Evaluation of pharmaceutical interventions in an intensive care unit of a teaching hospital

Abstract

Objective: The clinical pharmacist working in hospitals through actions, such as pharmaceutical interventions, enables a more adequate, safe, and rational pharmacotherapy, the reduction of problems related to medications, as well as the improvement of patient care. Therefore, the objective of this study was to classify, quantify and verify the acceptability of 6 months of pharmaceutical interventions performed in an Adult Intensive Care Unit of a teaching hospital in the state of Paraíba.Methods: This is an observational, descriptive, and retrospective study carried out from February 2019 to July 2019 in a teaching hospital. Data were collected from consultation with pharmaceutical intervention forms that are filed at the Clinical Pharmacy unit. The sample of this study comprised 239 medical prescriptions. Results: 354 pharmaceutical interventions were performed during the evaluated period, which were classified in 17 categories in which the most frequent were: withdrawing medication (n=103; 29,1%), dosage (n=95; 26,8%), adding medication (n=44; 12,4%), Y incompatibility (n=32; 9,0%) and reconstitution/dilution (n=23; 6,5%). The acceptability of interventions by the medical team in this period was (n=345; 97%) and only (n=9; 3%) were not accepted. Conclusion: In view of the exposed results, it is observed that the intensive care pharmacist is increasingly present with the multiprofessional team, participating in patient care, in view of the number of interventions performed and the acceptability by the team. Thus their clinical conduct directly impacts the reduction of drug-related problems, the optimization of therapy and the promotion of the rational use of drugs.