PPP II iForum by Darshini Siwanandan https://padlet.com/Darsh_2016/cnandv1z35qn A platform for you to shoot your questions, discuss your cases & clear your doubts! en-us 2017-03-28 00:56:27 UTC 2017-05-29 11:54:49 UTC hello@padlet.com https://padlet-assets.s3.amazonaws.com/icons/Clouds.png Dear students, https://padlet.com/Darsh_2016/cnandv1z35qn/wish/168019079 I have uploaded an updated version of handout on Addiction & substance of abuse...
Peggy]]> 2017-04-25 06:53:20 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/168019079 Home Test Kits Workshop https://padlet.com/Darsh_2016/cnandv1z35qn/wish/168990571 Dear Ms. Darshini and Ms. Peggy,  can you please upload a few reference links/ answer guideline for the home test kits workshop for our revision? Thank you!]]> 2017-04-29 01:23:56 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/168990571 Home Test Kit Workshop Darsh_2016 https://padlet.com/Darsh_2016/cnandv1z35qn/wish/169040178 The answers to the workshops has already been uploaded.
I do think that this article (link below) provides a good but general insight to home test kits and diagnostics. However bear in mind not all products that are available in US is available here in Malaysia. Always refer to MIMs and the product leaflet that is attached with the product.

http://www.pharmacytimes.com/publications/issue/2009/2009-03/2009-03-10050

Thank you.

~Darshini]]> 2017-04-30 05:27:14 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/169040178 OSPHE https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172251136 Dear Ms Darshini, for OSPHE preparation on device counseling, should we focus on only the Nasonex inhaler among the other inhalers? 
Thank you :)]]> 2017-05-17 06:02:58 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172251136 OSPhE Darsh_2016 https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172477841 Dear Student,

Please focus on the following: Nasonex inhaler, Easyhaler, Accuhaler, Handihaler, Metered Dose Inhaler (MDI), Aerochamber + MDI, Turbuhaler and Insulin Pen for the device counseling station.

Thank you.

~Darshini.]]> 2017-05-18 02:56:48 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172477841 OSPHE home test kits https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172488237 Dear Ms Darshini, for OSPHE home test kits counseling, what should we focus on? :) Thank you

]]> 2017-05-18 05:17:08 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172488237 OSPhE home test kits Darsh_2016 https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172597342 For home test kits, focus on glucometer, pregnancy and ovulation test kit, BP both manual and automatic, cholesterol meter and thermometer.
Be able to explain to patients the importance and the function.

~Darshini]]> 2017-05-18 14:36:42 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172597342 Hi Ms Darshini, https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172774588 May I know how do we differentiate eye contact dermatitis and allergic conjunctivitis? As both of them are due to allergen, can we differentiate them based on symptoms? 

Thank you :)

]]> 2017-05-19 11:16:12 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172774588 OSPHE carmenntann https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172946372 Hi Ms Darshini, are the patient information leaflets (PIL) provided during the OSPHE device counseling station? Thank you.]]> 2017-05-20 21:58:49 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172946372 Eye Contact Dermatitis and Allergic Conjunctivitis Darsh_2016 https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172964907
Hi. So eye contact dermatitis is more on the surface of the eye lid on top the eye; where women put eye shadow and eye liner there. Can be due to an allergy or an irritant. The eyelid will appear inflamed, itchy and swollen, like as if there is a rash there. The eye itself may not be red. If red, it is due to patient scratching or rubbing. Treated with oral antihistamine and cold compress.

Allergic conjunctivitis is more on the conjunctiva itself, the inside of the eye lid, the layer that covers the eyeball. The eye will be red and very itchy and also can be due to an allergy or an irritant. The whole eye would be swollen also in most cases. This would require an eye drop such as sodium cromoglycate 2% (brand name: opticrom/allergocrom) OR naphcon OR naphcon A OR any other decongestant/antihistamine that may be available in the pharmacy.

Hope this answers your question.

Thank you.

~Darshini.]]> 2017-05-21 08:53:29 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172964907 OSPHE Darsh_2016 https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172965261 Hello. No, the PIL for the devices showing how the device is to be used will NOT be provided.

Thank you.

~Darshini.]]> 2017-05-21 09:00:28 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172965261 OSPHE PIL https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172973633 Hi Ms Darshini, so we are not given any PIL? not even the PIL with function & s/e info on it?

]]> 2017-05-21 11:56:10 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172973633 OSPHE PIL Darsh_2016 https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172975095 Where required and needed, the PIL will be given definitely, to be used as information for the side eff., drug function and so on. If it is not given then it is not needed for your use during the OSPhE

Thank you.

