Case Studies

Amanda Sihabout, BS, and Craig I. Coleman, PharmD
Published Online: Monday, August 4, 2014
A mother comes into the pharmacy with her 6-year-old daughter, KP. The mother reports that KP has been complaining of itchiness and has been scratching her head repeatedly. Today, KP was sent home by the school nurse after lice was discovered in KP’s hair, which is longer than shoulder length. The mother was told she could treat KP with an OTC product. The mother hands you the product Nix (permethrin lotion, 1%; INSIGHT Pharmaceuticals, LLC) and asks, “Is this okay to use?”
As the pharmacist, how do you respond?

JD, a 16-year-old male, presents to your pharmacy consultation booth with concerns regarding his right eye. He states, “My eye has been red for 2 days, and I wonder if Visine-A (McNEIL-PPC, Inc) will help.” You ask to take a closer look at his eye, and you notice that while his conjunctiva is not red, he has purulent discharge, swelling, and crusting around his eyelid. Upon questioning, JD denies having pain, blurred vision, or itchiness, and he has no medical history of allergies.
Based on these findings, what do you think JD has, and how would you treat it?
Ms. Sihabout is a student at the University of Connecticut School of Pharmacy, and Dr. Coleman is professor of pharmacy practice, as well as codirector and methods chief at Hartford Hospital Evidence-Based Practice Center, at the University of Connecticut School of Pharmacy.

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