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2 Minute EBP Challenge

Monday, February 13, 2012
Treatment of "Wake Up" Stroke
In up to 25% of patients with stroke the onset time is unknown. If the patient woke up with ischemic stroke symptoms, what would be the most appropriate treatment?

Monday, February 06, 2012
Compression Stockings and VTE
Which of the following statements about compression elastic stockings for prevention of venous thromboembolism (VTE) is true?

Monday, January 30, 2012
Scrub the Hub
The Centers for Disease Control (CDC) recommends that central venous catheter (CVC) hubs be scrubbed for how long?

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  • Get tips, timesavers, and more from
    David W. Woodruff, MSN, RN-BC, CNS, CMSRN, CEN

    Home > 2 Minute EBP Challenge > Post-MI Drug Adherence

    Post-MI Drug Adherence

    Monday, January 09, 2012
    2 Minute EBP CHallenge

    Stay up-to-date the easy way!

    How would you answer this question?

    Follow up medications after myocardial infarction include beta-blockers and ACE-inhibitors to decrease the incidence of heart failure. If medications are provided for free to patients post-MI, how many patients would adhere to drug therapy?

    a. 25%.
    b. 50%.
    c. 75%.
    d. All of them.

    The correct answer is "b" 50%.

    Watch the YouTube Video response here.

    Evidence-based drug therapy after myocardial infarction includes beta-blockers, ACE-inhibitors and statins. These medications can be costly and some patients cannot afford to purchase them. The authors of the present study hypothesized that if patients got their drugs for free, more of them would adhere to treatment.

    Interestingly, patients who received all of their cardiac medications for free were only slightly more likely to adhere to treatment (54%) than patients in the usual care group (49%). Even the modest increase in adherence to treatment led to significant reduction in follow-up healthcare costs and reduction of total major vascular events or revascularization.

    It is surprising that almost half of patients who received their medications without cost chose not to adhere to medical treatment. Maybe there are other variables that impact medication adherence in post-MI patients than simply the cost.

    Congratulations to Michael McElroy who won an autographed copy of my 101 Tips to Improve Your Nursing Care book for answering this week's question correctly. Congratulations Michael!

    Get free Nursing Tips by texting NursingTips to 86677.

    Like our blog at www.facebook.com/ed4nurses

    Best wishes,
    David W. Woodruff, MSN, RN-BC, CNS, CMSRN, CEN
    President,     Ed4Nurses, Inc.

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