrition support therapy be familiar with these articles as it pertains to their practice.
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Affiliation(s)
| | | | - Todd W. Canada
- University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | | | | | - Sarah V. Cogle
- Vanderbilt University Medical Center, Nashville, TN, USA
| | - Anne M. Tucker
- University of Texas MD Anderson Cancer Center, Houston, TX, USA
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6
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Nagy A, Delic J, Hollands JM, Oh S, Pasciolla S, Pontiggia L, Solomon D, Bingham AL. Optimal energy provision early in ICU stay for critically ill patients receiving parenteral nutrition. Nutr Clin Pract 2023. [PMID: 37735988 DOI: 10.1002/ncp.11075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 07/25/2023] [Accepted: 08/20/2023] [Indexed: 09/23/2023] Open
Abstract
BACKGROUND Literature on optimal energy provision via parenteral nutrition (PN) is limited and the evidence quality is low. The purpose of this study is to determine if there is a difference in outcomes in adult critically ill patients when receiving lower vs higher calorie provision via PN early in intensive care unit (ICU) stay. METHODS Adult patients initiated on PN within the first 10 days of ICU stay from May 2014 to June 2021 were included in this retrospective study. The primary outcome was to determine the impact of lower (<20 kcal/kg/day) vs higher (>25 kcal/kg/day) calorie provision on all-cause, in-hospital mortality. Secondary outcomes were to determine the impact of calorie provision on hospital or ICU length of stay and incidence of complications. RESULTS This study included 133 patients: a lower calorie provision group (n = 77) and a higher calorie provision group (n = 56). There was a significant difference in all-cause, in-hospital mortality between the lower and the higher calorie provision groups (36.36% and 17.86%, respectively; P = 0.02). However, upon a multivariate analysis of death at discharge, the specific calorie provision group did not affect the probability of death at hospital discharge. The secondary outcomes were not significantly different between groups. CONCLUSION When comparing lower calorie provision with higher calorie provision in adult critically ill patients receiving PN early within their ICU stay, there were no differences in outcomes after controlling for significant confounders. Future larger prospective studies should further evaluate optimal caloric provision via PN in this population.
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Affiliation(s)
- Ahmed Nagy
- Philadelphia College of Pharmacy, Saint Joseph's University, Philadelphia, Pennsylvania, USA
- Department of Pharmacy, Cooper University Health Care, Camden, New Jersey, USA
| | - Justin Delic
- Department of Pharmacy, Cooper University Health Care, Camden, New Jersey, USA
| | - James M Hollands
- Philadelphia College of Pharmacy, Saint Joseph's University, Philadelphia, Pennsylvania, USA
- Department of Pharmacy, Cooper University Health Care, Camden, New Jersey, USA
| | - Song Oh
- Philadelphia College of Pharmacy, Saint Joseph's University, Philadelphia, Pennsylvania, USA
- Department of Pharmacy, Cooper University Health Care, Camden, New Jersey, USA
| | - Stacy Pasciolla
- Philadelphia College of Pharmacy, Saint Joseph's University, Philadelphia, Pennsylvania, USA
- Department of Pharmacy, Cooper University Health Care, Camden, New Jersey, USA
| | - Laura Pontiggia
- College of Health Professions, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
| | - Diana Solomon
- Department of Pharmacy, Cooper University Health Care, Camden, New Jersey, USA
| | - Angela L Bingham
- Philadelphia College of Pharmacy, Saint Joseph's University, Philadelphia, Pennsylvania, USA
- Department of Pharmacy, Cooper University Health Care, Camden, New Jersey, USA
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7
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Dickerson RN, Bingham AL, Canada TW, Chan LN, Cober MP, Cogle SV, Tucker AM, Kumpf VJ. Significant Published Articles in 2021 for Pharmacy Nutrition Support Practice. Hosp Pharm 2022; 57:673-680. [PMID: 36081538 PMCID: PMC9445547 DOI: 10.1177/00185787221095765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/03/2023]
Abstract
Purpose: The purpose of this article is to assist the pharmacist engaged in nutrition support therapy in staying current with pertinent literature. Methods: Several clinical pharmacists engaged in nutrition support therapy compiled a list of articles published in 2021 considered important to their clinical practice. The citation list was compiled into a single spreadsheet where the author participants were asked to assess whether the article was considered important to nutrition support pharmacy practice. A culled list of publications was then identified whereby at least 5 out of the 8 author participants considered the paper to be important. Guideline and consensus papers from professional organizations, important to practice but not ranked, were also included. Results: A total of 211 articles were identified; 8 from the primary literature were voted by the group to be of high importance. An additional 18 guidelines, position, recommendation, or consensus papers were also identified. The top-ranked articles from the primary literature were summarized and a narrative regarding its implications to pharmacy nutrition support practice were provided. Conclusion: We recommend that pharmacists engaged in nutrition support therapy be familiar with these articles as it pertains to their practice.
