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Pharmaceutical Care Assessment

Pharmaceutical Care Assessment. Background Collection of S & O Information. • Data: – CC, HPI, PMH, PSHx , Demographics – Medication history including compliance etc. – VS, ROS, Lab, other diagnostics • Sources: – Patient, family – Other healthcare providers – Medical records / computer.

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Pharmaceutical Care Assessment

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  1. Pharmaceutical CareAssessment

  2. BackgroundCollection of S & O Information • Data: – CC, HPI, PMH, PSHx, Demographics – Medication history including compliance etc. – VS, ROS, Lab, other diagnostics • Sources: – Patient, family – Other healthcare providers – Medical records / computer

  3. Key questions • Is each medication: – Indicated? – Effective? – Safe? – One the patient will be compliant with?

  4. Start with:The problem (diagnosis) list • Includes diagnosis and other problems – First is the most important diagnosis to explain the chief complaint • Usually determined by the physician, and may change as more information becomes available – Include current medical problems • From patient or those identified by physician – Add other problems you identify • Compliance, Allergies, Contraindications etc

  5. Indicated? • Match each medication with the (problem / diagnosis / indication) for which it is prescribed • Look for miss-matches & gaps

  6. Problem List - Urinary Tract Infection - Pain - Asthma • Medication List Ceftazidime Salbutamol Paracetamol

  7. Problem List Medication List Urinary Tract Infection Ceftazidime Pain Salbutamol Asthma Paracetamol

  8. Effective? • What parameters (subjective & objective) measure? – Lab values (WBC, A1C) – Clinical data (BP, HR , Signs and Symptoms) • What are the patient-specific goals – Absolute value (<10 WBC, A1C < 7; BP < 130/80…) – Time frame

  9. Problem List - Urinary Tract Infection - Hypertension • S & O parameters ROS: Urinary symptoms – Dysuria, frequency Lab : – Urine analysis: • WBC, Nitrites, LE • Bacteria -Vital Signs : - BP

  10. Medication List • Ceftazidime • Atenolol • Efficacy : 1- drug : Is organism likely or known to be susceptible 2- Dose : Adequate dose? 3- Route (IV vs PO) 4- Frequency

  11. Safety • Drug Product: Allergy or Adverse Reaction • Dosage Regimen : Toxicity

  12. Medication List • Ceftazidime • Atenolol • Safety: 1- drug : Allergy / hypersensitivity , interactions 2- Dose : Corrected dose? 3- Route (IV vs PO) 4- Frequency - Adjusted for renal dysfunction

  13. Compliance • Medication List • Ceftazidime • Atenolol Compliance Able to Tolerate? , Remember? , IV access? , Be floor to get it? , Afford?

  14. Putting it together

  15. 50 years old female Patient with Hypertension , Diabetes , GERD , Asthma He Receive the following medications: Atenolol , Salbutamol , Aspirin , Warfarin

  16. Thank You

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