Detección, Control y Seguimiento de Reacciones Adversas a Medicamentos (RAMs) en Pacientes de la Tercera Edad Diabéticos Polimedicados del Area de Consulta Externa del Hospital del IESS - Riobamba.

Abstract

This investigation deals with the detection, control and follow-up of the RAM adverse reactions in poly-medicated older adult diabetic patients in the External Consultation are of the Hospital IESS-Riobamba as there no control at this institution in this age group, this being a justification for the implementation of a pharmacy-surveillance system. It was developed from December 2010 to March 2011, using the individualized and intensive inductive-deductive method in 30 patients with the field technique and the use of the Pharmaceutical Profile, notification cards and training. From the results obtained through the ANOVA and algorithms the highest number of RAM in the 68-72 and 73-77 age groups is observed. This is why the Pharmacy- surveillance system was implement which advance every fortnight consisting of a follow- up of the pharmacology, diet, physical activity, stress level, adequate glucose levels value and knowledge of the irrational use of medicines in each one of them. Favorable results improving the patient life style as compared to the data collected at the investigation beginning, were reached. lt is recommended to apply this system to be able to evaluate and control the security level in patients with chronic diseases offering the secure use of the medicines though the pharmaceutical intervention which stresses the important role of the Pharmaceut professional of the health area.