Document Category: OTC exercise
| Categories | Summary | Tags | Exercise Attributes | Author | Link | hf:doc_categories | hf:doc_tags | hf:doc_author |
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| OTC exercise | Burn area on the arm, only on the top layer of the skin. About 3 inches long and 1 inch wide. NSAID’s will help with the pain and swelling, and a skin protectant will keep the area protected and moisturized. | Burn, NSAID | Community, Recommend medications, Fact finding, Attachments | University of Kentucky | otc-exercise | burn nsaid | university-of-kentucky | |
| OTC exercise | Patient is presenting to the pharmacy counter with a terrible headache. Tylenol is the best choice for a pregnant woman because it is Pregnancy Category B, so it will not harm the baby. | headache, pregnancy, tylenol | Community, Recommend medications, Fact finding, Patient questions, Patient medications | University of Kentucky | otc-exercise | headache pregnancy tylenol | university-of-kentucky | |
| OTC exercise | Patient is looking for something to help with a burning sensation in the chest. Is there anything you recommend? OUTCOME – Patient has symptoms that need to be treated by another health professional. The patient needs to see his PCP because his chronic use of Ibuprofen could be causing him to have formed a stomach ulcer- a problem more serious than a simple OTC recommendation. | heartburn, Ibuprofen | Community, Do not recommend, Fact finding, Patient questions, Patient medications | University of Kentucky | otc-exercise | heartburn ibuprofen | university-of-kentucky | |
| OTC exercise | Pt has burning sensation in lower chest, about twice a week. It gets worse after meals and Tums has not help alleviate his symptoms. In this case, a PPI would be the best recommendation to help relieve the patient’s heartburn. | heartburn, PPI | Community, Recommend medications, Fact finding, Patient questions, Patient medications | University of Kentucky | otc-exercise | heartburn ppi | university-of-kentucky | |
| OTC exercise | Students need to distinguish if the patient is a candidate for self-treatment and being able to notice what skin condition the patient has by using the picture provided. RECOMMENDED MEDS include: Cortizone-10 Maximum Strength Anti-Itch Cr; Hydrocortisone Cr. COUNSELING: Name and strength of medication along with amount of medication, route of administration and maximum amount of medication per day (if appropriate) Administration information Onset of action/ expected time to see effect Common and severe side effect and what to do to manage them, if appropriate General counseling points and follow up | Atopic Dermatitis, Dermatology | Community, Recommend medications, Fact finding, Patient questions, Patient medications, Attachments | University of Michigan | otc-exercise | atopic-dermatitis dermatology | university-of-michigan | |
| OTC exercise | Students must help an elderly man choose a product to relieve his opioid-induced constipation with the approval of his physician. Recommended medications include: Dulcolax Tab; Senokot Tab. A stimulant laxative is beneficial for opioid-induced constipation. | Constipation, Dulcolax, Senokot | Community, Recommend medications, Fact finding, Patient questions | University of Michigan | otc-exercise | constipation dulcolax senokot | university-of-michigan | |
| OTC exercise | A woman comes into the pharmacy. She appears to be fatigued and slightly irritable with slightly sunken eyes. Patient symptoms: – 3 unformed stools per day – down 4 lbs from baseline weight – low grade fever – signs of dehydration (sunken eyes, increased thirst) – cool extremities Recommended medications include: Imodium A-D Caplets; Pepto-Bismol Cherry Chewable Tablets. The patient is an appropriate candidate for the self-treatment of her diarrhea. | Dehydration, Diarrhoea, Immodium | Community, Recommend medications, Fact finding, Patient questions | University of Michigan | otc-exercise | dehydration diarrhoea immodium | university-of-michigan | |
| OTC exercise | The student is expected to make a recommendation for an acne product for the patient’s acne. PREFERRED MEDICATIONS DEFINED: Benzoyl Peroxide 2.5% Cr; Oil-Free Acne Stress Control Top soln; Oxy Pads Pad; Differin Gel. HARMFUL MEDICATIONS DEFINED: Benzoyl Peroxide Sol; Benzoyl Peroxide 10% Gel; Zapzyt Acne Treatment Gel Top gel. COUNSELING: Adapalene gel is the preferred agent for mild acne. Patients could also try benzoyl peroxide 2.5% or salicylic acid 0.5% if treatment with adapalene fails or patient prefers not to use adapalene or has allergy to that medication. | acne, Adapalene gel, Benzoyl Peroxide, Dermatology, Differin Gel, Zapzyt Acne Treatment | Community, Recommend medications, Fact finding | University of Michigan | otc-exercise | acne adapalene-gel benzoyl-peroxide dermatology differin-gel zapzyt-acne-treatment | university-of-michigan | |
