Importancia de la conciliación del tratamiento en la farmacia comunitaria de un paciente crónico, polimedicado y anticoagulado

Content Provider	Semantic Scholar
Author	Bocanegra, Ana María Rivera
Copyright Year	2018
Abstract	espanolLa fibrilacion auricular es la arritmia cardiaca mas frecuente, produce una alta tasa de accidente cerebrovascular y embolia sistemica. Su tratamiento recae en dos aspectos fundamentales, la prevencion del ictus mediante la anticoagulacion oral y el control de la arritmia en si. Como anticoagulantes orales nos encontramos los antagonistas de la Vitamina K y los anticoagulantes orales de accion directa, estos han experimentado un aumento en sus prescripciones ultimamente, por presentar ciertas ventajas: dosificacion simple y fija, sin restricciones de dieta, anticoagulacion predecible,... Sin embargo, tienen restricciones de dosificacion en casos de insuficiencia renal e interaccionan con algunos medicamentos. En este caso clinico se ha llevado a cabo la conciliacion del tratamiento, en Farmacia Comunitaria, de un paciente polimedicado cronico al que le prescriben diferentes medicamentos en diversas transiciones asistenciales al padecer una FA paroxistica. Gracias a la intervencion farmaceutica se previenen graves complicaciones derivadas de errores en la medicacion. EnglishAtrial fibrillation is the most common type of arrythmia. It is the cause of a high number of cases of stroke and systemic embolism. There are two fundamental aspects to the treatment of atrial fibrillation; the prevention of stroke by oral anticoagulants, and the control of the arrythmia itself. As oral anticoagulants we find the vitamin K antagonists and the direct action oral anticoagulants, these have experienced an increase in their prescriptions lately, for presenting certain advantages: simple and fixed dosage, no dietary restrictions, and predictable anticoagulation… However, they have dosage restrictions in cases of renal failure and are incompatible with various other types of medication. In this clinical case, the pharmaceutical community has carried out a reconciliation of various treatments of a chronic patient on multiple medications suffering from paroxismal AF, who had been prescribed different medication on different occasions. Due to this pharmaceutical intervention, serious complications caused by medication errors were avoided.
Starting Page	389
Ending Page	396
Page Count	8
File Format	PDF HTM / HTML
Volume Number	20
Alternate Webpage(s)	https://www.pharmcareesp.com/index.php/PharmaCARE/article/download/455/375
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article