Case Studies (May 2017)

MAY 23, 2017
Jack Vinciguerra, PharmD Candidate; Elaine Nguyen, PharmD; and Craig I. Coleman, PharmD
CASE 1
EY is a 44-year-old, 75-kg man with stage III colon cancer who was recently diagnosed with a deep vein thrombosis. He is currently on his fifth cycle of leucovorin, fluorouracil, and oxaliplatin (FOLFOX). He has no other comorbidities and is not taking any other prescription or OTC medications besides antiemetics before chemotherapy. EY comes to your pharmacy with a prescription for 10 mg of apixaban twice daily for 7 days followed by 5 mg twice daily for treatment and secondary prevention of venous thromboembolism (VTE).

As the pharmacist, what are your concerns with this prescription?

CASE 2

TB is a 32-year-old man who comes into your pharmacy to purchase OTC medications for a cold. He complains of feeling somewhat achy the last 3 days, with greenish-yellow nasal discharge and a productive cough. He also reports having a fever this morning (temperature of 99.9˚F), which he treated with acetaminophen. Otherwise, TB is in good health and does not regularly take prescription or OTC medications, nor has he received an influenza vaccination this season.

As the pharmacist, what is your recommendation for TB?

 
SEE THE ANSWERS ON PAGE 2.



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