Clinical Case 3
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A 53-year-old women comes to see you for a consultation. She is scheduled to take a caribbean cruise in 2 weeks but is concerned about sea sickness. She has been on boats before and is very sensitive to motion sickness. A friend mentioned to her that there is a patch that is effective for this problem. She is in good health and takes no medications regularly. Her examination is normal. You prescribe a scopolamine transdermal patch for her.
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Clinical Case 1
A 12-year-old girl was diagnosed with strep throat and given penicillin, but had an anaphylactic reaction. She was given epinephrine, which will cause vasoconstriction through alpha-1 adrenoceptors in her vascular system and bronchial muscle relaxation through beta-2 adrenoceptors in her respiratory system to treat the reaction.
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Clinical Case 7
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α2- agonist (Apraclonidine, Brimonidine)
CAIs (Acetazolamide, Dorzolamide)
Cholinomimetics (Pilocarpine, Carbachol, Echothiopate, Physostigmine)
Prostaglandin "PG" analogue (Latanoprost, Travoprost, Bimatoprost)
Epinephrine & Dipivefrine
Nr 508 Education Organization -- snaptutorial.com
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Discussion Part One
Emily, a relatively healthy 5’5”, 32-year-old young woman weighing 190 pounds, presents to your clinic with hirsutism, anovulation, oligomenorrhea, and at times amenorrhea. Biochemical blood tests reveal elevated
Nr 508 Education Redefined-snaptutorial.com
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Discussion Part One
Emily, a relatively healthy 5’5”, 32-year-old young woman weighing 190 pounds, presents to your clinic with hirsutism, anovulation, oligomenorrhea, and at times amenorrhea. Biochemical blood tests reveal elevated luteinizing hormone (LH, without a mid-cycle surge) and androgen elevation.
Men & women heailth q & a
A 66-year-old postmenopausal woman has a DXA screening that shows osteoporosis. Based on guidelines, the most appropriate treatment is ibandronate. A 72-year-old man with a history of smoking and ankle fracture has a FRAX score of 14% for fractures and 6.7% for hip fractures, so treatment with calcium, vitamin D, and alendronate is recommended. A 29-year-old woman with a history of DVTs wants to get pregnant, so discontinuing warfarin and starting enoxaparin until pregnancy is recommended.
Case Series- Epilepsy
An 86-year-old man named Mr. BM was prescribed carbamazepine 200 mg twice daily but took the doses only 4 hours apart which caused confusion and difficulty speaking in the afternoon. The doctor reiterates that prescriptions for twice daily medication should specify every 12 hours instead of BID to avoid this issue. Brand vs generic differences in anti-seizure medications can potentially cause problems if not the same formulation. Advice is offered on proper prescription writing including patient name, age, drug name, strength, directions, and refills.
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Discussion Part One
Emily, a relatively healthy 5’5”, 32-year-old young woman weighing 190 pounds, presents to your clinic with hirsutism, anovulation, oligomenorrhea, and at times amenorrhea. Biochemical blood tests reveal elevated luteinizing hormone (LH, without a mid-cycle surge) and androgen elevation.
NR 508 Enhance teaching - snaptutorial.com
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www.snaptutorial.com
Discussion Part One
Emily, a relatively healthy 5’5”, 32-year-old young woman weighing 190 pounds, presents to your clinic with hirsutism, anovulation, oligomenorrhea, and at times amenorrhea. Biochemical blood tests reveal elevated luteinizing hormone (LH, without a mid-cycle surge) and androgen elevation.
Case Studies Clinical pharmacy
Case Studies (Clinical Pharmacy Assignment)
Case Studies
Case Study 1. Drug Related Problem
Case Study 2. Alcohol Toxicity
Case Study 3. Patient Counseling
Case Study 4. Peptic Ulcer
Case Study 5. Drug and the Newborn
Case Study 6. Night time Anxiety
Case Study 7. Clostridium Difficile
Case Study 8. Epilepsy and Pregnancy
Case Study 9. Parkinsonism
Case Study 10. Treatment May Be Worse Than Condition
Nr 508 Education Organization / snaptutorial.com
For more classes visit
www.snaptutorial.com
Discussion Part One
Emily, a relatively healthy 5’5”, 32-year-old young woman weighing 190 pounds, presents to your clinic with hirsutism, anovulation, oligomenorrhea, and at times amenorrhea. Biochemical blood tests reveal elevated luteinizing hormone (LH, without a mid-cycle surge) and androgen elevation.
