1 / 25

ANEMIA

ANEMIA. Cynthia Jackevicius, B.Sc.Phm., M.Sc., FCSHP. Mrs. JP’s drug-related problems. Mrs. JP’s drug-related problems. Mrs. JP is at risk of continuing to experience S and Sx of iron-deficiency anemia (IDA), secondary to not receiving iron therapy

thanos
Download Presentation

ANEMIA

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. ANEMIA Cynthia Jackevicius, B.Sc.Phm., M.Sc., FCSHP

  2. Mrs. JP’s drug-related problems

  3. Mrs. JP’s drug-related problems • Mrs. JP is at risk of continuing to experience S and Sx of iron-deficiency anemia (IDA), secondary to not receiving iron therapy • Mrs. JP may be experiencing gastritis and associated blood loss, and therefore IDA, secondary to the use of ASA • Mrs. JP is experiencing heartburn, most likely due to the use of plain ASA

  4. Mrs. JP’s drug-related problems • Mrs. JP has the potential to experience peptic ulcer disease, secondary to the use of ASA, which may not be the most appropriate drug for the management of her headaches. • Mrs. JP may be at risk for osteoporosis and may benefit from prophylactic therapy (RF: thin, post-menopausal)

  5. Mrs. JP’s drug-related problems • Mrs. JP is at risk of continuing to experience S and Sx of iron-deficiency anemia (IDA), secondary to not receiving therapy

  6. Justification of main DRP Mrs. JP is experiencing signs & Sx of iron-deficiency anemia • What is anemia?

  7. Justification of main DRP • what is iron-deficiency anemia? • What are some Sx of Fe-deficiency anemia? Chronic onset: recent onset: • other Sx?

  8. Justification of main DRP • What Sx does JP have? • Can it be diagnosed based on Sx alone? • What are some signs of Fe-deficiency anemia?

  9. Justification of main DRP • What are some general causes of Fe-deficiency anemia? • Drug-induced causes:

  10. Justification of main DRP • What RF does JP have for Fe-deficiency anemia? • Is she on any drugs that may cause this?

  11. Role of Fe in the body • Needed for Hgb synthesis • daily requirement: • serum Fe: • ferritin: • TIBC: • MCV: • RDW:

  12. Other Terminology • Macrocytic, microcytic, normocytic: • hypochromic, normochromic:

  13. Justification of main DRP • What are other types of anemia? • Why are these ruled out? • Therefore, justified that Mrs. JP is experiencing signs and Sx of IDA

  14. Justification of main DRP • Justify relationship of S and Sx to drug therapy: secondary to not receiving therapy assumption: treatment is needed - WHY?

  15. Consider treatment options Diet Oral formulations injectable formulations

  16. Consider treatment options Efficacy Onset Side effects

  17. Consider treatment options Drug interactions convenience cost

  18. Anemia Therefore, we have provided justification to state that: Mrs. JP is at risk of continuing to experience S and Sx of iron-deficiency anemia, secondary to not receiving therapy

  19. Anemia • Mrs. JP may be experiencing gastritis and associated blood loss, secondary to the use of regular ASA Does ASA cause gastritis? Does it cause PUD? Do the original signs and Sx for which she is receiving this need Tx? - consider management of her headaches

  20. Anemia • Mrs. JP is at risk of continuing to experience S and Sx of iron-deficiency anemia (IDA), secondary to not receiving therapy • Mrs. JP may be experiencing gastritis and associated blood loss, and therefore IDA, secondary to the use of ASA • Mrs. JP has the potential to experience peptic ulcer disease, secondary to the use of ASA, which may not be the most appropriate drug for the management of her headaches.

  21. Pharmacy Care Plan clinical outcome pharmacotherapeutic outcome pharmacotherapeutic endpoints

  22. Pharmacy Care Plan Alternatives and assessment

  23. Pharmacy Care Plan Therapeutic Plan Therapeutic Plan Endpoints

  24. Pharmacy Care Plan Monitoring Plan and follow-up

  25. Common Drug-Related Problems seen in patients with Anemia Lack of response due to: • non-compliance • EC / SR products being prescribed • Interactions with other medications and diet Inadequate duration of therapy

More Related