1. The document discusses urinary tract infections (UTIs), which can infect the kidneys, ureters, bladder, or urethra. Women are at higher risk than men. 2. A case study is presented of a 57-year-old female patient with recurrent UTIs, lower abdominal pain, back pain, and blood in her urine. Her diagnosis is recurrent UTI. 3. The patient's prescription includes Loprin, Xobix, Zuprical, Utrin, and Caricef. The prescription is analyzed for correctness and potential drug interactions between the medications are discussed.

1. ClinicalPharmacy Semester 10th
1
URINARY TRACT INFECTION
A urinary tract infection (UTI) is an infection in any parts of your urinary
system your kidneys, ureters, bladder and urethra. Most infections involve the
lower urinary tract — the bladder and the urethra.
Women are at greater risk of developing a UTI than are men. Infection limited
to your bladder can be painful and annoying. However, serious consequences
can occur if a UTI spreads to your kidneys.
Doctors typically treat urinary tract infections with antibiotics. But you can take
steps to reduce your chances of getting a UTI in the first place.

2. ClinicalPharmacy Semester 10th
2
Student Name: Amina Tariq Date: 4/26/2021
Patient Demographics:
Name: XYZ Age: 57 Gender: F Ht/Wt: 72
Chief Complaint:
Pain and burning in urination
Lower abdominal pain
Back pain
Blood in urine
Past Medical History:
DM + HTN+ UTI +
Diagnosis:
Recurrent UTI
VITAL SIGNS
SIGNS 1 2 Comment
BP 130/90 mm Slightly raised
Temp 97 F afibrile
RR 20 Normal
PR 73 Normal
RIPHAH INTERNATIONAL UNIVERSITY
Riphah Institute of Pharmaceutical Sciences
PHARMACOTHERAPY REVIEW (Patient Case)

3. ClinicalPharmacy Semester 10th
3
LAB TEST INTERPRETATION
urinanalysis
Lab Tests value Normal range INTERPRETATION
RBC 4-6 0-3 hematuria
Hb trace negative hemoglobinuria
HCT
Platelet
WBCS 75-20 0-5 infection
Urea
Na
K+
Ca
Creatinine
GFR
Bilirubin negative negative normal
ALP
ALT
C/S
protein negative Normal (kidney issue)
glucose negative normal
Rx
Loprin 75mg OD
Xobix 7.5mg BD
Zuprical OD
Utrin 2tbsp BD
Caricef 400mg OD

4. ClinicalPharmacy Manual Semester 9th
PRESCRIPTION ANALYSIS FORM
Dr. Name XYZ
Specialization urologist
Patient Name XYZ
Age 57
Weight 72 kg
Diagnosis Recurrent UTI
Other Details (If any) Hypertension+ diabetes+ UTI+
SuggestedCorrections in
Prescription (Missing Name,
Age, Wrong strength, dose,
frequency, etc..)
-Multivitamin (only for 10 days whereas most packs contain 30 tablets)
-Loprin (should not be given as BP is normal)
-No signature and standup is present
R IP HAH IN T E R NATIONA L UN IVE R S ITY
Riphah Institute of Pharmaceutical Sciences

5. ClinicalPharmacy Manual Semester 9th
Rx Dosage
Form
Brand Generic Strength Class Frequency Duration Instructions
1. Tab Loprin 1+1 tab Loprin aspirin 75mg Antiplatelet OD 10 days
2. Tab Xobix 1+1 tab Xobix meloxicam 7.5mg NSAID BD 10 days
3. Tab Xobix 1+1 tab Zuprical vitamin - multivitamin OD 10 days
4. Syp utrin 1+0 syrup utrin Dmanose - Urinary tract
protectant
BD 2TBSP 10 days
5. Cap caricef 1+0 cap caricef Cefixime 400mg 3rd generation
cepphalosporin
OD 10 days
6.

6. ClinicalPharmacy Manual Semester 9th
DRUG INTERACTIONS ANALYSIS FORM
Software Drug Interactions Effects
Medscape Aspirin+meloxicam (monitor closely) Both increase anticoagulation
Cefixime + Aspirin (minor) Cefixime will increase level of aspirin
Cefixime + meloxicam (minor) Cifixime will increase level of meloxicam