NR 508 Education Specialist / snaptutorial.com
This document discusses the case of a patient named Adam who presents with respiratory symptoms including wheezing, dyspnea, cough and sputum production, especially during exercise. The assistant provides a diagnosis, pharmacological treatment plan and monitoring recommendations over three discussions. In discussion two, it is revealed the patient is also taking metoprolol which could be exacerbating his symptoms due to its mechanism of action. The assistant modifies the treatment plan and discusses monitoring.
acute renal failure.ppt
This document discusses drug safety issues in patients with chronic kidney disease (CKD). It notes that around 50% of patients with an estimated glomerular filtration rate (eGFR) <60 ml/min experience an adverse drug event. Common causes include direct kidney injury from the drug, dosing errors due to impaired clearance, and drug-drug interactions involving the kidney. The document reviews specific drugs that require dosage adjustment or caution in CKD, including nonsteroidal anti-inflammatory drugs (NSAIDs), metformin, iodinated contrast, gadolinium, oral sodium phosphate preparations, and renin-angiotensin-aldosterone system (RAAS) antagonists. It emphasizes the importance of considering a patient
Women with Epilepsy: Role of newer anti-seizure drugs
Women with Epilepsy often have unique considerations when managing their condition. Hormonal fluctuations can impact seizure frequency, and some anti-seizure medications are associated with higher risks of birth defects, cognitive issues in offspring, menstrual irregularities, and bone health issues. Levetiracetam appears to carry lower risks during pregnancy and for bone health compared to other anti-seizure drugs like valproate, phenobarbital, and phenytoin, which should generally be avoided. Careful planning and medication management is important when considering pregnancy or contraception for women with epilepsy.
Clozapine Therapy.pptx
This document summarizes guidelines for prescribing the antipsychotic medication clozapine. It outlines indications for clozapine including treatment-resistant schizophrenia and schizophrenia with suicidal behavior. Contraindications, pharmacology, administration procedures, monitoring requirements, adverse effects, and conclusions are described. Key points include the need for pre-treatment evaluation, slow dose titration, target dosing ranges, plasma level monitoring, potential adverse effects like neutropenia and myocarditis, and long-term maintenance dosing.
Clozapine therapy
This document summarizes guidelines for prescribing the antipsychotic medication clozapine. It outlines indications for clozapine including treatment-resistant schizophrenia and schizophrenia with suicidal behavior. Contraindications, pharmacology, administration procedures, monitoring requirements, adverse effects, and conclusions are described. Key points include the need for pre-treatment evaluation, slow dose titration, target dosing ranges, plasma level monitoring, neutrophil monitoring, and managing side effects like neutropenia, myocarditis, weight gain, and seizures.
( Pms ) Premenstrual syndrome
Premenstrual syndrome (PMS) is a psychoneuroendocrine disorder that causes a large number of physical and behavioral symptoms in the week before menstruation. The exact cause is unknown but is likely related to changes in estrogen and progesterone levels in the luteal phase of the menstrual cycle. Common symptoms include irritability, depression, mood swings, breast tenderness, bloating, and headaches. Treatment options include lifestyle modifications, antidepressants, diuretics, hormonal therapies like oral contraceptives, and in severe cases, suppression of the ovarian cycle or oophorectomy.
Epilepsy
This document contains 10 case studies presented to test knowledge of neurological disorders like epilepsy. The cases include examples of primary generalized epilepsy, secondary generalized epilepsy from focal lesions, and drug-induced seizures. They cover common conditions seen in neurology practice and aim to evaluate ability to synthesize history and exam findings to form differential diagnoses and management plans.
Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...
This document contains 14 multiple choice questions related to palliative care case studies. The questions cover topics like electrolyte abnormalities, treatment of constipation, discussions of medically assisted nutrition and Catholic doctrine, management of nausea and vomiting, use of octreotide, treatment of pain, prognosis of advanced dementia, risks of feeding tube placement, and treatment of depression at end of life. Response options with the presumed best answer are provided for each question.
