Part 01.
A male patient directly admitted from emergency room with chest pain, asthma and partially kidney
problem. Lab results confirm higher level of cholesterol, some blocks on heart, high blood pressure
and partially kidney problem. This is a complex situation where we needed some specialists from
different majors and needed to talk about. First I arranged a BRIEF for planning how could we treat
this patient. There was a doctor who is specialist on cardio vascular disease , another doctor from
chest specialist, a kidney specialist, a clinical pharmacist(me), head nurse, trainee nurse were
included to our team. We discussed about patient condition then listen suggestion from everyone,
everyone had to suggest about patient and head of our team took important note from everyone’s
word. Then finally our head of team developed an approach to treat this patient and discussed about
approach and requested to everyone to review approach.
The day after admission we arranged DEBRIEF about our approach and how well our approach is
working to patient. If any change could bring well to patient we added it after approval of each team
member.
Part 02.
In our treatment approach we chose BRIEF and DEBRIEF.
Patient has urinary problem so we chose drugs such way that can not affect urinary system. We
checked again if any drugs that are prescribed may have impact on kidney.
We evaluated our treatment approach at the starting of second day and it was going well following
our plan.
We developed a backup plan if current treatment is not working well for patient.
We discussed cholesterol level will decrease and blood pressure too. If patient face severe problem
with asthma then we suggest nurse to put patient on respirator.
Before changing any part of our treatment approach we must have approval from other team
member.
In DEBRIEF session; we take a skim over our approach. We keep cholesterol lowering agent, mild
blood pressure lowering agent.
Part 03.
I was a clinical pharmacist I warned any medication that may hamper kidney activity could not be
prescribed as patient bear partial kidney problem.
Nurse said patient seems little anxiety so we could prescribe beta blockers as this drug can act as
anti anxiety as keep blood pressure at normal level.
Part 04.
I strongly believe our strategy was on right way because we everyone contributed while making a
treatment approach. We listen carefully to everyone while BRIEING. We considered everyone
suggestion while treating this patient. We were always at right time while visiting patient.
During debrief session we looked how our approach is working to patient as patient having problem
of multiple organs that is why DEBRIEF was necessary.