Pharmacy

PROBLEM BASED LEARNING

Case Review 3

Scribe: Saelim Park

Case written by James Doan

Trigger 1

Mrs Jane comes into the pharmacy on a Sunday morning. She explains to you that she has being feeling nauseous, was vomiting, a bit edgy and had troubles sleeping. She then mentions that she has being forgetting things in the last couple of months and it must be the “Parkinson’s notching up a level and all those new medications”. Jane say’s her daughter thinks she has dementia due to the worsening Parkinson’s and her forgetfulness. Jane fiddles through the bag trying to find where she left her prescription only to find it in her front pocket, she hands you a script for Noten 50mg 1 m, Temazepam 10mg 1/2 n prn and Alprim 1 n for 3 nights. She then says “yes the doctor said I have a urinary tract infection that’s why he gave me Noten”.

Patient Details

Name: Mrs Jane CrCL: 28.6 mL/min

Gender: F BMI: 27.7

Age: 78 Allergies: Bleph 10 eye Drops – severe allergic reaction

Year of Birth: 1929 Penicillin Allergy – severe allergic reaction

Height: 160cm

Weight: 71 kg

Current Medical Conditions and History

Parkinson’s disease

Osteoporosis

Hypertension

Hyperlipidemia

Osteoarthritis

Asthma

Questions to the Patient

|How have you been sleeping recently? |Ok. Doctor has prescribed me some medications to help me with sleeping |

|When did you first have sleeping problem? |Couple of months ago when the doctor changed my medications |

|Have you had temazepam before? |No. Its my first time. I had Valium before but I had a fall last month so the doctor |

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