Presentation on Epilepsy and Its Animal Models
This document provides information on epilepsy and its animal models. It begins with an introduction to epilepsy, including its definition as a seizure disorder caused by abnormal electrical activity in the brain. It then discusses the epidemiology and causes of epilepsy. The classification and clinical manifestations of epilepsy are explained. The pathophysiology and management of epilepsy are also covered. The second half of the document focuses on animal models of epilepsy. It describes various chemical-induced, metal-induced, and other convulsion models. It provides details on the principle, treatment protocols, advantages and disadvantages of models like pentylenetetrazol, bicuculline, strychnine, and penicillin induced convulsions. Overall, the document comprehensively
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Women with Epilepsy: Role of newer anti-seizure drugs
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Pallimed/GeriPal Blogs to Boards - Hospice/Palliative Medicine Board Review 2...
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More from Venkata Subba Reddy
Posology
This document discusses key aspects of posology (dose determination) including:
1. Posology refers to determining appropriate drug doses. The goal is to provide optimal therapeutic effects at the lowest possible dose.
2. Many factors affect drug dosage including age, weight, pathological state, tolerance, and drug interactions. Dosage may need adjustment based on these factors to avoid toxicity or lack of effect.
3. Routes of administration and pharmaceutical formulations can also impact drug absorption and dosage requirements. Oral doses are usually higher than parenteral doses due to incomplete oral absorption. Smaller drug particles may require lower doses due to faster absorption.
Clinical Case 8
Following his third episode of gouty arthrits, a 50-year-old man sees you in the clinic. Each case was successfully treated acutely; however, your patient is interested in trying to prevent further episodes. He is not on regular medications and has a normal physical examination today. Blood work reveals an elevated serum uric acid level and otherwise normal renal function and electrolytes. A 24-hour urine collection for uric acid reveals that he is under-excreting uric acid. Suspecting that this is a case of recurrent gout, you place him on probenecid
Clinical Case 6
A 70-Year-old man is seen in follow-up at your office after he has been hospitalized for a myocardial infarction. He underwent successful angioplasty and is currently asymptomatic. Prior to his MI, he was not on medications. He is not a smoker and is not diabetic. During his hospitalization, he was noted to have persistently elevated blood pressure readings. He had asthma as a child, but has not had any recent wheezing episodes . While in the hospital, he was started on oral metoprolol.
Clinical Case 2
A 61-year-old man is noticed to have increased intraocular pressure on a routine eye examination. The visual acuity is normal in both eyes. The dilated eye examination reveals no evidence of optic nerve damage. Visual field testing shows mild loss of peripheral vision. He is diagnosed with primary open-angle glaucoma and is started on pilocarpine ophthalmic drops.
Tutorials On General Principals Of Pharmacology
This tutorial provides information on various principles of pharmacology. It discusses different routes of drug administration including enteral, intramuscular, intrathecal, intravenous, and transdermal. It also covers pharmacokinetic processes such as absorption, distribution, metabolism, and elimination. The tutorial presents several clinical cases and questions related to selecting the appropriate route of administration based on patient factors and ensuring optimal drug concentrations.
Practical Class for undergraduates
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Clinical Case 3
- 2. A 53-year-old women comes to see you for a consultation. She is scheduled to take a caribbean cruise in 2 weeks but is concerned about sea sickness. She has been on boats before and is very sensitive to motion sickness. A friend mentioned to her that there is a patch that is effective for this problem. She is in good health and takes no medications regularly. Her examination is normal. You prescribe a scopolamine transdermal patch for her.
- 3. Questions 1. What is the mechanism of action of scopolamine? 2. What are the common side effects of this medication? 3. What are some relative contraindications to its use?
- 4. Summary A 53-year-old woman with motion sickness is prescribed transdermal scopolamine before she takes a sea cruise.
- 5. Mechanism of action of scopolamine Competitive antagonist of muscarinic cholinoreceptors in the vestibular system and the CNS
- 6. Common side effects Mydriasis Dry mouth Tachycardia Urinary retention Confusion Drowsiness
- 7. Relative contraindications Glaucoma Urinary obstruction Heart disease