Phase 1: Prior to the rotation: theoretical capacity | |
Acid-base balance AnalgesiaSedation Enteral and parenteral nutritionPulmonary hypertension | Key issues in shift changes. Very useful to facilitate understanding of the decisions that are taken according to the patient's biochemical and clinical parametersWith regard to pharmacotherapy, they enable the resident to focus on the important aspects and differentiate the problems associated with the medication that could arise in an intensive care unit from those that may occur in other types of hospital ward |
Phase 2: During the rotation | |
Review the basic physiopathological disturbances in patients admitted to the unit and the pharmacological treatment of those disturbances | Detect the key parameters for performing pharmacotherapeutic follow-up of patients. Know the basic parameters for detecting the response to pharmacological treatment |
Establish routine attendance at the sessions. Obligatory attendance at the 09:00 morning session and encourage attendance at the 14:15 session | Clarify on the same day any doubts that arise regarding validation of the orders. Understanding of the clinical course of the patients |
Possibility for establishing a session given by the pharmacist on a subject of interest to the unit | Training of the resident in a specific subject and integration of the pharmacist as a member of the care team |
Substitution of the general pharmacy literature reviews through a review of articles on the subject to be presented | |
Review of the use of antimicrobials in critically ill paediatric patients | Acquisition of an understanding of antibiotic therapy and observation in clinical practice |
Selection of the course sessions given in the ICU. To gain greatest benefit from the course, it should be performed 1 month after beginning the rotationNote: It would be interesting for the resident to participate in the session on electronic prescription | Obligatory |
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Fluid therapy Acid-base balance Parenteral and enteral nutrition Inotropic and vasodilator drugs, volume expanders, and diuretics Analgesia, sedation, and muscle relaxants Acute renal failure: extrarenal filtration techniques Infection: empirical antibiotic therapy
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| Very interesting•
Ventilators and mechanical ventilation (attend at least one of the sessions) • Haematological disturbances • Coma, status epilepticus, cerebral protection
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Phase 3: After the rotation | |
Report of the activities performed | Detection of strong and weak points of the rotation |
| Self-evaluation of proposed objectives and of those achieved |