1.Serum Concentration Monitoring of Acutely Poisoned Patient Eating a Great Amount of Diphenhydramine by Mistake
Mayumi TAKEMASU ; Shinya KAJITANI ; Kazuya TOKUMOTO ; Kayo KANAMEDA ; Keiko KAWAKAMI ; Nobuko TADASA ; Shunji HORIKAWA ; Kazuhide FUKUHARA
Journal of the Japanese Association of Rural Medicine 2013;61(6):904-908
When a patient with acute drug intoxication is brought to our hospital, the pharmacist must immediately collect pertinent information regarding the causative agents involved, present the collected data and propose therapeutic methods to the doctors and nurses based on the basis of their earlier experience. For the life-saving treatment of a 99-year-old woman who happened to swallow a large amount of diphenhyramine ointment, we proposed gastric lavage and time-lapse measurement of the diphen- hyramine concentration in the blood. The results of this therapy showed a clinical improvement with a drop in the concentration of diphenhyramine in the blood. The conduct of gastric lavage and the clinical determination of diphenhyramine concentration in the blood were found useful in this case.
2.Evaluation of Taking-Medicine-Support Device for Inpatients
Toshiyuki HIRAI ; Nobuko KAWAKAMI ; Toshiichi SEKI
Japanese Journal of Social Pharmacy 2022;41(1):75-81
In Japan, as a Social Security Reform measure against workforce decrease by 2040, robotic devices for nursing care and medication intake support have been utilised. However, evaluation reports about the robots and studies about their evaluation by patients are lacking. Therefore, we studied medication status with robotic assistance as well as patients’ evaluation of usability of robotic assistance. Participants were twelve patients whose median age was 73.0 (min 39.0-max 82.0), the median of number of drugs of a maximum intake day, which means the one of the week in which drugs are taken most, was 10.0 (min 4.0-max 17.0), and the median of maximum number of times to take drugs per day was 3.0 (min 1.0-max 4.0). Four were suspected of having dementia, based on the evaluation of their cognitive function tests. No patient missed any dose during the utilisation of the support device in taking medicine. All patients reported that the conditions of taking medicine and the recognition of the time to take it were improved. Therefore, the incorporation of support devices in taking medicine is expected to avoid missing to doses.