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Affiliation(s)
- Roland N. Dickerson
- University of Tennessee Health Science Center, College of Pharmacy, Memphis, TN, USA
| | | | - Todd W. Canada
- University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | | | | | - Sarah V. Cogle
- Auburn University – Harrison School of Pharmacy, Auburn, AL, USA
| | - Anne M. Tucker
- University of Texas MD Anderson Cancer Center, Houston, TX, USA
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8
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Bingham AL, Haines SL, Summerlin J, Heunisch C. ASHP Statement on Professionalism. Am J Health Syst Pharm 2022; 79:1612-1616. [PMID: 35704061 DOI: 10.1093/ajhp/zxac146] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
| | - Seena L Haines
- University of Mississippi Medical Center, Jackson, MS, and University of Mississippi School of Pharmacy, Jackson, MS, USA
| | - Jenna Summerlin
- Johns Hopkins All Children's Hospital, St. Petersburg, FL, USA
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Rice TW, Bingham AL, Braunschweig C, Compher C, McCall M, Patel J, McKeever L. Reply to Martindale, et al.: Clarity, Scientific Rigor, and A Call to Action. JPEN J Parenter Enteral Nutr 2022; 46:1228-1231. [PMID: 35383997 DOI: 10.1002/jpen.2375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Accepted: 03/24/2022] [Indexed: 11/10/2022]
Abstract
We thank the authors for their interest in our updates to the critical care nutrition guidelines and appreciate their thoughtful and germane comments. We would like to address each of their concerns, in a point by point manner, with the intention of providing clarity on the 2022 guidelines update. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Todd W Rice
- Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA
| | - Angela L Bingham
- Department of Pharmacy, Cooper University Hospital, Camden, New Jersey, USA.,Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy, University of the Sciences, Philadelphia, Pennsylvania, USA
| | - Carol Braunschweig
- Division of Epidemiology and Biostatistics, Department of Kinesiology and Nutrition, University of Illinois, Chicago, Illinois, USA
| | - Charlene Compher
- Biobehavioral Health Sciences Department, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | | | - Jayshil Patel
- Division of Pulmonary and Critical Care Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Liam McKeever
- Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia, Pennsylvania, USA
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Compher C, Bingham AL, McCall M, Patel J, Rice TW, Braunschweig C, McKeever L. Guidelines for the provision of nutrition support therapy in the adult critically Ill patient: American society for parenteral and enteral nutrition. JPEN J Parenter Enteral Nutr 2021; 46:12-41. [PMID: 34784064 DOI: 10.1002/jpen.2267] [Citation(s) in RCA: 145] [Impact Index Per Article: 48.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Revised: 09/22/2021] [Accepted: 09/28/2021] [Indexed: 12/23/2022]
Abstract
BACKGROUND New randomized controlled trials have been conducted since publication of the 2016 ASPEN/SCCM critical care nutrition guideline. This guideline updates recommendations for foundational questions central to critical care nutrition support. METHODS The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) process was used to develop and summarize evidence for clinical practice recommendations. Clinical outcomes were assessed for (1) higher vs lower energy dose (2) higher vs lower protein dose (3) exclusive isocaloric PN vs EN (4) supplemental PN (SPN) plus EN vs EN alone (5a) mixed oil lipid injectable emulsions (ILE) vs soybean oil, and (5b) Fish oil (FO) containing ILE vs non-FO ILE. To assess safety, weight based energy intake was plotted against hospital mortality when study heterogeneity precluded meaningful Forest plot inferences. RESULTS Between 1/1/2001 and 07/15/2020, 2,320 citations were identified and data were abstracted from 39 trials, including 20,578 participants. Patients receiving FO had decreased pneumonia rates of uncertain clinical significance. Otherwise, there were no differences for any outcome in any question. Due to lack in certainty regarding harm, the energy prescription recommendation was decreased to 12-25kcal/kg/day. CONCLUSION No differences in clinical outcomes were identified among numerous nutritional interventions, including higher energy or protein intake, isocaloric PN or EN, supplemental PN, or different ILEs. As more consistent critical care nutrition support data become available, more precise recommendations will be possible. In the meantime, clinical judgment and close monitoring are needed. This paper was approved by the ASPEN Board of Directors. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Charlene Compher
- Biobehavioral Health Sciences Department, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - Angela L Bingham
- Department of Pharmacy, Cooper University Hospital, Camden, New Jersey, USA.,Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy, University of the Sciences, Philadelphia, Pennsylvania, USA
| | - Michele McCall
- St. Michael's Hospital, Medical/Surgical Intensive Care Unit, Toronto, ON, Canada
| | - Jayshil Patel
- Division of Pulmonary and Critical Care Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
| | - Todd W Rice
- Division of Allergy, Pulmonary, and Critical Care Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee, USA
| | - Carol Braunschweig
- Division of Epidemiology and Biostatistics, Department of Kinesiology and Nutrition, University of Illinois, Chicago, Illinois, USA
| | - Liam McKeever
- Department of Biostatistics, Epidemiology, and Informatics, University of Pennsylvania, Philadelphia, Pennsylvania, USA
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Dickerson RN, Bingham AL, Canada TW, Chan LN, Cober MP, Cogle SV, Tucker AM, Kumpf VJ. Significant Published Articles in 2020 for Pharmacy Nutrition Support Practice. Hosp Pharm 2021; 56:466-473. [PMID: 34720147 DOI: 10.1177/00185787211016363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Purpose: The purpose of this article is to assist the pharmacist engaged in nutrition support therapy in staying current with pertinent literature. Methods: Several clinical pharmacists engaged in nutrition support therapy compiled a list of articles published in 2020 considered important to their clinical practice. The citation list was compiled into a single spreadsheet where the author participants were asked to assess whether the article was considered important to nutrition support pharmacy practice. A culled list of publications was then identified whereby at least 5 out of the 8 author participants considered the paper to be important. Guideline and consensus papers from professional organizations, important to practice but not ranked, were also included. Results: A total of 169 articles were identified; 5 from the primary literature were voted by the group to be of high importance. An additional 17 guidelines, position, recommendation, or consensus papers were also identified. The top-ranked articles from the primary literature were summarized and a narrative regarding its implications to pharmacy nutrition support practice were provided. Conclusion: We recommend that pharmacists engaged in nutrition support therapy be familiar with these articles as it pertains to their practice.
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Affiliation(s)
- Roland N Dickerson
- University of Tennessee Health Science Center College of Pharmacy, Memphis, TN, USA
| | - Angela L Bingham
- University of the Sciences in Philadelphia, Philadelphia, PA, USA
| | - Todd W Canada
- University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | | | | | - Sarah V Cogle
- Auburn University - Harrison School of Pharmacy, Auburn, AL, USA
| | - Anne M Tucker
- University of Texas MD Anderson Cancer Center, Houston, TX, USA
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Bingham AL, Kavelak HL, Hollands JM, Finn LA, Delic JJ, Schroeder N, Cawley MJ. Advanced cardiac life support certification for student pharmacists improves simulated patient survival. Curr Pharm Teach Learn 2020; 12:975-980. [PMID: 32565000 DOI: 10.1016/j.cptl.2020.04.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2019] [Revised: 02/09/2020] [Accepted: 04/04/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND AND PURPOSE Basic life support (BLS) and advanced cardiac life support (ACLS) skills performance, as well as simulated patient survival, were compared for student pharmacist teams with and without at least one member with American Heart Association (AHA) ACLS certification. EDUCATIONAL ACTIVITY AND SETTING Doctor of pharmacy students in their third professional year completed a high-fidelity mannequin simulation. Within the previous year, 30 of 184 students (16%) completed ACLS certification. Rapid response teams (n = 31) of five to six members were formed through random student assignment. Two AHA instructors recorded and assessed performance using a checklist adapted from the AHA's standardized forms for BLS and ACLS assessment. Teams with and without ACLS certified members were compared for skills performance and simulated patient survival (i.e. correct performance of all BLS and ACLS skills). FINDINGS Teams with ACLS certified members (n = 21) were superior to teams without certified members (n = 10) for correct performance of all observed BLS and ACLS skills, including pulse assessment and medication selection for cardiovascular support. For teams who had ACLS certified members, simulated patient survival was 86% higher. The study groups did not differ in their ability to calculate a correct vasopressor infusion rate if warranted. SUMMARY BLS and ACLS skills performance were improved by AHA ACLS certification. Additionally, simulated patient survival was improved for teams with students who had at least one ACLS certified member.
