Group 3 - Pharm 3D

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Pharmacy Department

PHCARE 203 – Dispensing 2


1st Semester – Prelim Examination

BS Pharmacy 3D
Group 3

Arandilla, Dioso, Gunabe, Landero, Maravilla, Ranido, Rubio, Sarabia

Patient Medication Profile


PATIENT’S DETAILS
Name: Queen Suazo Gender: F Date: 10/14/2020
DOB: 01/31/1987 BW: 58 kg Ht: 154.94 cm BMI: 24.2 BSA: 1.562 m2

Past Medical History


C/C: HPI:
Joint Discomfort/Pain Asthma
Inflammation of Hands and Thighs Diabetes
Asthma attacks (difficulty breathing) Hypertension
Hypercholesterolemia
FH: SH: □ Smoking _____ sticks per day
● Diabetes □ Alcohol _____ bottles per week
● Hypertension. □ Caffeine _____ cups per day
□ Recreational Drug ______________
■ Occupation __Sales Representative_

Allergies
Name of Substance Type of Reactions Remarks/PCI
Pets stimulate asthmatic reactions Exacerbation of
asthma
Dust stimulate asthmatic reactions Exacerbation of
asthma

Previous Medications
Medications Strength Directions Date of Last Dose Name of Prescriber
Nitroglycerin SL N/A N/A September 2020 Dr. Efortodera
Fluticasone (Flovent) N/A Take 2 puffs twice a N/A Dr. Efortodera
MDI day.
Albuterol (Proventil N/A Take 2-4 puffs N/A Dr. Efortodera
MDI) every 4-6 hours for
shortness of breath.
Salmeterol (Serevent) N/A Take 2 puffs twice a N/A Dr. Efortodera
MDI day.

Current Medications
Medications Strength Directions Date of Last Dose Name of Prescriber
Humalog Insulin N/A N/A N/A Dr. Efortodera

Copyright@2020 Dr Erwin Martinez Faller


Prednisone N/A N/A N/A Dr. Efortodera
Naproxen 375 mg Take 1 tablet twice N/A Dr. Efortodera
(Naprosyn) a day.
Enteric-coated 325 mg Take 1 tablet once N/A Dr. Efortodera
Aspirin daily.
Rosiglitazone 4 mg Take 1 tablet once N/A Dr. Efortodera
(Avandia) daily.
Furosemide (Lasix) 80 mg Take 1 tablet every N/A Dr. Efortodera
morning.
Diltiazem (Cardizem 180 mg Take 1 capsule once N/A Dr. Efortodera
CD) daily.
Lanoxin (Digoxin) 0.25 mg Take 1 tablet once N/A Dr. Efortodera
daily.
Potassium Chloride 20 mEq Take 1 tablet once N/A Dr. Efortodera
daily.
Fluvastatin (Lescol) 20 mg Take 1 tablet at N/A Dr. Efortodera
bedtime

Herbal supplements, Vitamins, Minerals, others


None

Medication Adherence
Medications Know how to Use (Y/N) Adherence Issues Remarks/ PCI
Salmeterol and Albuterol N Takes double doses during Patient non-adherence
MDI asthma attacks.
Prednisone Y Frequently misses doses. Patient non-adherence
Humalog Insulin N Frequently misses doses. Patient non-adherence

Identified Drug Related Problems/PCI

● Patient is noncompliant with appropriate dosage regimen.


● Patient is taking too much of the correct drug (during asthma attacks).
● Patient is experiencing drug-drug interaction.
● Patient is receiving duplicate NSAIDs therapy.
● Patient is misinformed on appropriate MDI use.

Pharmacist’s Name: BS in Pharmacy 3D Group 3 Signature: Date: 10/14/2020

Copyright@2020 Dr Erwin Martinez Faller


PHARMACEUTICAL CARE PLAN

Issues Action Outcome


● Discuss the risks of double dosing Patient has understood
Patient takes double with the patient. the risk of double dosing.
doses of asthma ● Encourage patient to comply with Patient compliance is
medication during asthma the right dose prescribed. improved.
attacks.

Patient compliance is
Patient forgets to take Advise patient to take the medicines improved with consistent
medicines from time to at the same time each day daily time for taking
time. (exception of Fluvastatin). medicines.

Patient is unsure on how Instruct patient on the proper way to Patient is informed of the
to use the metered dose use metered dose inhalers. proper way to use
inhaler. metered dose inhalers.

NSAID duplication therapy Contact prescriber and recommend Prescriber omits


(Aspirin and Naproxen). omitting naproxen (contraindicated naproxen from px
for diabetic px). medication.

Mild interaction between Contact prescriber and recommend Prescriber requests for
Rosiglitazone and monitoring of signs for muscle frequent monitoring of
Fluvastatin (potential damage. patient’s signs for muscle
muscle damage) damage.

Mild interaction between Contact prescriber and recommend Prescriber requests for
Rosiglitazone and monitoring of signs for myocardial frequent ECG monitoring
Humalog Insulin infarction. for patient.
(increased risk of MI)

Patient has a poor diet Counsel patient on practicing a Patient is now following a
and no exercise routines. healthy diet and lifestyle. healthy diet and lifestyle.

Pharmacist’s Name: BS in Pharmacy 3D Group 3 Signature: Date: 10/14/2020

Copyright@2020 Dr Erwin Martinez Faller

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