| OTC exercise | Advanced OTC exercise. Students should be able to distinguish whether or not a patient is a candidate for self-treatment. A mother presents with her child who has a fever. Three preferred medications are defined: Children’s ibuprofen oral suspension Susp; Childrens Tylenol Susp; Acetaminophen Childrens Susp. Non-pharmacological counseling points: Give 2-3 non-pharmacological counseling points. Pharmacological counseling points: Name and strength of medication along with amount of medication, route of administration and maximum amount of medication per day (if appropriate) Administration information Onset of action/ expected time to see effect Common and severe side effect and what to do to manage them, if appropriate General counseling points and follow up | Acetaminophen, fever, Ibuprofen, pediatrics, tylenol | Community, Recommend medications, Fact finding, Patient questions | University of Michigan | otc-exercise | acetaminophen fever ibuprofen pediatrics tylenol | university-of-michigan | |
| OTC exercise | Patient wants to quit smoking. This patient has 8 dispensing records (Losartan 50 mg Tab, Amlodipine 5 mg Tab, Clindamycin hydrochloride 300 mg Cap) COUNSELING: Non-pharmacologic counseling points: – Provide a minimum of 2-3 counseling points Pharmacological counseling points: – Name and strength of medication along with amount of medication, route of administration and maximum amount of medication per day (if appropriate) – Administration information – Onset of action/ expected time to see effect – Common and severe side effect and what to do to manage them, if appropriate General counseling points and follow up | smoking, tobacco, tobacco cessation | Community, Recommend medications, Fact finding, Patient questions, Patient medications | University of Michigan | otc-exercise | smoking tobacco tobacco-cessation | university-of-michigan | |
| OTC exercise | Patient is elderly and has just been prescribed a new medication. The patient also has history of arthritis so she is going to the pharmacist to buy her usual NSAID pain relief, Advil, but wants to know if she can still take it with her new medication. Student is able to understand interactions of OTC pain relievers with prescription medications. Explain to tell patient that NSAIDs interfere with warfarin (Coumadin) and that acetaminophen is the preferred option for pain relief but should still be careful not to use in excess. NSAIDs or aspirin increase a patient’s risk for serious bleeding while you are on anticoagulant therapy (taking Coumadin). The maximum dosing for OTC acetaminophen in normal patients is 3000 mg. A patient taking warfarin should try and aim to not exceed 2000 mg a day until INR is stable and full effects are realized. Make sure they continue to see their primary healthcare provider to check their INR (International Normalized Ratio) to make sure that taking acetaminophen isn’t interfering with their anticoagulation therapy. The patient should also be counseled in potential non-pharamcologic treatments for their arthritis such as physical therapy and occupational therapy to help improve their daily activities. | arthritis, pain | Community, Recommend medications, Fact finding, Patient medications | University of Connecticut | otc-exercise | arthritis pain | university-of-connecticut | |
| OTC exercise | A patient comes in looking for an OTC pain reliever for her daughter to take. Her daughter sprained her wrist yesterday and wants a pain reliever on hand in case her daughter can’t handle the pain from her sprain. Be able to dose OTC analgesics to children based on weight and understand when it should be taken. Since the doctor recommended they take an OTC pain relief, you could suggest an non-steroidal anti-inflammatory (NSAID) containing ibuprofen. However, these drugs can have side effects, like an increased risk of bleeding and ulcers. They should be used only occasionally, not everyday. Some non-pharamcologic remedies for a wrist sprain, since this one is minor, are to rest your wrist for at least 48 hours, ice your wrist to reduce pain and swelling, do it for 20-30 minutes every 3-4 hours for 2-3 days, or until the pain is gone, elevate your wrist above your heart on a pillow or back of a chair, as often as you can. | pain | Community, Recommend medications, Fact finding | University of Connecticut | otc-exercise | pain | university-of-connecticut | |