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Affiliation(s)
- Angela L Bingham
- Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy, University of the Sciences, 600 S. 43rd Street, Philadelphia, PA 19104, United States.
| | - Haley L Kavelak
- Department of Pharmacy, St. Luke's University Health Network, 801 Ostrum Street, Bethlehem, PA 18015, United States.
| | - James M Hollands
- Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy, University of the Sciences, 600 S. 43rd Street, Philadelphia, PA 19104, United States.
| | - Laura A Finn
- Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy, University of the Sciences, 600 S. 43rd Street, Philadelphia, PA 19104, United States.
| | - Justin J Delic
- Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy, University of the Sciences, 600 S. 43rd Street, Philadelphia, PA 19104, United States.
| | - Nicole Schroeder
- Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy, University of the Sciences, 600 S. 43rd Street, Philadelphia, PA 19104, United States
| | - Michael J Cawley
- Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy, University of the Sciences, 600 S. 43rd Street, Philadelphia, PA 19104, United States
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13
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Solomon DM, Hollands JM, Pontiggia L, Delic JJ, Bingham AL. Metabolic Complications Occur More Frequently in Older Patients Receiving Parenteral Nutrition. Nutr Clin Pract 2020; 35:627-633. [PMID: 32579257 DOI: 10.1002/ncp.10499] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2020] [Accepted: 04/25/2020] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND The European Society for Clinical Nutrition and Metabolism Guidelines for Parenteral Nutrition in Geriatric Patients state metabolic complications are more frequent in elderly patients. However, literature provides limited information about metabolic complications in older patients receiving parenteral nutrition (PN). Consequently, the purpose of this study was to compare the development of metabolic complications in older vs younger patients receiving PN. METHODS Patients receiving PN from May 1, 2014, to February 7, 2017, at Cooper University Hospital were included. Metabolic complications assessed included acid-base disturbances, hepatic complications, hypercapnia, hyperchloremia, hyperglycemia, hypernatremia, hypertriglyceridemia, hypochloremia, hypoglycemia, hypokalemia, hypophosphatemia, and refeeding syndrome. RESULTS 595 patients were included (older group [≥65 years]: n = 245, median age: 76 years; younger group [<65 years]: n = 350, median age: 53 years]. Certain characteristics were similar between groups (female, 51%; mean body mass index of 28; critically ill, 34%; central PN, 97%; median duration of PN, 7 days; mean energy provision PN, 25.4 kcal/kg/d; mean dextrose infusion rate, 2.31 mg/kg/min). Overall, metabolic complications developed in 58% of patients and occurred more frequently in older vs younger patients (65.7% vs 53.4%; P = .003). Multivariate logistic analysis demonstrated increased odds of metabolic complications in the older group (odds ratio, 1.55; 95% CI, 1.014-2.375). CONCLUSIONS Older hospitalized patients are more likely to develop a metabolic complication during their PN course than younger patients. This study heightens awareness that patients of advanced age are subject to metabolic complications; practitioners should anticipate and resolve complications in a timely manner.
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Affiliation(s)
- Diana M Solomon
- Department of Pharmacy, Cooper University Hospital, Camden, New Jersey, USA.,Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA
| | - James M Hollands
- Department of Pharmacy, Cooper University Hospital, Camden, New Jersey, USA.,Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy, University of the Sciences, Philadelphia, Pennsylvania, USA
| | - Laura Pontiggia
- Department of Mathematics, Physics and Statistics, University of the Sciences, Philadelphia, Pennsylvania, USA
| | - Justin J Delic
- Department of Pharmacy, Cooper University Hospital, Camden, New Jersey, USA.,Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy, University of the Sciences, Philadelphia, Pennsylvania, USA
| | - Angela L Bingham
- Department of Pharmacy, Cooper University Hospital, Camden, New Jersey, USA.,Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy, University of the Sciences, Philadelphia, Pennsylvania, USA
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14
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Dickerson RN, Bingham AL, Canada TW, N Chan L, Cober MP, V Cogle S, Tucker AM, Kumpf VJ. Significant Published Articles for Pharmacy Nutrition Support Practice in 2019. Hosp Pharm 2020; 55:373-381. [PMID: 33245726 DOI: 10.1177/0018578720928264] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
The purpose of this article is to assist the pharmacist engaged in nutrition support therapy in staying current with pertinent literature. Methods: Several clinical pharmacists engaged in nutrition support therapy compiled a list of articles published in 2019 considered important to their clinical practice. The citation list was compiled into a single spreadsheet where the author participants were asked to assess whether the article was considered important to nutrition support pharmacy practice. A culled list of publications was then identified whereby at least 5 out of the 8 author participants considered the paper to be important. Guideline and consensus papers from professional organizations, important to practice but not ranked, were also included. Results: A total of 111 articles were identified; 6 from the primary literature were voted by the group to be of high importance. An additional 9 organizational guidelines, position, recommendation, or consensus papers were also identified. The top-ranked articles from the primary literature were summarized and a narrative regarding its implications to pharmacy nutrition support practice were provided. Conclusion: We recommend that pharmacists engaged in nutrition support therapy be familiar with these articles as it pertains to their practice.
