Case Studies

JANUARY 13, 2012
Craig I. Coleman, PharmD, and Brian J. Calamari, PharmD

Case One

AP, a 65-year-old woman, presents to your pharmacy with a question regarding adequate vitamin D ingestion. Upon questioning by the pharmacist, AP admits she spends the majority of her day at work at her desk and does not maintain a well-balanced diet. At her last doctor’s appointment, AP had a low serum 25-OH vitamin D level (<30 ng/ mL). She is concerned that her vitamin D deficiency could lead to osteoporosis and perhaps other negative health consequences. AP is not currently taking any vitamin supplements and would like a recommendation for a product.

As her pharmacist, what advice would you give AP?

 

Case Two

CJ, a 78-year-old man, presents to your pharmacy complaining of a rapid heart rate, insomnia, and gradual weight loss. He has been experiencing these symptoms for several weeks, but believed it was related to increased anxiety over his grandson joining the military. You review his medication profile and discover that the patient is currently taking fluoxetine 20 mg, atorvastatin 10 mg, aspirin 81 mg, levothyroxine 150 mcg, and hydrochlorothiazide 25 mg.

Which medication do you believe is the most likely cause of CJ’s recent symptoms?

 

 


Dr. Coleman is associate professor of pharmacy practice and director of the pharmacoeconomics and outcomes studies group at the University of Connecticut School of Pharmacy. Mr. Calamari is a PharmD candidate from the University of Connecticut School of Pharmacy.


References

1.    1. Krikwood CK, Melton ST. Insomnia.In: Berardi RR, Ferreri SP, Hume AL, et al, eds. Handbook of Nonprescription Drugs: An Interactive Approach to Self-Care. 16th ed.      

            Handbook of Nonprescription Drugs: An Interactive Approach to Self-Care. 16th ed. Washington, DC: American Pharmacists Association; 2009:869-881.

2.     2. Nguyen TT. Vaginitis, atrophic. In: Adams Hillard PJ, ed. The 5 Minute Obstetrics and Gynecology Consult. Philadelphia, PA: Wolter Kluwer/Lippincott Williams & Wilkins; 20        08:  Gynecology Consult. Philadelphia, PA: Wolter Kluwer/Lippincott Williams & Wilkins; 2008 201-202.

3.      3. Lodise NM, Shimp LA. Vaginal and vulvovaginal disorders.In: Berardi RR, Ferreri SP, Hume AL, et al, eds. Handbook of Nonprescription Drugs: An Interactive Approach to           el      Self-Care. 16th ed. Washington, DC: American Pharmacists Association; 2009:127-135.

 

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