| OTC exercise | Patient is presenting to the pharmacy counter with a terrible headache and is looking for a recommendation. Acetaminophen is the best choice for a pregnant woman because it is Pregnancy Category B, so it will not harm the baby. -Take 2 caplets (1000 mg) by mouth every 6 hours as needed for pain -Do NOT exceed 6 caplets (3000 mg) in 24 hours -max dose is 3000 mg for self-care | analgesic, headache, pain | Community, Recommend medications, Fact finding, Patient questions, Patient medications | University of Connecticut | otc-exercise | analgesic headache pain | university-of-connecticut | |
| OTC exercise | A patient comes to the counter to look for relief for her 8 month old baby’s fussiness due to teething pain. The mother wants to give her baby what she personally uses for pain, baby Bayer aspirin. Be able to understand the indication and side effects of OTC analgesics, specifically the differences in side effects/dosing for infants and toddlers. Patients under 12 years old SHOULD NOT take apsirin, unless consulted upon by a doctor. However, aspirin is one of the cuases of poisoning in children. By giving aspirin, even in a low dose, you are putting the child in danger of getting Reye’s Disease. | analgesic, apsirin, pain | Community, Do not recommend, Fact finding, Patient medications | University of Connecticut | otc-exercise | analgesic apsirin pain | university-of-connecticut | |
| OTC exercise | A patient approaches counter complaining of itchy feet. Intensely itchy feet, red and scaly between toes. It is recommended that you use a topical antifungal foot cream to treat your infection. Apply cream to affected area twice each day. Be sure to kep area clean and dry. It is recommended to change socks often, and wear ventilated shoes to help ease symptoms. After using the product for a month, if symptoms do not resolve talk to a PCP. | antifungal, athletes foot | Community, Recommend medications, Fact finding, Patient questions | University of Connecticut | otc-exercise | antifungal athletes-foot | university-of-connecticut | |
| OTC exercise | Upon further questioning KK reports some pain at the site only. KK was wearing bright colored clothing and scented lotion/perfume when she was stung by a honey bee in the field. She denies dizziness, weakness, nausea, vomiting, and difficulty breathing. This is her first bee sting and denies any previous family history of significant reaction to bee stings. Medication will provide relief of itching and irritation caused by insect bites. The medication should help relieve both pain and itching associated with the sting. It does not commonly cause adverse drug reactions although contact dermatitis can occur. Should the patient develop hives, dizziness, weakness, nausea, vomiting or difficulty breathing, seek medical attention immediately. | bite, sting | Community, Recommend medications, Fact finding, Patient questions, Attachments | University of Connecticut | otc-exercise | bite sting | university-of-connecticut | |
| OTC exercise | A patient was stung by an insect. Pain at site of sting, nausea, dizziness, SOB. Patient has symptoms that need to be treated by another health professional. OTC treatment is not appropriate here due to the severity of the patient’s symptoms following an insect sting. Referring the patient to the ER immediately is the correct recommendation here because the patient could be experiencing anaphylaxis. | anaphylaxis, Dermatology, sting | Community, Do not recommend, Fact finding, Patient questions, Patient medications | University of Connecticut | otc-exercise | anaphylaxis dermatology sting | university-of-connecticut | |
| OTC exercise | Burn area on the arm, only on the top layer of the skin. About 3 inches long and 1 inch wide. An NSAID like Ibuprofen or Naproxen would be best for the patient’s pain. Any type of skin protectant ointment like Calmoseptine is also needed. | Burn, Dermatology, NSAID | Community, Recommend medications, Fact finding, Attachments | University of Connecticut | otc-exercise | burn dermatology nsaid | university-of-connecticut | |
