4/30/2009

Remember sometimes doctor is wrong.

Sometimes, doctor prescribe wrong drug because contraindication or ineffective drug in some disease.

Example.
Im Myocardial infarction patient.

RX
Aspirin 60 mg per day.
Isosorbide 10 mg 4 times a day.
propanolol 10 mg one pill per day.

In this case doctor is clearly wrong.

Fact untold story.
65 % of Heart failure patient have wrong drug from doctor.
45 % of Myocardial infarction have inappropiated medications.


If Doctor orders appropiated drug the mortality decreased more than 40%.
Pharmacist can help doctor to select appropiated drug.

True order is
Aspirin 81 mg OD
atenolol 50 mg OD
Isodril 5 mg SL prn
enalapril 10 mg BID

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