Case+Study+ONE

=Case Study One=

Mrs FP is a 75-year-old woman who is well known to her community pharmacist from whom she obtains all her prescription medicines and a detailed medication history is therefore available. She was recently admitted to hospital and some of her medications were changed.

Her blood pressure fluctuates with systolic pressures around 160/80 mmHg but recent readings have been around 135/80 mmHg and her current BSL ranges between 5-10 mmol/L. Her last HbA1C in October 2008 was 8.1% and her most recent HbA1C in February 2009 was 7.8%. Her plasma lipids are currently within the normal range. Her BMI is estimated to be around 35 kg/m². She has peripheral vascular disease and currently has cellulitis on her left lower calf.

This woman has received a pneumococcal vaccination this year.


 * **Hx** || **Date** ||
 * HTN || 1994 ||
 * OA || 1996 ||
 * Type 2 Diabetes || 1999 ||
 * IHD || 2000 ||
 * MI || 2005 ||
 * ACS || 2008 (December) ||
 * **Current Medications** || **Dose** ||
 * Diamicron MR //gliclazide// || 60 mg once daily ||
 * Caltrate //calcium carbonate// || 600 mg each night ||
 * Cipramil citalopram || 20 mg each morning ||
 * Cardizem CD //diltiazem// || 240 mg once daily ||
 * Avapro HCT //irbesartan// || One each morning ||
 * Diaformin //metformin// || 850 mg bd ||
 * Natrilix //indapamide// || 2.5 mg bd ||
 * Panamax //paracetamol// || 1 g q4h prn (maximum of 4 g/day) ||
 * Mobic //meloxicam// || 7.5 mg bd prn ||
 * Mobic //meloxicam// || 7.5 mg bd prn ||

Problems

 * Current symptoms:**


 * Test results:**


 * Current Medications:**


 * Other problems:**

What to do

 * **Drug Related Problem** || **Current Treatment** || **Comments** ||
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