Good Night's Sleep Gone Wrong
Presenting with a cough and shortness of breath, a woman with end-stage renal disease was admitted to the medical floor after undergoing hemodialysis. She was given allergy and sleep medications at her home dosages. The next morning the patient was extremely drowsy and unresponsive to painful stimuli. A "Code Stroke" was called. Christine M. Gillis, PharmD, Jeremy R. Degrado, PharmD, and Kevin E. Anger, PharmD, all of Brigham and Women's Hospital, discuss how to manage sleep aid utilization in hospitalized patients to decrease the risk of adverse effects and describe nonpharmacological interventions to improve sleep hygiene.