Pharmacy Case Studies

Whilst most pharmacy undergraduate texts are subject specific, "Pharmacy Case Studies" encourages students to take an integral approach to pharmacy via a series of pharmacy cases. Knowledge gained within the individual areas of law and ethics, pharmaceutics, pharmacology and pathology are tested by each example, bringing together all areas taught on the degree course. Each chapter contains five case studies, starting with uncomplicated cases and increasing in complexity as they expand. Contents ......Page 6 Preface......Page 10 About the editors......Page 12 Contributors......Page 13 Case study level 1 – Ulcerative colitis......Page 16 Case study level 2 – Constipation......Page 17 Case study level 3 – Irritable bowel syndrome......Page 18 General references......Page 19 Case study level Ma – Duodenal ulcer......Page 20 Case study level Mb – Ulcerative colitis......Page 21 Case study level 1 –ulcerative colitis –see page 1......Page 23 Case study level 2 – Constipation –see page 2......Page 25 Case study level 3 –Irritable bowel syndrome –see page 3......Page 27 Case study level Ma – Duodenal ulcer –see page 5......Page 29 Case study level Mb –Ulcerative colitis –see page 6......Page 31 Case study level 1 – Angina......Page 35 Case study level 2 – Hypertension......Page 36 References......Page 37 Case study level 3 – Atrial fibrillation......Page 38 Case study level Ma – Heart failure......Page 40 General references......Page 43 Case study level Mb – Myocardial infarction......Page 44 References......Page 46 Case study level 1 –Angina –see page 20......Page 47 Case study level 2 – Hypertension –see page 21......Page 50 Case study level 3 –Atrial fibrillation –see page 23 1 What is atrial fibrillation? ......Page 54 Case study level Ma – Heart failure –see page 25......Page 56 Case study level Mb –Myocardial infarction –see page 29......Page 59 Case study level 1 –Asthma –community......Page 64 Case study level 2 – Asthma –acute on chronic......Page 65 General reference......Page 66 Case study level 3 –Chronic obstructive pulmonary disease (COPD) –with co-morbidity......Page 67 Reference......Page 68 Case study level Ma – COPD......Page 69 Case study level Mb – Brittle asthma......Page 71 General references......Page 73 Case study level 1 –Asthma –community –see page 49......Page 74 Case study level 2 – Asthma –acute on chronic –see page 50......Page 77 Case study level 3 –COPD –with co-morbidity –see page 52......Page 82 Case study level Ma – COPD –see page 54......Page 86 Case study level Mb – Brittle asthma –see page 56......Page 90 Case study level 1 –A case of insomnia......Page 95 General references......Page 96 General references......Page 97 Case study level 3 –A case of dementia, Alzheimer ’s type......Page 98 General references......Page 99 Case study level Ma – A case of schizophrenia......Page 100 General references......Page 101 Case study level Mb – A case of buprenorphine high-dose prescribing in heroin addiction......Page 102 Case study level 1 –A case of insomnia –see page 80......Page 103 Case study level 2 – A case of eating disorder (bulimia nervosa)– see page 82......Page 107 Case study level 3 –A case of dementia,Alzheimer ’s type –see page 83......Page 109 Case study level Ma – A case of schizophrenia –see page 85......Page 111 Case study level Mb – A case of buprenorphine high-dose prescribing in heroin addiction -see page 87......Page 114 Case study level 1 –Sore throat......Page 118 General references......Page 119 Case study level 2 – Urinary tract infection (UTI)......Page 120 Case study level 3 –Pneumonia......Page 121 General references......Page 123 Case study level Ma – Meningitis......Page 124 General references......Page 126 Case study level Mb – Diabetic foot infection......Page 127 General references......Page 129 Case study level 1 –Sore throat –see page 103......Page 130 Case study level 2 – Urinary tract infection (UTI)–see page 105......Page 133 Case study level 3 –Pneumonia –see page 106......Page 136 Case study level Ma – Meningitis –see page 109......Page 140 Case study level Mb – Diabetic foot infection –see page 112......Page 144 Case study level 1 –Myasthenia gravis......Page 150 Case study level 2 – Thyroid dysfunction......Page 151 Case study level 3 –Hormone replacement therapy......Page 152 General references......Page 153 Case study level Ma – Osteoporosis......Page 154 Case study level Mb –Type 2 diabetes......Page 155 General references......Page 156 Case study level 1 –Myasthenia gravis –see page 135......Page 157 Case study level 2 – Thyroid dysfunction –see page 136......Page 158 Case study level 3 –Hormone replacement therapy –see page 137......Page 159 Case study level Ma – Osteoporosis –see page 139......Page 160 Case Study Level Mb – Type 2 diabetes –see page 140......Page 162 Case study level 1 –Primary dysmenorrhoea......Page 165 Case study level 2 – Urinary tract infections in pregnancy......Page 166 Case study level 3 –Pelvic inflammatory disease......Page 167 General references......Page 168 Case study level Ma – Endometriosis management in secondary care......Page 169 General references......Page 170 Case study level Mb –Management of severe pre-eclampsia/ eclampsia......Page 171 General references......Page 172 Case Study Level 1 –Primary dysmenorrhoea –see page 150......Page 173 Case study level 2 – Urinary tract infections in pregnancy –see page 151......Page 174 Case study level 3 –Pelvic inflammatory disease –see page 152......Page 177 Case study level Ma – Endometriosis management in secondary care –see page 154......Page 180 Case study level Mb –Management of severe pre-eclampsia/ eclampsia –see page 156......Page 183 Case study level 1 –Non-small cell lung cancer......Page 186 General references......Page 187 Case study level 2 – Treatment of advanced colorectal cancer......Page 188 General references......Page 189 Case study level 3 –Treatment of metastatic breast cancer and its complications......Page 190 General references......Page 192 Case study level Ma – Management of testicular cancer......Page 193 References......Page 195 Case study level Mb – Oral chemotherapy......Page 196 References......Page 198 Case study level 1 –Non-small cell lung cancer –see page 171......Page 199 Case study level 2 – Treatment of advanced colorectal cancer –see page 173......Page 203 Case study level 3 –Treatment of metastatic breast cancer and its complications –see page 175......Page 208 Case study Level Ma – Management of testicular cancer –see page 178......Page 219 Case study level Mb – Oral chemotherapy –see page 181......Page 224 Case study level 1 –Iron-deficiency anaemia......Page 233 Case study level 2 – Pernicious anaemia......Page 234 General references......Page 235 Case study level 3 –Porphyria......Page 236 Case study level Ma – Sickle cell anaemia......Page 237 Case study level Mb – Peri-operative nutrition......Page 239 General references......Page 241 Case study level 1 –Iron-de •ciency anaemia –see page 218......Page 242 Case study level 2 – Pernicious anaemia –see page 219......Page 244 Case study level 3 –Porphyria –see page 221......Page 247 Case study level Ma – Sickle cell anaemia –see page 222......Page 250 Case study level Mb – Peri-operative nutrition –see page 224......Page 254 Case study level 1 –Rheumatoid arthritis......Page 259 General references......Page 260 Case study level 2 – Rheumatoid arthritis......Page 261 General references......Page 262 Case study level 3 –Gout......Page 263 General reference......Page 264 Case study level Ma – Osteoarthritis......Page 265 General references......Page 266 Case study level Mb – Osteoporosis......Page 267 General references......Page 268 Case study level 1 –Rheumatoid arthritis –see page 244......Page 269 Case study level 2 – Rheumatoid arthritis –see page 246......Page 272 Case study level 3 –Gout –see page 248......Page 274 Case study level Ma – Osteoarthritis –see page 250......Page 280 Case study level Mb – Osteoporosis –see page 252......Page 284 Case study level 1 –Ears......Page 290 Case study level 2 – Conjunctivitis......Page 291 General references......Page 292 Case study level 3 –Hayfever......Page 293 Case study level Ma – Sinusitis......Page 294 Case study level Mb –Glaucoma......Page 295 Case study level 1 –Ears –see page 275......Page 297 Case study level 2 – Conjunctivitis –see page 276......Page 299 Case study level 3 –Hay fever –see page 278......Page 302 Case study level Ma – Sinusitis –see page 279......Page 304 Case study level Mb – Glaucoma –see page 280......Page 306 Case study level 1 –Cold sores......Page 309 Case study level 2 – Severe acne......Page 310 General references......Page 311 Case Study Level 3 –Acute cellulitis......Page 312 Case study level Ma – Atopic eczema......Page 313 General references......Page 315 Case study level Mb –Psoriasis......Page 316 General references......Page 317 Case study level 1 –Cold sores –see page 294......Page 318 Case study level 2 – Severe acne –see page 295......Page 320 Case study level 3 –Acute cellulitis –see page 297......Page 322 Case study level Ma – Atopic eczema –see page 298......Page 325 Case study level Mb – Psoriasis –see page 301......Page 328 Case study level 1 –Tetanus......Page 335 Case study level 2 – Idiopathic thrombocytopenic purpura......Page 336 Case study level 3 –Chronic granulomatous disease......Page 337 General references......Page 338 Case study level Ma – Chronic hepatitis B infection......Page 339 Case study level Mb – Rheumatoid arthritis......Page 340 Case study level 1 –Tetanus – see page 320......Page 341 Case study level 2 – Idiopathic thrombocytopenic purpura –see page 321......Page 343 Case study level 3 –Chronic granulomatous disease –see page 322......Page 345 Case study level Ma – Chronic hepatitis B infection –see page 324......Page 347 Case study level Mb – Rheumatoid arthritis –see page 325......Page 349 Case study level 1 –Alcoholic cirrhosis;alcohol withdrawal......Page 353 Case study level 2 – Alcoholic cirrhosis; management of bleeding risk and treatment for the maintenance of alcohol abstinence......Page 354 General references......Page 355 Case study level 3 –Hepatic encephalopathy and ascites......Page 356 Case study level Ma – Pulmonary tuberculosis......Page 357 General references......Page 358 Case study level Mb –Liver failure......Page 359 Case study level 1 –Alcoholic cirrhosis; alcohol withdrawal see page 338......Page 