Malpractice in heart attack patient

Case study

Example:Case:MI patient

male 55 years 170 cm BW 120kg BP=150/95 PR= 88 bpm Chol =256 TG= 188 FBS = 126 mg/dL

Rx:

aspirin gr1 1*1 PC

ISDN 10 mg 1*3 ac

ISDN 5 mg SL prn

HCTZ 25 mg *1 PC

B co 1*1 PC

Prescribing error in this case is

1 wrong dose of aspirin right dose is 75-300 mg/day

2 Untreated indication

This case must be use 4 drugs group for increased survival rate in Myocardial infarction patient

1 aspirin 2 beta blocker 3 ACEI 4 statin

4 Drug group in Myocardial infarction patient can increased 30-50% of survival rate.

In USA 70 % in Myocardial infarction patient have correct pharmacotherapy plan on the other hand 30 % is wrong plan. IN UK only 45% in Myocardial infarction patient have correct pharmacotherapy plan.

3. and Last error in this case BP is over proper range of BP.

BP must less than 140/90 and good PR rang is 55-80 bpm. (BP= Blood pressure)

Good Rx is ...5 drug items

aspirin 81 mg *1 PC

simvastatin 10 mg *HS (can reduced mortality rate)

atenolol 25 mg bid (can reduced mortality rate)

enalapril 10 mg BID (can reduced mortality rate)

ISDN 5 mg SL prn

If you are Myocardial infarction . I take free gift for Check your prescribing order.

When recurrent Myocardial infarction is begin you must be check yours drug for appropriate drug therapy plan. Not malpractice in drug prescribing. The major problem in malpractice is non adherence of clinical practice guideline by doctor. Translating guidelines into clinical practice has proved to be quite difficult, even when the guidelines are well accepted and noncontroversial. However, translating guidelines into clinical practice has proved quite difficult, even when the guidelines are well accepted and noncontroversial. Aspirin,Angiotensin converting enzyme (ACE) inhibitors, and lipid- lowering agents have significant morbidity and mortality benefits for patients after an acute myocardial infarction, but these agents are not optimally used.2-5 The American College of Cardiology and the American Heart Association have published guidelines for the treatment and secondary prevention of acute myocardial infarction, which include recommendations for the use of aspirin, Beta-blockers, ACE inhibitors, and lipid-lowering agents.

This is new issues in malpractice, it error from non adherence clinical practice guidelines by doctor. This issue is easy to check error and document practice guidelines are published.

In this CAD case is call untreated indication .No lawyer ,who know about this malpractice.

If member of your family is dead from cardiovascular event. You should be check prescription in all drug that patient have.

Keyword: medical malpractice from drug error