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Intravenous medication administration practices have changed dramatically over the years, from administration by gravity, to programmable infusion pumps, to smart infusion pumps with dose-error reduction systems (DERS). Today, smart infusion pumps are considered the standard of care in reducing infusion-related medication errors. According to the 2021 State of Pharmacy Automation survey of pharmacy... Read more
In the acute care setting, treating persistent hemorrhagic cystitis—a syndrome of diffuse bleeding of the endothelial lining of the bladder—can be challenging given the current lack of effective FDA approved medication therapies. As such, it is prudent to evaluate published scientific literature to guide therapy using off-label medication indications. For instillation therapy, medications... Read more
Since about 1975, soybean oil-based intravenous lipid injectable emulsions (SO-ILEs) have been the main source of fats for patients receiving parenteral nutrition (PN), with a standard dosing recommendation of up to 1 g/kg/d of SO-ILE for adults.1 However, this method is not an infallible nutrition solution—SO-ILEs are thought to be directly related to many hepatobiliary complications, and... Read more
TIP #1
Repackaging for Cost Savings
A thorough analysis of medication repackaging options can elicit opportunities for cost savings. While the goal of most pharmacies is to purchase as much inventory as possible in bar coded unit-of-use, savings may be realized by identifying high cost items and then reviewing both in-house and outsourced repackaging options. To ensure fiscal responsibility,... Read more
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