Pharmacy Practice Scenarios

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The waiting room is P5-14

1. Cough

- pholocodine linctus
- dry cough in an asthmatic
- dry cough progressing to productive cough
- dry cough (but taking benzodiazepine)

1. Asthma

- ventolin + flixotide
- what to do in a severe attack (how to recognise)
- enquiring about spacers
- what to do about cats
- smoking
- steroids and growth stunts
- asthma action plan and the 4x4x4
- how to use and clean puffers and spacers
- dry cough in an asthmatic
- hayfever and asthma

2. Dyspepsia

- antacids, proton pump inhibitors, H2-antagonists
- heartburn from night of drinking
- heartburn in elderly (actually heart attack)
- woman asking for gaviscon (recently injured)

3. Urinary Tract Infections

- trimethoprim, cephalexin, urine alkalinising agents
- cystitis
- diarrhoea/rash from antibiotic treatment

4. Injury

- how to treat an injury
- dealing with a sports injury
- injury in man suffering osteoarthritis (taking diclofenac but requests diclofenac gel)
- injury in man playing sport (currently at the bar celebrating)
- woman asking for gaviscon (recently injured)

5. Allergic Rhinitis

- oral antihistamines (sedating and less sedating), intra-nasal corticosteroids
- woman with acute hayfever symptoms
- symptoms of cold actually hayfever
- hayfever and asthma

6. Gastroenteritis

- oral rehydration therapy
- man requesting ORT for youngest child

7. Headlice and Scabies

- permethrin cream, pyrethrins with piperonyl butoxide, benzyl benzoate
- headlice in 10yr old child
- scabies rash on torso
- itching actually due to permethrin treatment

8. Headache and Migraine

- paracetamol, triptans, ergotamine
- headache: questions to ask
- migraine (stress and OCP)
- medication-overuse headache

9. Emergency Contraception

- levonorgestrel, copper IUD

10. Thrush

- clotrimazole, fluconazole
- thrush in pregnancy


You should read articles about prilosec side effects.