Clinical Interventions of Critical Care Pharmacist in the Therapeutic Management of Critically Ill Patients: a Retrospective Study in Bangladesh

Abstract

Critically ill patients at ICU are treated with poly pharmacy and conservative drug management is
necessary for ensuring drugs’ safety and accuracy. The objective of this study was to analyze the qualitative
intervention of critical care pharmacists (CCP) in critically ill patients’ effective medication management. This was a 6
months long observational study. All the provided suggestions of CCP were categorized into- A (drug-drug
interaction), B (addition of new drug therapies), C (rational dosing of antibiotics), D (acceleration or deceleration of
the doses) and E (adverse drug reaction). Out of total CCP’s 650 suggestions, 566 (87.08%) suggestions were accepted
by doctors and modified the therapies, accordingly. CCP being a part of ICU’s multi professional team contribute the
professional roles in generating safe, appropriate and quality prescriptions, which finally turns into quality
pharmacotherapy for critically ill patients at ICU.