By G. Bryan
In December 2013, the Eight Joint National Committee (JNC8) released the latest Evidence Based Guidelines for the Management of High Blood Pressure in Adults.
One of the biggest changes in these updated guidelines is their commended BP goals. For the patient aged 60 years or older (who does NOT have diabetes or chronic kidney disease), the BP goal is now less than 150/90 mm Hg. Patients less than 60 years old OR over 60 years old with diabetes or kidney disease should maintain their BP at less than 140/90 mm Hg.
Another difference is in which classes of medications should be started first for HTN. For the African American population, a thiazide diuretic or calcium channel blocker (CCB) is now recommended as first-line treatment. In The non-African American population, treatment for HTN may be initiated with a thiazide diuretic, CCB, Angiotensin-
Converting Enzyme Inhibitor(ACEI), or Angiotensin Receptor Blocker(ARB).
Please contact your Holladay Consultant Pharmacist for more information.
By D. Newsome
Drug diversion and abuse are huge problems in this country. The“street price” for many prescription drugs is high which incentivizes people to steal them to sell.
Here are some tips to minimize diversion:
- Make sure all“hard” (original,signed paper) copies of prescriptions for controlled substance are sent to the pharmacy. This discourages someone from taking them elsewhere to be filled.
- Ensure all controlled substances are being counted as soon as they arrive into the facility. Don’t leave the count sheet attached to the product. Keep it folded in the narcotic book until you begin to use the product. Someone could take the drugs and the count sheet and you would not know it.
- Return controlled substances as soon as they expire or are discontinued. Holding on to them enables someone to take them before they are written up for return.
- You should receive a completed count sheet for all controls returned to the pharmacy. Reconcile these to the copy of the Medication Return Form you send to the pharmacy and to the copy you receive back from the pharmacy.
Denise Newsome, R.Ph. is the Pharmacy Manager for Holladay Pharmacy.
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“I have been extremely impressed with Holladay’s professional, friendly and thorough pharmacy services. I have worked with a lot of pharmacy vendors over the past 30 years, and Holladay is by far the best overall service I have used for my residents. That is why we use them at 2 of our CCRC’s we currently manage now! Their ability to integrate pharmacy services into the electronic medical record has been amazingly smooth, and they are always immediately responsive to requests.”
Kyle Dilday, Vice President of Operations – RLA ( Retirement Living Associates), Inc.
“Our recent pharmacy transition with Holladay Pharmacy went extremely well. The expertise and experience by the pharmacy staff was outstanding. They were on hand to personally deal with any issues during the start up period. Our staff was very receptive to working with their professional staff. Everyone on the Holladay administrative staff participated in the transition and gave timely responses to any of our concerns. They have done their best to customize the pharmacy services to meet our needs.”
“I would be glad to give Holladay Pharmacy Services a good reference. They are clearly the best long term care pharmacy I have ever used in my career. Their staff has become a tremendous resource to our team for accomplishing our mission.”
Cary Corley, Administrator – Springmoor Life Care Retirement Community