Aneesh Krishnan

​1. Direct Patient Care & Medication Management
​Medication Therapy Management (MTM): Evaluating patient medical records, lab results, and diagnoses to select, adjust, and monitor drug regimens.
​Medication Reconciliation: Conducting thorough reviews during hospital admission, transfer, and discharge to prevent errors, duplications, or omissions.
​Therapeutic Drug Monitoring (TDM): Monitoring serum drug levels for high-risk or narrow-therapeutic-index medications (e.g., aminoglycosides, vancomycin, warfarin) and adjusting doses accordingly.
​Dose Optimization: Adjusting medication dosages based on patient-specific factors such as age, renal/hepatic function, weight, and comorbidities.
​2. Collaborative Interdisciplinary Practice
​Multidisciplinary Rounds: Participating in daily ward rounds with doctors and nurses to provide immediate pharmacotherapy advice
​Therapeutic Consultations: Responding to consult requests from physicians regarding complex drug choices, drug interactions, or alternative therapies.
​Protocol Development: Developing and updating clinical care pathways, treatment
​3. Patient Safety & Risk Management
​Adverse Drug Event (ADE) Prevention: Identifying, reporting, and preventing drug interactions, contraindications, and adverse side effects.
​Antimicrobial Stewardship: Monitoring antibiotic use to optimize treatment efficiency, reduce resistance, and minimize side effects.
​Medication Error Prevention: Auditing prescribing habits and administration practices to improve clinical safety systems.
​4. Patient Education & Counseling
​Discharge Education: Educating patients and caregivers on medication administration, schedules, potential side effects, and dietary precautions before they leave the hospital.
​Chronic Disease Counseling: Providing specialized counseling for patients managing long-term conditions (e.g., diabetes, hypertension, asthma, anticoagulation therapy).
​Adherence Support: Assessing and addressing barriers to medication compliance.