This exercise aims to evaluate the students ability to identify contraindications for and appraise the appropriateness of commonly encountered medications when treating diabetes.
AA is a 74-year old, non-smoking, white man comes to the pharmacy to pick up his prescriptions. His past medical history includes: DM2, HTN, dyslipidemia, and peptic ulcer disease. His physical exam was unremarkable. He shows you his vitals and fasting lab results obtained this month (03/01/17). You can view AA’s labs in the [Additional Documents] window.
He said that he wants to take only oral medications at this time, not injections. He reports that he measures BP and HR at home and, for the past 3 months, they have run 142-156/72-78 mmHg and 52-62 bpm, respectively. He regularly eats 3 meals per day and reports 100% adherence to his medications and lifestyle changes. He has no complaints and denies any hypoglycemic episodes, weakness, fatigue, dizziness, lightheadedness, abdominal pain, or muscle pain. He uses only your pharmacy.
To receive full credit, the student must complete two tasks:
1) Evaluate the medications AA is currently taking by viewing his patient profile in the computer. If you determine any of the medications to be inappropriate, identify them in the [Notes] window along with justification. Also provide an alternative to any inappropriate medications you identified.
2) Evaluate the prescription AA hands you today and determine whether the medications are appropriate or not to dispense to this patient. If you decide that ANY ONE of the medications are inappropriate, select [Do Not Dispense] in the handover window. Additionally, select [Medication Unsafe] and provide justification for each medication as to why ONE OR MORE of the meds was not dispensed as well as an alternative drug.
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