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Affiliation(s)
| | - Angela L Bingham
- University of the Sciences in Philadelphia, Philadelphia, PA, USA
| | - Todd W Canada
- The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | | | | | | | - Anne M Tucker
- The University of Texas MD Anderson Cancer Center, Houston, TX, USA
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15
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Boyce EG, Harris CS, Bingham AL, Chan E, Chapman SA, Chilbert MR, Dy‐Boarman E, Haines ST, Heavner MS, Marcus KB, Smith SE, Strnad K, Yunker NS. Striving for excellence in experiential education. J Am Coll Clin Pharm 2020. [DOI: 10.1002/jac5.1241] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- Eric G. Boyce
- American College of Clinical Pharmacy Lenexa Kansas USA
| | | | | | - Emily Chan
- American College of Clinical Pharmacy Lenexa Kansas USA
| | | | | | | | | | | | | | | | - Kyle Strnad
- American College of Clinical Pharmacy Lenexa Kansas USA
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16
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Boyce EG, Harris CS, Bingham AL, Chan E, Chapman SA, Chilbert MR, Dy‐Boarman E, Haines ST, Heavner MS, Marcus KB, Smith SE, Strnad K, Yunker NS. Striving for excellence in experiential education. J Am Coll Clin Pharm 2020. [DOI: 10.1002/jac5.1240] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Eric G. Boyce
- American College of Clinical Pharmacy Lenexa Kansas USA
| | | | | | - Emily Chan
- American College of Clinical Pharmacy Lenexa Kansas USA
| | | | | | | | | | | | | | | | - Kyle Strnad
- American College of Clinical Pharmacy Lenexa Kansas USA
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17
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Shah S, Hollands JM, Pontiggia L, Bingham AL. Impact of the Time to Initiation of Parenteral Nutrition on Patient Outcomes in Critically Ill Adults. Nutr Metab Insights 2019; 12:1178638819859315. [PMID: 31320803 PMCID: PMC6610434 DOI: 10.1177/1178638819859315] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2019] [Accepted: 05/29/2019] [Indexed: 11/23/2022] Open
Abstract
Background: The optimal time to initiate parenteral nutrition (PN) in critically ill
adults in whom enteral nutrition is not feasible is controversial. Objective: The objectives were to compare in-hospital mortality and hospital length of
stay in patients initiated on PN within 7 days or after 7 days of poor
nutrient intake. Methods: This single-center, retrospective study included critically ill adult
patients who received at least 2 consecutive days of PN during
hospitalization from May 2014 to July 2016. Results: The median duration of PN (interquartile range) was 8 (5-13) days. In total,
110 patients received PN within 7 days of poor nutrient intake while 49
patients received PN after 7 days of poor nutrient intake. There was no
statistically significant difference in in-hospital mortality between groups
(29.09% vs 18.37%, P = .1535). Patients initiated within
7 days had a significantly shorter median hospital length of stay than
patients initiated after 7 days (20 days vs 27 days,
P = .0013). There were 69 patients who were classified as
obese. Obese patients initiated within 7 days had a significantly shorter
median hospital length of stay than obese patients initiated after 7 days
(17 days vs 33 days, P = .0007). Conclusions: Time to initiation of PN did not impact in-hospital mortality. However, there
was an association between early initiation of PN and a shorter hospital
length of stay that was most pronounced among obese patients.
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Affiliation(s)
- Sunish Shah
- Department of Pharmacy Practice and Pharmacy Administration, University of the Sciences, Philadelphia, PA, USA
| | - James M Hollands
- Department of Pharmacy Practice and Pharmacy Administration, University of the Sciences, Philadelphia, PA, USA
| | - Laura Pontiggia
- Department of Mathematics, Physics, and Statistics, University of the Sciences, Philadelphia, PA, USA
| | - Angela L Bingham
- Department of Pharmacy Practice and Pharmacy Administration, University of the Sciences, Philadelphia, PA, USA
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18
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Dickerson RN, Kumpf VJ, Bingham AL, Blackmer AB, Canada TW, Chan LN, Cogle SV, Tucker AM. Significant Published Articles for Pharmacy Nutrition Support Practice in 2018. Hosp Pharm 2019; 54:285-293. [PMID: 31555003 DOI: 10.1177/0018578719851727] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2022]
Abstract
Purpose: The purpose of this article is to assist the pharmacist engaged in nutrition support therapy in staying current with pertinent literature. Methods: Several clinical pharmacists engaged in nutrition support therapy compiled a list of articles published in 2018 considered important to their clinical practice. The citation list was compiled into a single spreadsheet where the author participants were asked to assess whether the article was considered important to nutrition support pharmacy practice. A culled list of publications was then identified whereby the majority of author participants (at least 5 of 8) considered the paper to be important. Guideline and consensus papers from professional organizations, important to practice but not scored, were also included. Results: A total of 117 articles were identified; 8 from the primary literature were voted by the group to be of high importance. An additional 13 organizational guidelines, position, recommendation, or consensus papers were also identified. The top-ranked articles from the primary literature were reviewed. Conclusion: We recommend that pharmacists engaged in nutrition support therapy be familiar with these articles as it pertains to their practice.
