Case Studies: Test Your Skills

Craig I. Coleman, PharmD
Published Online: Tuesday, June 15, 2010

CASE ONE

AD is a 55-year-old man with a history of alcoholic liver cirrhosis. Over the prior 6 months, he reports experiencing 2 episodes of markedly elevated serum ammonia levels (normal levels are <35 μmol/L) accompanied by an altered level of consciousness (an episode of overt hepatic encephalopathy) despite being on 3 (10 g/15 mL) cups of lactulose a day. At his most recent visit, AD’s gastroenterologist provided him with a prescription for rifaximin 550 mg to be taken by mouth twice daily to prevent recurrent bouts of hepatic encephalopathy. AD, while searching a consumer medical Web site, reads that rifaximin is an antibiotic. When dropping off his prescription, AD asks the pharmacist, “Did my doctor make a mistake? He said nothing about an infection!”

How should the pharmacist respond to AD?


Case TWO

HC is a 57-year-old man who comes to the pharmacy counter to pick up his refill for clopidogrel 75 mg. When he goes to pay for his prescription, he hands the pharmacist a box of Prilosec OTC (omeprazole) and explains that he has recently been experiencing mild episodes of heartburn. HC wants to know if Prilosec OTC would work for him.

How should the pharmacist respond?




Dr. Coleman is an associate professor of pharmacy practice and director of the pharmacoeconomics and outcomes studies group at the University of Connecticut School of Pharmacy.







Latest Articles
This weekly video program highlights the latest in pharmacy news, product news, and more.
Propranolol is red, digoxin is blue. Your pharmacist’s heart may skip a beat if they get a valentine from you.
Health-system pharmacists can play a critical role in managing drug shortages to prevent medical errors and adverse events.
The White House is asking Congress for more than $1.8 billion in emergency funding to combat the Zika virus, which is creeping into the United States and ravaging some foreign countries.
Latest Issues
$auto_registration$
VSEO N/A