| OTC exercise | A patient comes into the pharmacy and is looking for an OTC medication that could help with his dry, hacking cough so he could sleep at night. Identify OTC medications that can be used to suppress a cough. Recommend an antitussive OTC medication. Antitussives could be dextromethorpan. Antitussives help your cough by deterring you cough reflex. If the patient needs help “getting rid” of his cough so he can fall asleep having an OTC product that works by blocking this could be useful/beneficial. Optional: recommend a lozenge and counsel the patient to drink lots of fluids, especially water, to ease up on any soreness of throat caused by the dry cough. | antitussive, cold, cough | Community, Recommend medications, Fact finding | University of Connecticut | otc-exercise | antitussive cold cough | university-of-connecticut | |
| OTC exercise | Patient presents to the counter to ask about a medication that he hopes will alleviate his chesty cough with phlegm. Advise him on if this medication is correct for his condition and counsel on how to use it. Help patient identify illness, advise the patient on a correct route for medication to manage this illness, and educate/counsel the patient on this method of medication. Advise patient to take a cough medicine that works as an expectorant like Mucinex/Mucinex 12 hr/Robitussin Chest and Cough. Since the cough is chesty with phlegm and congestion so these medications have expectorants, specifically guaifenesin, in them that breaks up and thins out mucus to clear the airways and make cough more “productive” to alleviate the mucus load by loosening it. Non-pharmacological remedies: investing in a humidifier, staying hydrated, gargle salt water. | cold, cough, Non-pharmacological remedies | Community, Recommend medications, Fact finding | University of Connecticut | otc-exercise | cold cough non-pharmacological-remedies | university-of-connecticut | |
| OTC exercise | Patient comes in looking for a solution to her elderly (80 year old) mother’s her mother has a chesty cough with phlegm. Her mother has had a cold for the last several days. She brings up Mucinex D, which she always uses, and asks if this is okay to help alleviate her mother’s cough. Be able to distinguish active ingredients in OTC products and recommend the correct OTC to treat their problem but will not exacerbate any conditions the patient has. It is important to ask patient if their mother has high blood pressure. She does because she is on lisinopril. Recommend an OTC product that does not have psuedophedrine which can make high blood pressure worse. This OTC could be Mucinex DM which uses dextramethrophan and guaifenesin which does not have any interactions with lisinopril and doesn’t affect high blood pressure. So you woud not recommend Mucniex D for this patient. Make sure to note that you could still use another OTC product. The cough is not due to her heart medication, but due to a cold that she’s had for the last several days, so an OTC can and should be recommended to help alleviate her cough from a cold. | cold, cough, hypertension | Community, Do not recommend, Fact finding, Patient medications | University of Connecticut | otc-exercise | cold cough hypertension | university-of-connecticut | |
| OTC exercise | Patient presents to the counter to ask the pharmacist about his constipation. He is trying to figure out why he is constipated and how to treat it. Patient informs you that he eats mostly meat and carbs and because he is retired, only goes outside to get the mail. Student will recommend lifestyle changes for constipation. | Constipation, Miralax, Senna | Community, Recommend medications, Fact finding, Patient questions | University of Connecticut | otc-exercise | constipation miralax senna | university-of-connecticut | |
| OTC exercise | Patient presents to the counter to ask about a medication that she hopes will alleviate her diarrhea. Advise her on if this medication is correct for her condition and counsel on how to use it. Student must identify potential medication problem and recommend new therapy. Loperamide can be recommended because the patient is experiencing acute diarrhea (diarrhea lasting less than 2 weeks). If the patient’s diarrhea does not improve in 2 days, or if diarhea returns for more than 2 weeks, then they should see a medical provider. Do not take more than 16mg in 24 hours. Do not do activities that require alertness until effects are realized. Diarrhea should not be used in patients with a fever or when infection is expected. Along with this product, maintain proper hydration – 8 eight-ounce glasses. Non pharmacologic solution can include Oral Rehydration Therapy (pedialyte, etc.) and temporarily eating the BRAT diet: bananas, rice (white), applesauce and toast until the diarrhea resolves and then slowly incorporating fiber into the diet | Diarrhoea, gastrointestinal, Loperamide | Community, Recommend medications, Fact finding, Patient questions | University of Connecticut | otc-exercise | diarrhoea gastrointestinal loperamide | university-of-connecticut | |