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Affiliation(s)
| | | | | | - Allison B Blackmer
- University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences, Aurora, CO, USA
| | - Todd W Canada
- The University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | | | - Sarah V Cogle
- Auburn University Harrison School of Pharmacy, Auburn, AL, USA
| | - Anne M Tucker
- The University of Texas MD Anderson Cancer Center, Houston, TX, USA
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19
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Solomon DM, Emery EZ, Kavelak HL, Pontiggia L, Hollands JM, Bingham AL. Impact of Implementation of the American Society for Parenteral and Enteral Nutrition Model for Parenteral Nutrition Order Writing and Review on Competency, Attitudes, and Perceptions. Nutr Clin Pract 2019; 34:597-605. [PMID: 30644606 DOI: 10.1002/ncp.10237] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
BACKGROUND The American Society for Parenteral and Enteral Nutrition (ASPEN) parenteral nutrition (PN) safety consensus recommendations advise a comprehensive education program and competency assessment for all healthcare professionals involved in the care of patients receiving PN. The ASPEN-model papers provide guidance for designing PN competencies for prescribers, pharmacists, and pharmacy technicians. The purpose of this research was to evaluate the impact of a comprehensive educational program that aligns with the ASPEN model on PN competency, attitudes, and perceptions in a multidisciplinary healthcare professional audience. METHODS Dietitians, pharmacists, and physicians attended a 3-hour ASPEN model-based educational program focused on PN order writing and review. Matched preeducation and posteducation competency assessments were completed by attendees. Attitudes and perceptions were also assessed before and after the educational program using 5-point Likert scales. RESULTS Ninety-seven subjects were included in the analysis. The majority of attendees were dietitians (53.6%), followed by pharmacists (45.4%). Overall, multidisciplinary competency assessment scores improved by an average of 12.6% (preassessment average of 62.7%, postassessment average of 75.3%, P < 0.0001). Nine out of 10 statements regarding PN attitudes and perceptions significantly improved on the 5-point Likert scales (P < 0.05). CONCLUSION A comprehensive PN educational program in alignment with the ASPEN model positively impacted multidisciplinary healthcare professional PN competency, attitudes, and perceptions. To optimize patient safety, local organizations and institutions should implement formalized training as outlined by the ASPEN model for healthcare professionals involved in the care of patients receiving PN.
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Affiliation(s)
- Diana M Solomon
- Department of Clinical and Administrative Science, Howard University College of Pharmacy, Washington, District of Columbia, USA
| | - Elizabeth Zorzanello Emery
- Coordinated Program in Dietetics, La Salle University School of Nursing and Health Sciences, Philadelphia, Pennsylvania, USA
| | - Haley L Kavelak
- Department of Pharmacy, St. Luke's University Health Network, Bethlehem, Pennsylvania, USA
| | - Laura Pontiggia
- Department of Mathematics, Physics and Statistics, University of the Sciences, Philadelphia, Pennsylvania, USA
| | - James M Hollands
- Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy, University of the Sciences, Philadelphia, Pennsylvania, USA
| | - Angela L Bingham
- Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy, University of the Sciences, Philadelphia, Pennsylvania, USA
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20
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Kavelak HL, Hollands JM, Bingham AL. Student-Led Cardiopulmonary Resuscitation Education to Lay Providers Results in Successful Knowledge Acquisition and Skill Performance. J Allied Health 2019; 48:18-21. [PMID: 30826826] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 10/16/2017] [Accepted: 03/11/2018] [Indexed: 06/09/2023]
Abstract
AIMS To assess outcomes associated with student-led lay-responder cardiopulmonary resuscitation (CPR) education to community members. METHODS Healthcare students (87% pharmacy) were trained as American Heart Association (AHA)-certified CPR instructors and delivered CPR certification programs for the community through the AHA's Heartsaver® CPR Automated External Defibrillator (AED) certification course from August 2016 to January 2017. Knowledge acquisition was evaluated using 5 pre/ post-course questions adapted from the AHA Basic Life Support (BLS) certification course to be consistent with the AHA Heartsaver® CPR AED course learning objectives. Skill performance was evaluated using the AHA's standardized form for adult, child, and infant CPR assessment. RESULTS The majority of community member participants (n=105) were female (71%), African American (71%), 45-64 years of age (46%), employed (71%), college educated (50%), and had previous CPR training (63%). Participants demonstrated 100% success rate in correctly performing CPR skills. The mean percentage of correct responses increased from 36% for the pre-course questions to 85% for the post-course questions (p<0.001). CONCLUSION Healthcare students successfully provided CPR education to community members who then correctly demonstrated adult, child, and infant CPR skills. Data suggest that student-led CPR training has a positive impact on knowledge acquisition in community members.
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Affiliation(s)
- Haley L Kavelak
- Dep. of Pharmacy, St. Luke's University Health Network, 801 Ostrum St., Bethlehem, PA 18015, USA. Tel 302-373-7781, fax 215-596-8586.
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21
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Murphy JE, Liles AM, Bingham AL, Chamberlin KW, Dang DK, Hill LG, Lee M, Leonard A, Lodise NM, Rogers E. Interprofessional education: Principles and application. An update from the American College of Clinical Pharmacy. Journal of the American College of Clinical Pharmacy 2018. [DOI: 10.1002/jac5.1025] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Affiliation(s)
- John E. Murphy
- The University of Arizona College of Pharmacy; Phoenix Arizona
| | | | | | | | - Devra K. Dang
- The University of Arizona College of Pharmacy; Phoenix Arizona
| | - Lucas G. Hill
- The University of Arizona College of Pharmacy; Phoenix Arizona
| | - Mary Lee
- The University of Arizona College of Pharmacy; Phoenix Arizona
| | - Alyson Leonard
- The University of Arizona College of Pharmacy; Phoenix Arizona
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22
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Dickerson RN, Kumpf VJ, Bingham AL, Blackmer AB, Canada TW, Chan LN, Cogle SV, Tucker AM. Significant Published Articles for Pharmacy Nutrition Support Practice in 2017. Hosp Pharm 2018; 53:239-246. [PMID: 30038443 PMCID: PMC6050880 DOI: 10.1177/0018578718779006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
Purpose: The purpose of the article is to assist the pharmacist engaged in nutrition support therapy in staying current with pertinent literature. Methods: Several clinical pharmacists engaged in nutrition support therapy compiled a list of articles published in 2017 considered important to their clinical practice. The citation list was compiled into a spreadsheet where the author participants were asked to assess whether the article was considered important to nutrition support pharmacy practice. A culled list of publications was then identified whereby the majority (at least 5 out of 8 authors) considered the article to be of significance. Guideline and consensus articles from professional organizations, important to practice but not scored, were also included. Results: A total of 95 articles were identified; six from the primary literature were voted by the group to be of high importance. An additional 13 organizational guidelines, position, recommendation, or consensus papers were also identified. The top-ranked articles from the primary literature were reviewed. Conclusion: It is recommended that pharmacists engaged in nutrition support therapy be familiar with these articles as it pertains to their practice.
