Clinical Science of Nutrition
Case Report

The medication management in a patient with resistant hypertension with percutaneous endoscopic gastrostomy tube: The role of the clinical pharmacist

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Department of Clinical Pharmacy, Hacettepe University Faculty of Pharmacy, Ankara, Turkey

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Department of Internal Disease Division of Geriatric Medicine, Hacettepe University School of Medicine, Ankara, Turkey

Clin Sci Nutr 2019; 1: 57-60
DOI: 10.5152/ClinSciNutr.2019.08
Read: 310 Downloads: 199 Published: 20 March 2019

Resistant hypertension (RH) is characterized as a clinical condition in which the patient needs three antihypertensive medications including diuretic for uncontrolled blood pressure (BP). Treatment of RH involves improving medication adherence and correct administration. Medication administration may be the key point when the patients’ clinical conditions are not applicable for oral drug administration. Thus, comprehensive investigation of the patient is extremely important to identify the right medication, administration route, and time. In this case report, BP control was not achieved despite consulting several related medical services/departments for the patient with gastrostomy and uncontrolled RH. Thereafter, BP was gradually decreased with the intervention of the clinical pharmacists based on detailed research about the appropriateness of drug administration through percutaneous endoscopic gastrostomy (PEG) tube and timing. Drug administration via a PEG tube or feeding tube can be challenging at some points. Although drug–drug interactions can be recognized easily, potential drug–nutrient interactions should be also considered.

 

Cite this article as: Kelleci B, Ballı N, Savaş M, Balcı C, Eşme M, Demirkan K, et al. The medication management in a patient with resistant hypertension with percutaneous endoscopic gastrostomy tube: The role of the clinical pharmacist. Clin Sci Nutr 2019; Clin Sci Nutr 2019; 1(1): 57-60.

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ISSN2667-6222 EISSN 2667-6230
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