One hundred digitalis blood levels. A utilization review
Autor: | W. B. Hladik, C. A. Dujovne |
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Rok vydání: | 1979 |
Předmět: |
Adult
Male medicine.medical_specialty Digoxin Pharmacology toxicology Digitalis Utilization review Digitalis level Medicine Humans Pharmacology (medical) Aged Pharmacology biology business.industry Diagnostic test Digitalis Glycosides General Medicine Hospital Bed Capacity 500 and over Kansas Middle Aged biology.organism_classification Drug Utilization Creatinine Emergency medicine Utilization Review Female business medicine.drug |
Zdroj: | European journal of clinical pharmacology. 15(6) |
ISSN: | 0031-6970 |
Popis: | One hundred consecutive digitalis serum level determination requests and results were analyzed to evaluate the rational of ordering the test and utilizing the results at his hospital. Sixty-six percent of the reasons given for ordering the test were categorized as “acceptable”. As many as 25% of physicians requesting the test considered digitalis levels as “routine” diagnostic tests in a patient taking these drugs. There were 12 levels within the potentially toxic range, 19 below the usual therapeutic range. The physicians modified their therapeutic management in 38 patients as a result of their knowledge of the digitalis level in blood. It is concluded that digitalis level determinations at this hospital are reasonably well utilized and that knowledge of the digitalis levels improve the accuracy of digitalis utilization in at least one third of the patients in whom this test is done. |
Databáze: | OpenAIRE |
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