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Affiliation(s)
| | | | | | | | - Todd W. Canada
- University of Texas MD Anderson Cancer
Center, Houston, USA
| | | | | | - Anne M. Tucker
- University of Texas MD Anderson Cancer
Center, Houston, USA
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23
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Priftanji D, Cawley MJ, Finn LA, Hollands JM, Morel DW, Siemianowski LA, Bingham AL. Performance and retention of basic life support skills improve with a peer-led training program. Curr Pharm Teach Learn 2018; 10:744-749. [PMID: 30025775 DOI: 10.1016/j.cptl.2018.03.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/12/2017] [Revised: 12/08/2017] [Accepted: 03/02/2018] [Indexed: 05/06/2023]
Abstract
BACKGROUND AND PURPOSE Pharmacy students' performance and retention of Basic Life Support (BLS) skills were evaluated 120 days after completion of a peer-led BLS training program. EDUCATIONAL ACTIVITY AND SETTING This was a single-center, parallel group, observational study. Doctor of pharmacy (PharmD) students in their third professional year completed a peer-led BLS training program (n = 148) and participated in a high-fidelity mannequin simulation activity 120 days later. Students were randomly assigned to rapid response teams (n = 24) of five to six members and the American Heart Association's standardized form for BLS assessment was used to assess BLS skills performance. The performance of skills was compared to that of students two years prior to the implementation of the peer-led BLS program. FINDINGS AND DISCUSSION Students who received peer-led BLS training demonstrated retention of BLS skills 120 days after the BLS training program. The teams also displayed significant improvement of the skills evaluated when compared to student teams prior to implementation of the peer-led training (n = 22). Improvement was demonstrated for assessment of responsiveness (96% vs. 41%, p < 0.001), assessment for breathing (100% vs. 32%, p < 0.001), assessment for pulse (96% vs. 36%, p < 0.001), and administration of appropriate ventilation (100% vs. 32%, p < 0.001). Numerical superiority was exhibited for high-quality cardiopulmonary resuscitation (CPR) initiation by teams who received peer-led training (100% vs. 86%, p = 0.101). SUMMARY Students who received peer-led BLS training demonstrated significant improvement in BLS skills performance and retention 120 days after the training program. Data suggests that peer-led BLS training can improve student BLS skills performance and retention.
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Affiliation(s)
- Dorela Priftanji
- Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy University of the Sciences, Philadelphia, PA, United States.
| | - Michael J Cawley
- Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy University of the Sciences, Philadelphia, PA, United States.
| | - Laura A Finn
- Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy University of the Sciences, Philadelphia, PA, United States.
| | - James M Hollands
- Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy University of the Sciences, Philadelphia, PA, United States.
| | - Diane W Morel
- Associate Dean for Academic Affairs and Assessment, South College School of Pharmacy, 400 Goody's Lane, Knoxville, TN, United States.
| | - Laura A Siemianowski
- Department of Pharmacy, Hospital of the University of Pennsylvania, 3400 Spruce Street- Ground Rhoads, Philadelphia, PA, United States.
| | - Angela L Bingham
- Department of Pharmacy Practice and Pharmacy Administration, Philadelphia College of Pharmacy University of the Sciences, Philadelphia, PA, United States.
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24
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Dickerson RN, Kumpf VJ, Bingham AL, Cogle SV, Blackmer AB, Tucker AM, Chan LN, Canada TW. Significant Published Articles for Pharmacy Nutrition Support Practice in 2016. Hosp Pharm 2017; 52:412-421. [PMID: 29276265 DOI: 10.1177/0018578717720313] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Purpose: To assist the pharmacist engaged in nutrition support therapy in staying current with pertinent literature. Methods: Several clinical pharmacists engaged in nutrition support therapy compiled a list of articles published in 2016 considered important to their clinical practice. The citation list was compiled into a single spreadsheet where the author participants were asked to assess whether the paper was considered important to nutrition support pharmacy practice. A culled list of publications was then identified whereby the majority of author participants (at least 5 out of 8) considered the paper to be important. Guideline and consensus papers from professional organizations, important to practice but not scored, were also included. Results: A total of 103 articles were identified; 10 from the primary literature were voted by the group to be of high importance. An additional 11 organizational guidelines, position, recommendation, or consensus papers were also identified. The top-ranked articles from the primary literature were reviewed. Conclusion: It is recommended that pharmacists, engaged in nutrition support therapy, be familiar with the majority of these articles as it pertains to their practice.
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Affiliation(s)
| | | | | | | | | | - Anne M Tucker
- University of Texas MD Anderson Cancer Center, Houston, TX, USA
| | | | - Todd W Canada
- University of Texas MD Anderson Cancer Center, Houston, TX, USA
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25
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Choi YC, Saw S, Soliman D, Bingham AL, Pontiggia L, Hunter K, Chuang L, Siemianowski LA, Ereshefsky B, Hollands JM. Intravenous Vancomycin Associated With the Development of Nephrotoxicity in Patients With Class III Obesity. Ann Pharmacother 2017; 51:937-944. [DOI: 10.1177/1060028017720946] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
Background:A consensus statement recommends initial intravenous (IV) vancomycin dosing of 15-20 mg/kg every 8- 24 hours, with an optional 25- to 30-mg/kg loading dose. Although some studies have shown an association between weight and the development of vancomycin-associated nephrotoxicity, results have been inconsistent. Objective: To evaluate the correlation between incidence of nephrotoxicity associated with weight-based IV vancomycin dosing strategies in nonobese and obese patients. Methods: This retrospective cohort study evaluated hospitalized adult patients admitted who received IV vancomycin. Patients were stratified into nonobese (body mass index [BMI] <25 kg/m2), obesity class I and II (BMI 30-39.9kg/m2), and obesity class III (BMI≥40 kg/m2) groups; patients who were overweight but not obese were excluded. Incidence of nephrotoxicity and serum vancomycin trough concentrations were evaluated. Results: Of a total of 62 documented cases of nephrotoxicity (15.1%), 13 (8.7%), 23 (14.3%), and 26 (26.3%) cases were observed in nonobese, obesity class I and II, and obesity class III groups, respectively ( P=0.002). Longer durations of therapy ( P<0.0001), higher initial maintenance doses in both total milligrams/day ( P=0.0137) and milligrams/kilogram ( P=0.0307), and any trough level >20 mg/L ( P<0.0001) were identified as predictors of development of nephrotoxicity. Concomitant administration of piperacillin/tazobactam, diuretics, and IV contrast were associated with development of nephrotoxicity ( P<0.005, all). Patients with class III obesity were 3-times as likely to develop nephrotoxicity when compared with nonobese patients (odds ratio [OR]=2.99; CI=1.12-7.94) and obesity class I and II patients (OR=3.14; CI=1.27-7.75). Conclusions: Obesity and other factors are associated with a higher risk of vancomycin-associated nephrotoxicity.
