Navigating Medication Challenges: A Strategic Approach to Cardiovascular Health at a Government Hospital

Katike Umar and Chennuru Latha

Background and Objective: During hospitalization, the prevalence of drug related problems underscores the necessity for targeted interventions in medication management, crucial for improving overall outcomes. The primary objective was to delve into the intricate realm of drug related problems (DRPs) prevalent among cardiovascular patients (CVP) receiving medical care at the facility. Through meticulous examination and analysis, the study aimed to uncover key insights into the challenges and complexities associated with medication regimens in this specific patient demographic during the specified timeframe. Materials and Methods: A study at Government General Hospital, Kurnool, from December 30, 2020, to August 27, 2021, examined 1100 cardiovascular patients. Trained personnel identified drug-related problems within 24 hrs post-admission, ensuring accuracy through medical professional confirmation. The rigorous methodology included linguistic considerations, daily supervision and meticulous statistical analysis using SPSS and Excel. The study categorized DRPs, offering insights into medication management challenges such as untouched indications, unjustified drug use, incorrect medicines, suboptimal dosage, overdose and medication noncompliance. Results: Gender-related trends in specific issues were observed, with insomnia more common among males, while cough and dyspnea were prevalent in females. Pantoprazole misuse occurred in 44.74% of cases. Sub-therapeutic dosing cases, particularly with sildenafil. Non-compliance, notably in nebulization-related issues (39.17%). Conclusion: The study concludes by underscoring the necessity for interdisciplinary collaborations to mitigate the impact of drug related problems on cardiovascular patients.

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