Thiazide-induced syndrome of inappropriate secretion of antidiuretic hormone. Time course of resolution.
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Biomedical subjects
Publications and source records attributed to S Hamburger.
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We report a study contrasting the treatment of diabetic ketoacidosis in a teaching hospital by physicians trained in endocrinology as compared to those internists who have not been trained specifically in that specialty. Parameters studied included patterns of laboratory usage and length of hospital stay. The period of hospitalization was similar in the two groups: 5.17 days in the group treated by endocrinologists, as compared to 5.00 days for those treated by nonendocrinologists. However, the total number, as well as the average number per patient per hospital day, of laboratory tests and x-ray procedures was notably increased in the endocrinologists group as compared to the nonendocrinologist group: 52.99 to 45.28 and 10.25 to 9.06, respectively.
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One innovation at Truman Medical Center, the primary teaching hospital of the University of Missouri-Kansas City, is the addition of the clinical pharmacist as a full-time member of the patient-care and educational teams. These practitioner-educators share responsibility for the patients' drug therapies and for the provision of instruction in basic pharmacology and pharmacotherapeutics in the medical school. Examination of the cost impact of these practitioners in separate studies indicates that they reduce drug costs. The unique pharmacology program provided solely by these clinical pharmacists is both well received and successful.
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