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Affiliation(s)
- Yookyung Christy Choi
- University of the Sciences, Philadelphia, PA, USA
- University of Minnesota, Minneapolis, MN, USA
| | - Stephen Saw
- University of the Sciences, Philadelphia, PA, USA
| | | | | | | | - Krystal Hunter
- Cooper University Hospital/Cooper Medical School of Rowan University, Camden, NJ, USA
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26
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Solomon DM, Hollands JM, Siemianowski LA, Smith CE, Song RJ, Bingham AL. Do Patients With a Baseline Clinical Condition Warranting the Cautious Use of Parenteral Nutrition Develop Subsequent Metabolic Complications? Nutr Clin Pract 2016; 32:400-406. [DOI: 10.1177/0884533616680793] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Affiliation(s)
- Diana M. Solomon
- Philadelphia College of Pharmacy, University of the Sciences, Philadelphia, Pennsylvania, USA
| | - James M. Hollands
- Philadelphia College of Pharmacy, University of the Sciences, Philadelphia, Pennsylvania, USA
- Cooper University Hospital, Camden, New Jersey, USA
| | | | | | | | - Angela L. Bingham
- Philadelphia College of Pharmacy, University of the Sciences, Philadelphia, Pennsylvania, USA
- Cooper University Hospital, Camden, New Jersey, USA
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27
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Bio LL, Patterson BJ, Sen S, Bingham AL, Bowen JF, Ereshefsky B, Siemianowski LA. Variables Affecting Pharmacy Students' Patient Care Interventions during Advanced Pharmacy Practice Experiences. Am J Pharm Educ 2016; 80:116. [PMID: 27756924 PMCID: PMC5066919 DOI: 10.5688/ajpe807116] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/02/2015] [Accepted: 09/09/2015] [Indexed: 06/06/2023]
Abstract
Objective. To identify the temporal effect and factors associated with student pharmacist self-initiation of interventions during acute patient care advanced pharmacy practice experiences (APPE). Methods. During the APPE, student pharmacists at an academic medical center recorded their therapeutic interventions and who initiated the intervention throughout clinical rotations. At the end of the APPE student pharmacists completed a demographic survey. Results. Sixty-two student pharmacists were included. Factors associated with lower rates of self-initiated interventions were infectious diseases and pediatrics APPEs and an intention to pursue a postgraduate residency. Timing of the APPE, previous specialty elective course completion, and previous hospital experience did not result in any significant difference in self-initiated recommendations. Conclusion. Preceptors should not base practice experience expectations for self-initiated interventions on previous student experience or future intentions. Additionally, factors leading to lower rates of self-initiated interventions on infectious diseases or pediatrics APPEs should be explored.
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Affiliation(s)
- Laura L Bio
- University of the Sciences Philadelphia College of Pharmacy, Philadelphia, Pennsylvania
| | - Brandon J Patterson
- University of the Sciences Philadelphia College of Pharmacy, Philadelphia, Pennsylvania
| | - Sanchita Sen
- University of the Sciences Philadelphia College of Pharmacy, Philadelphia, Pennsylvania
| | - Angela L Bingham
- University of the Sciences Philadelphia College of Pharmacy, Philadelphia, Pennsylvania
| | - Jane F Bowen
- University of the Sciences Philadelphia College of Pharmacy, Philadelphia, Pennsylvania
| | - Benjamin Ereshefsky
- University of the Sciences Philadelphia College of Pharmacy, Philadelphia, Pennsylvania
| | - Laura A Siemianowski
- University of the Sciences Philadelphia College of Pharmacy, Philadelphia, Pennsylvania
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28
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Dickerson RN, Kumpf VJ, Blackmer AB, Bingham AL, Tucker AM, Ybarra JV, Kraft MD, Canada TW. Significant Published Articles for Pharmacy Nutrition Support Practice in 2014 and 2015. Hosp Pharm 2016; 51:539-52. [PMID: 27559187 DOI: 10.1310/hpj5107-539] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
PURPOSE To assist the pharmacy clinician engaged in nutrition support in staying current with the most pertinent literature. METHODS Several experienced board-certified clinical pharmacists engaged in nutrition support therapy compiled a list of articles published in 2014 and 2015 that they considered to be important to their practice. Only those articles available in print format were considered for potential inclusion. Articles available only in preprint electronic format were not evaluated. The citation list was compiled into a single spreadsheet where the author participants were asked to ascertain whether they considered the paper important to nutrition support pharmacy practice. A culled list of publications was then identified whereby the majority of author participants (at least 5 out of 8) considered the paper to be important. RESULTS A total of 108 articles were identified; 36 of which were considered to be of high importance. An important guideline article published in early 2016, but not ranked, was also included. The top-ranked articles from the primary literature were reviewed. CONCLUSION It is recommended that the informed pharmacist, who is engaged in nutrition support therapy, be familiar with the majority of these articles.
