Keywords
Abstract
Objective: This study aims to analyze the profile of pharmaceutical interventions provided by clinical pharmacists through the analysis of medical prescriptions in a generalist adult Intensive Care Unit (ICU). Methodology: This is a cross-sectional, prospective and observational study, with a quantitative approach, carried out in the ICU of a large public hospital, a reference in urgency and trauma in the state of Goiás. Data were collected from June to August of 2022, through the daily analysis of prescriptions. Patients admitted to the general adult ICU were included in the survey. Results: The studied population comprised 74 patients, mostly male (68.92%), hypertensive (27.03%), diabetic (14.86%) and with a mean age of 58 years. 568 prescriptions were analyzed, and 489 problems related to medication were identified, the most prevalent being: inappropriate/unnecessary or contraindicated medication (30.67%) and need for additional medication (24.34%). The drug classes most involved in the problems were: general anti-infectives for systemic use (23.72%) and nervous system agents (23.11%). Of the promoted pharmaceutical interventions, 84.25% were accepted, most frequently: discontinuing medication (30.67%) and starting medication therapy (23.72%). Conclusion: In view of the results presented, there is a good rate of acceptability of the interventions, highlighting the importance of the role of the clinical pharmacist within the ICU in the prevention of problems related to pharmacotherapy, as well as in the improvement of therapeutic outcomes, promoting the rational use of medicines
Keywords: Pharmaceutical interventions; Clinical pharmacy; Drug-related problems.