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Medication-Related Complications in the Trauma Patient

University of Houston College of Pharmacy and The Methodist Hospital, Houston

Jill A. Rebuck, PharmD, BCPS, FCCM

Texas and Fletcher Allen Health Care and the University of Vermont College of Medicine Burlington, Vermont, jarebuck{at}lancastergeneral.org

Trauma patients are twice as likely to have adverse reactions to medication as nontrauma patients. The need for medication in trauma patients is high. Surgery is often necessary, and immunosuppression and hypercoagulability may be present. Adverse drug events can be caused in part by altered pharmacokinetics, drug interactions, and polypharmacy. Medications may also have serious long-term adverse effects, which must be considered. It is not the purpose of this review article to discuss all adverse effects of all medications. This article will discuss the more common adverse effects of medications for trauma patients in the acute care setting, in the following categories: pain control, sedation, antibiotics, seizure prophylaxis in head trauma, atrial fibrillation, deep vein thrombosis and pulmonary embolism prophylaxis, hemodynamic support, adrenal insufficiency, factor VIIa.

Key Words: trauma • acute care • medication • adverse effects

Journal of Intensive Care Medicine, Vol. 23, No. 2, 91-108 (2008)
DOI: 10.1177/0885066607312966


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