Watch here tomorrow for launch of a new accredited tweetorial on the various important roles hospital and community pharmacists play in optimizing cardiometabolic care! Earn 0.5 CE/CME credits! Expert faculty @SnayCardsPharmD. #medtwitter @academiccme #cardiotwitter @AHSPOfficial

1) Welcome to a tweetorial on optimizing the role of the pharmacist in managing cardiometabolic disease! Accredited for 0.50 credits by @academiccme: physicians, nurses, pharmacists! Expert faculty @SnayCardsPharmD

2) Supported by Abbott, AstraZeneca, Bayer, Chiesi, NovoNordisk. Follow this thread for credit. This program is intended solely for healthcare providers.

3) First, a poll. The IOM estimates how many Americans are harmed by errors involving prescription medications each year?

4) According to the IOM report “To Err Is Human” an estimated 1.5 million Americans are harmed by prescription medications each year. They also added this was likely to be an underestimate.

5) Now that we know how frequent medications errors occur, how commonly is the class of cardiovascular (CV) drugs associated with medication errors compared to other reported drug classes?

6) The class of CV drugs is quite broad and includes many of the most commonly prescribed medications worldwide. Studies evaluating drug classes resulting in medications errors identify CV drugs in 19-41% of errors involving medications. For examples, see . . .

7) . . .
https://accpjournals.onlinelibrary.wiley.com/doi/abs/10.1002/phar.1195 https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/215749

8) Pharmacists aid in complex medication management and the IOM recognizes that pharmacist-physician collaboration improves patient safety

9) How can pharmacists help in the care of patients with cardiometabolic disease? SO many ways!

10) To illustrate how pharmacists can optimize the care of patients with CVD, here’s a case:

11) 61-year-old male with a history of HTN, Dyslipidemia, Diabetes and of course he’s a 20 pack-year smoker.

12) He’s afebrile, HR: 75 bpm, BP: 148/94 mmHg, HDL: 38 mg/dL, LDL: 108 mg/dL, A1c 8.0%, eGFR 55 mL/min

13) Current meds: Lisinopril 10 mg daily, Atorvastatin 20 mg daily, Metformin 1000 mg BID

14) We can see his BP is not at goal. Adding a pharmacist to her care team could improve her SBP by how much?

15) Return tomorrow for more on this case and more reminders of the VITAL role pharmacists play in improving the health outcomes of patients with cardiometabolic disease! @UK_COP @UGAPharmacy @UAZPharmacy @USFCOP @uofupharmacy @unmcop @ISUPharmacy @neomedcop @KCHPharmacy