361 Case study level 2 – Alcoholic cirrhosis; management of bleeding risk and treatment for the maintenance of alcohol abstinence –see page 339......Page 362 Case study level 3 –Encephalopathy –see page 341......Page 364 Case study level Ma – Pulmonary tuberculosis –see page 342......Page 367 Case study level Mb – Liver failure –see page 344......Page 369 Case study level 1 –Acute pyelonephritis......Page 371 Case study level 2 – NSAIDs and ACE inhibitors......Page 372 Case study level 3 –Pre-dialysis patient with anaemia......Page 374 General references......Page 375 Case study level Ma – Diabetes and renal impairment......Page 376 General references......Page 377 Case study level Mb –Hypertension-associated kidney disease......Page 378 General references......Page 379 Case study level 1 –Acute pyelonephritis –see page 356......Page 380 Case study level 2 – NSAIDs and ACE inhibitors –see page 357......Page 386 Case study level 3 –Pre-dialysis patient with anaemia – see page 359......Page 390 Case study level Ma – Diabetes and renal impairment –see page 361......Page 393 Case study level Mb –Hypertension-associated kidney disease –see page 363......Page 398 Case study level 1 –Croup......Page 406 Case study level 2 – Fever......Page 407 Case study level 3 –Diabetes......Page 408 General references......Page 409 Case study level Ma – Gastro-oesophageal reflux......Page 410 Case study level Mb – Asthma......Page 411 General references......Page 412 Case study level 1 –Croup –see page 391......Page 413 Case study level 2 – Fever –see page 392......Page 414 Case study level 3 –Diabetes –see page 393......Page 416 Case study level Ma – Gastro-oesophageal reflux –see page 395......Page 419 Case study level Mb – Asthma –see page 396......Page 421 Case study level 1 –It is important to be regular: constipation and the older person......Page 424 General references......Page 425 Case study level 2 -Puffing away makes you lose your puff: treatment of chronic obstructive pulmonary disease......Page 426 Case study level 3 –‘Not what you first thought ’: multiple morbidity in older people –acute confusional state, dehydration and Parkinson ’s disease......Page 427 Case study level Ma – Eating is not the only problem: treatment of stroke and its complications in the older person......Page 429 Care Study Level Mb – Hearts and bones......Page 431 General references......Page 432 Case study level 1 –see page 409......Page 433 Case study level 2 – see page 411......Page 437 Case study level 3 –see page 412......Page 440 Case study level Ma – see page 414......Page 444 Case study level Mb – see page 416......Page 448 Index......Page 457 Pharmacy Case Studies offers a holistic and integrated approach to learning, which textbooks often lack. Case studies of increasing complexity tie in the strands of learning from across the pharmacy curriculum. Each chapter contains five case studies with questions and answers increasing in complexity from those for first year students through to cases designed for fourth year/pre-registration level. The chapters loosely follow the order of the British National Formulary chapters for ease of use. Case study scenarios include both community and hospital pharmacy situations as suited to the disease and pharmaceutical care provision. Primarily aimed at undergraduate pharmacy students and pre-registration pharmacists, this book will also be useful for qualified pharmacists as well as medical students, nurses and others with a professional interest in therapeutics Pharmacy Case Studies offers a holistic and integrated approach to learning, which textbooks often lack. Case studies of increasing complexity tie in the strands of learning from across the pharmacy curriculum. Primarily aimed at pharmacy students and pre-registration pharmacists, this book will also be useful for qualified pharmacists as well as medical students, nurses and others with a professional interest in therapeutics. Each chapter contains five case studies with questions and answers increasing in complexity from those for first year students through to cases designed for fourth year/pre-registration level. The chapters loosely follow the order of the British National Formulary chapters for ease of use. Case study scenarios include both community and hospital pharmacy situations as suited to the disease and pharmaceutical care provision. 1. Gastrointestinal case studies 2. Cardiovascular case studies 3. Respiratory system case studies 4. Central nervous system case studies 5. Infections case studies 6. Endocrine case studies 7. Obstetrics, gynaecology and UTI case studies 8. Malignant diseases case studies 9. Nutrition and blood case studies 10. Musculoskeletal and joint disease case studies 11. Eyes and ENT case studies 12. Skin case studies 13. Immunology case studies 14. Liver disease case studies 15. Renal disease case studies 16. Paediatrics case studies 17. Care of older people case studies. Helps students to take an integral approach to pharmacy via a series of pharmacy cases. This book tests knowledge gained within the individual areas of law and ethics, pharmaceutics, pharmacology and pathology by examples, bringing together various areas taught on the degree course.