Case Studies

Craig I. Coleman, PharmD, and Liv S. Erhard, PharmD Candidate
Published Online: Monday, March 18, 2013
Case 1
TJ, a 68-year-old man, presents to the pharmacy with a prescription for ibuprofen 600 mg 3 times daily. He explains that he had been experiencing pain and tenderness in his knee for several months, and was just diagnosed with osteoarthritis (OA) of the knee by his physician. Upon reviewing his profile, you notice that his current medications include metoprolol, lisinopril, and atorvastatin. You ask him about his past medical history and discover he experienced a myocardial infarction (MI) about 4 years ago.
How should the pharmacist proceed in respect to TJ’s ibuprofen prescription?

Case 2
JR, a 76-year-old woman who is a regular at the pharmacy, comes in today to pick up her monthly prescriptions. Her past medical history is significant for hypertension and hyperlipidemia. She explains to you that her granddaughter is expecting her first child soon, and she has heard there are some vaccinations she should get before spending time around the baby. She knows she is up-to-date on all her childhood vaccinations, but is unsure about which others she should receive.
What advice do you provide JR about recommended vaccinations at this time?

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. Ms. Erhard is a PharmD candidate at the University of Connecticut School of Pharmacy.

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