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Engle JP, Franks AM, Ashjian E, Bingham AL, Burke JM, Erstad BL, Haines SL, Hilaire ML, Rager ML, Wienbar R. A Self-Assessment Guide for Resident Teaching Experiences. Pharmacotherapy 2016; 36:e58-79. [PMID: 27334033 DOI: 10.1002/phar.1768] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
| | - Amy M. Franks
- American College of Clinical Pharmacy; Lenexa Kansas
| | - Emily Ashjian
- American College of Clinical Pharmacy; Lenexa Kansas
| | | | - John M. Burke
- American College of Clinical Pharmacy; Lenexa Kansas
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Vaisey A, Goller JL, Yeung A, Wood A, Bingham AL, Guy RJ, Temple-Smith M, Hocking JS. P14.01 Is knowledge power? associations between chlamydia knowledge and sexual practices in young australian adults: findings from the australian chlamydia control effectiveness pilot (accept). Br J Vener Dis 2015. [DOI: 10.1136/sextrans-2015-052270.513] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Bingham AL, Sen S, Finn LA, Cawley MJ. Retention of advanced cardiac life support knowledge and skills following high-fidelity mannequin simulation training. Am J Pharm Educ 2015; 79:12. [PMID: 25741028 PMCID: PMC4346824 DOI: 10.5688/ajpe79112] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2014] [Accepted: 12/11/2014] [Indexed: 05/23/2023]
Abstract
OBJECTIVE To assess pharmacy students' ability to retain advanced cardiac life support (ACLS) knowledge and skills within 120 days of previous high-fidelity mannequin simulation training. DESIGN Students were randomly assigned to rapid response teams of 5-6. Skills in ACLS and mannequin survival were compared between teams some members of which had simulation training 120 days earlier and teams who had not had previous training. ASSESSMENT A checklist was used to record and assess performance in the simulations. Teams with previous simulation training (n=10) demonstrated numerical superiority to teams without previous training (n=12) for 6 out of 8 (75%) ACLS skills observed, including time calculating accurate vasopressor infusion rate (83 sec vs 113 sec; p=0.01). Mannequin survival was 37% higher for teams who had previous simulation training, but this result was not significant (70% vs 33%; p=0.20). CONCLUSION Teams with students who had previous simulation training demonstrated numerical superiority in ACLS knowledge and skill retention within 120 days of previous training compared to those who had no previous training. Future studies are needed to add to the current evidence of pharmacy students' and practicing pharmacists' ACLS knowledge and skill retention.
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Affiliation(s)
- Angela L Bingham
- Philadelphia College of Pharmacy, University of the Sciences, Philadelphia, Pennsylvania
| | - Sanchita Sen
- Philadelphia College of Pharmacy, University of the Sciences, Philadelphia, Pennsylvania
| | - Laura A Finn
- Philadelphia College of Pharmacy, University of the Sciences, Philadelphia, Pennsylvania
| | - Michael J Cawley
- Philadelphia College of Pharmacy, University of the Sciences, Philadelphia, Pennsylvania
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Bingham AL, Brown RO, Dickerson RN. Inadvertent exaggerated anticoagulation following use of bismuth subsalicylate in an enterally fed patient receiving warfarin therapy. Nutr Clin Pract 2013; 28:766-9. [PMID: 24163322 DOI: 10.1177/0884533613507606] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
We report a case of an inadvertent increase in the international normalized ratio (INR) after the addition of bismuth subsalicylate for the treatment of diarrhea in an enterally fed patient receiving warfarin therapy. A 56-year-old Caucasian female presented to the trauma intensive care unit (ICU) with multiple lower extremity fractures. Warfarin was initiated for deep vein thrombosis prophylaxis due to the patient's inability to ambulate. The target INR was 2-3. Continuous intragastric enteral feeding was withheld 1 hour before and 1 hour after intragastric administration of warfarin. Bismuth subsalicylate 30 mL every 4 hours was prescribed for diarrhea. Within 3 days after starting bismuth subsalicylate therapy, the patient's INR increased from 2.56 to 3.54 and minor bleeding was noted from the patient's tracheostomy site. No significant change in warfarin dosage, variability in vitamin K intake, or medications that potentially alter warfarin metabolism were present during the unexpected rise in INR. When the bismuth subsalicylate was discontinued, the patient's INR stabilized into the target range on the same warfarin dose given at the time of the supratherapeutic INR. Salicylate displaces warfarin from plasma protein binding sites and may result in a significant increase in INR secondary to redistribution of warfarin to the free active form. Evaluation of this case report using the Drug Interaction Probability Scale and Naranjo Adverse Drug Reaction Probability Scale yielded scores consistent with a probable adverse drug interaction. Bismuth subsalicylate exaggerates warfarin's anticoagulant response and its concurrent use during warfarin therapy should be avoided.
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Affiliation(s)
- Angela L Bingham
- Angela L. Bingham, Department of Pharmacy Practice and Pharmacy Administration, University of the Sciences, 600 S 43rd St, Philadelphia, PA 19104, USA.
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Bingham AL, Grischkowsky D. Terahertz two-dimensional high-Q photonic crystal waveguide cavities. Opt Lett 2008; 33:348-350. [PMID: 18278106 DOI: 10.1364/ol.33.000348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Abstract
Numerical simulations were used to design a variety of high-Q resonant cavities for integration into a terahertz 2D photonic crystal waveguide. After fabrication, the transmission characteristics of each integrated cavity were explored. These photonic waveguide-coupled cavities demonstrate resonances with linewidths approaching 10 GHz. The results compare favorably to previous observations of rectangular waveguide cavities. Good agreement between the experimental results and the numerical simulations was obtained.
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Affiliation(s)
- A L Bingham
- School of Electrical and Computer Engineering, Oklahoma State University, Stillwater, Oklahoma 74078, USA
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Henry RL, Bingham AL, Halliday JA. The management of epiglottitis in a small paediatric intensive care unit. J Qual Clin Pract 1994; 14:17-21. [PMID: 8199754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
The aim of this study was to examine the outcome of epiglottitis in a small paediatric institution. Over the 5 year period October 1986 to September 1991, 44 children (of whom 15 were retrieved) with epiglottitis were admitted to the only paediatric intensive care facility in the Hunter Region. The so-called classical features were often absent. Forty of the 44 children were intubated. The mean length of intubation was 22 h and the mean length of hospital stay was only 2 1/2 days. One child had a respiratory arrest prior to intubation but made a complete recovery; one child had a coexistent submental/submandibular fascial space infection; 16 (36%) had abnormal chest radiographs. Five children had post-extubation stridor with one of these children left with residual hoarseness. Epiglottitis can be managed safely in a small paediatric intensive care unit with acceptable short-term and long-term complications.
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Affiliation(s)
- R L Henry
- University of Newcastle, NSW, Australia
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