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Pharmaceutical Care Assessment. Background Collection of S & O Information. • Data: – CC, HPI, PMH, PSHx , Demographics – Medication history including compliance etc. – VS, ROS, Lab, other diagnostics • Sources: – Patient, family – Other healthcare providers – Medical records / computer.

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Pharmaceutical Care Assessment


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Presentation Transcript
background collection of s o information
BackgroundCollection of S & O Information

• Data:

– CC, HPI, PMH, PSHx, Demographics

– Medication history including compliance etc.

– VS, ROS, Lab, other diagnostics

• Sources:

– Patient, family

– Other healthcare providers

– Medical records / computer

key questions
Key questions

• Is each medication:

– Indicated?

– Effective?

– Safe?

– One the patient will be compliant with?

start with the problem diagnosis list
Start with:The problem (diagnosis) list

• Includes diagnosis and other problems

– First is the most important diagnosis to explain the

chief complaint

• Usually determined by the physician, and may change as more information becomes available

– Include current medical problems

• From patient or those identified by physician

– Add other problems you identify

• Compliance, Allergies, Contraindications etc

indicated
Indicated?
  • Match each medication with the (problem / diagnosis / indication) for which it is prescribed
  • Look for miss-matches & gaps
slide6

Problem List

- Urinary Tract Infection

- Pain

- Asthma

  • Medication List

Ceftazidime

Salbutamol

Paracetamol

slide7

Problem List Medication List

Urinary Tract Infection Ceftazidime

Pain Salbutamol

Asthma Paracetamol

effective
Effective?

• What parameters (subjective & objective)

measure?

– Lab values (WBC, A1C)

– Clinical data (BP, HR , Signs and Symptoms)

• What are the patient-specific goals

– Absolute value (<10 WBC, A1C < 7; BP < 130/80…)

– Time frame

slide9

Problem List

- Urinary Tract Infection

- Hypertension

  • S & O parameters

ROS: Urinary symptoms

– Dysuria, frequency

Lab :

– Urine analysis:

• WBC, Nitrites, LE

• Bacteria

-Vital Signs :

- BP

slide10

Medication List

  • Ceftazidime
  • Atenolol
  • Efficacy :

1- drug : Is organism likely or known to be susceptible

2- Dose : Adequate dose?

3- Route (IV vs PO)

4- Frequency

safety
Safety
  • Drug Product: Allergy or Adverse Reaction
  • Dosage Regimen : Toxicity
slide12

Medication List

  • Ceftazidime
  • Atenolol
  • Safety:

1- drug : Allergy / hypersensitivity , interactions

2- Dose : Corrected dose?

3- Route (IV vs PO)

4- Frequency - Adjusted for renal dysfunction

compliance
Compliance
  • Medication List
  • Ceftazidime
  • Atenolol

Compliance

Able to Tolerate? , Remember? , IV access? , Be floor to get it? , Afford?

slide15

50 years old female Patient with Hypertension , Diabetes , GERD , Asthma

He Receive the following medications:

Atenolol , Salbutamol , Aspirin , Warfarin