Abstract
Bivalirudin and glycoprotein IIb/IIIa antagonists are commonly used during percutaneous coronary interventions (PCI). The Pharmacy Department of Charlton Memorial Hospital implemented a dosing flow sheet that is operated by the Cardiac Catheter Lab nursing staff. The computer-oriented program utilizes the Microsoft Excel spreadsheet program. The computer spreadsheet calculates an estimated creatinine clearance (CrCl) rate and inserts proper renal adjusted dosages of both bivalirudin and glycoprotein IIb/IIIa antagonists into a printed flow sheet. The computer program is encoded to follow specific medication regimens for patients whether or not they are on dialysis. Institutions can develop medication dosing flow-sheet forms utilizing the spreadsheet concept.
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