| OTC exercise | A patient approaches the counter with a burning sensation in his chest seeking your help. He approaches the counter with 3 products and needs counseling on which one would be best for his situation. In this case, a proton pump inhibitor (PPI) would be the best recommendation to help relieve the patient’s heartburn due to the frequency of symptoms. These are best taken about 30 minutes before the first meal of the day. It is important to take this medication consistently for best results. Take tablet whole. Do not take medication for more than 14 days, if smptoms have not improved see a health care provider. Antiemetics are used to treat nausea. Antacids are used to neutralize acid and provide fast relief for infrequent symptoms and histamine 2 receptor antagonists (H2RA) decrease acid secretion and are longer lasting than antacids. | gastrointestinal, Prilosec | Community, Recommend medications, Fact finding, Patient questions, Patient medications | University of Connecticut | otc-exercise | gastrointestinal prilosec | university-of-connecticut | |
| OTC exercise | A patient approaches the counter with a burning sensation in his chest, wondering if OTC therapy is appropriate due to his other current conditions. “I’ve been taking my Ibuprofen as needed- usually about 4 times a day for my arthritis pain.” This patient is not a candidate for just an OTC recommendation. He needs to see his PCP because of his chronic Ibuprofen use. This could be the underlying factor for his symptoms, causing a stomach ulcer or something more serious than an OTC recommendation. | Ibuprofen, stomach ulcer | Community, Do not recommend, Fact finding, Patient questions | University of Connecticut | otc-exercise | ibuprofen stomach-ulcer | university-of-connecticut | |
| OTC exercise | Folate deficiency Patient requests folic acid tablets as per her GPs instructions for folate deficiency A My Health Record is attached to this exercise | Folate, Folic acid | Community, Recommend medications, Fact finding, Attachments | Monash University | otc-exercise | folate folic-acid | monash-university | |
| OTC exercise | Iron deficiency Patient requests multivitamin tablets iron deficiency, but GP had asked her to buy iron tablets A My Health Record attachment is included with this exercise Pt has one dispensing record for ACTONEL ONE A WEEK 35mg | Iron deficiency | Community, Recommend medications, Fact finding | Monash University | otc-exercise | iron-deficiency | monash-university | |
| OTC exercise | A rather tired looking patient has had diarrhoea overnight from contaminated food. They are weak, tired, no energy, dry mouth, confused, faint. they have chosen an inappropriate product to buy. | Diarrhoea, Gastroenteritis | Community, Hospital, Recommend medications, Fact finding, Patient questions, Patient medications | Monash University | otc-exercise | diarrhoea gastroenteritis | monash-university | |
| OTC exercise | It’s October in Melbourne and a woman is waiting for some advice from the pharmacist. She has had a blocked and itchy nose for 2 days. Sneezing. | Azep 5ml Nasal spr, Hayfever | Community, Fact finding, Patient questions, Recommend medications | Monash University | otc-exercise | azep-5ml-nasal-spr hayfever | monash-university | |
| OTC exercise | Patient with constipation who presents with a product request after Metamucil is ineffective. | Constipation, Metamucil | Monash University | otc-exercise | constipation metamucil | monash-university | ||
| OTC exercise | Patient presents with mild Tinea pedis. They have already selected a product from the shop front. | Lamisil Cream, Solveasy Tinea Cream, tinea pedis | Monash University | otc-exercise | lamisil-cream solveasy-tinea-cream tinea-pedis | monash-university | ||
| OTC exercise | Patient with constipation who presents with a product request. | Coloxyl with senna | Community | Monash University | otc-exercise | coloxyl-with-senna | monash-university | |
| OTC exercise | Patient with constipation who presents with a product request. Outcome is recommend medication with basic feedback. Patient symptoms: difficult to defecate, tight stomach. | Constipation | Community | Monash University | otc-exercise | constipation | monash-university |
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