~Darshini]]> 2017-05-21 12:20:16 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172975095 Cold vs Warm Compression https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172984319 Dear Ms Darshini, may i know why do we use cold compression for eye contact dermatitis, whereas apply warm compression for blepharitis? Is cold compression the same thing as warm compression? What are actually the differences between these two? As what I have understood, warm compression is the use of cloth or cotton wool with boiled and cooled water and compress on the affected area, what about cold compression- is it the use of ice? Thanks]]> 2017-05-21 14:46:22 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172984319 Cold vs Warm Compression Darsh_2016 https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172984439
So cold compression is using ice cold water to dampen the cloth ahd applied directly to the affected area, whereas warm compress is using warm water, slightly warmer then room temperature, and slightly higher then your skin temperature to dampen the cloth and applied directly to affected area.

Eye contact dermatitis is an inflammation, the area is itchy and warm to touch due to the the body's inflammatory markers in the area. Cool compress is to cool the area down and provide temporary relief. It is also thought to constrict capillaries and reduce inflammation. 

We do not use warm or cold compress for blepharitis, but more for a stye, hordeolum or chalazion. The use of warm compress is thought to dilate capillaries and bring more blood flow to the area, promoting drainage and healing. Most cases of blepharitis treatment is usually eyelid hygiene and if recurrent then a topical antibiotic which may need a prescription.

Hope this answers your question. 

Thank you.

~Darshini]]> 2017-05-21 14:47:43 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/172984439 Bacterial Conjunctivitis https://padlet.com/Darsh_2016/cnandv1z35qn/wish/173128917 Miss Darshini, for the bacteria conjunctivitis, do we need to refer the patients? Or we can give the patients chloramphenicol eye drops to treat the condition since in MIMS it sated that it is in class C?]]> 2017-05-22 12:42:09 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/173128917 Bacterial Conjunctivitis Darsh_2016 https://padlet.com/Darsh_2016/cnandv1z35qn/wish/173142880 If you are confident that the patient has no other red flags/trigger factors that requires a referral and have ruled out all other causes then yes, since it is class C, you are able to counsel and dispense a short course of chloramphenicol eye drop. Ensure you have conducted a good history taking, and made sure you are not masking any other more serious issues.

Thank you.

~Darshini.]]> 2017-05-22 13:38:04 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/173142880 Trichiasis https://padlet.com/Darsh_2016/cnandv1z35qn/wish/174069297 Miss Darshini, may I know how to manage the patients with trichiasis? Do we need to refer them to the doctor?]]> 2017-05-27 07:08:01 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/174069297 Viral conjunctivitis https://padlet.com/Darsh_2016/cnandv1z35qn/wish/174070589 Dear Ms Darshini, 
May I know what can we give to the patient? isit okay if we give oral antihistamine? ]]> 2017-05-27 07:46:35 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/174070589 https://padlet.com/Darsh_2016/cnandv1z35qn/wish/174137492 Dear Ms Darshini,
For OSPHE station 1 RTS, if the medication is not on the table during that day, can we still dispense?]]> 2017-05-28 14:48:48 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/174137492 https://padlet.com/Darsh_2016/cnandv1z35qn/wish/174137503 Dear Ms Darshini,
For OSPHE station 1 RTS, if the medication is not on the table during that day, can we still dispense? Or we must use the medication on the table]]> 2017-05-28 14:49:02 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/174137503 Medication https://padlet.com/Darsh_2016/cnandv1z35qn/wish/174137504 Dear Ms Darshini,
For OSPHE station 1 RTS, if the medication is not on the table during that day, can we still dispense? Or we must use the medication on the table?

]]> 2017-05-28 14:49:04 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/174137504 Dear Students, Darsh_2016 https://padlet.com/Darsh_2016/cnandv1z35qn/wish/174181898
Yes you can dispense the medication or device if it is  not on the table.

Thank you,

~Darshini]]> 2017-05-29 02:47:10 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/174181898 Viral Conjunctivitis Darsh_2016 https://padlet.com/Darsh_2016/cnandv1z35qn/wish/174182112
In a community setting, you would most likely treat the symptoms only not the disease itself, for comfort. Treatment can include:
cold compresses, lubricants, such as artificial tears.

If it is allergic conjunctivitis, then it would make more sense for oral antihistamine. Viral conjunctivitis not necessary.

Constrictors/ antihistamines may be used for severe itching but generally are not indicated if not severe. Need to use clinical and professional judgement in individual case scenarios.

Thank you.

~Darshini

]]> 2017-05-29 02:50:36 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/174182112 Contact Lens https://padlet.com/Darsh_2016/cnandv1z35qn/wish/174239663 Miss Darshini, may I know why we are suppose to ask whether the patients are wearing contact lenses?
If the patients with eye conditions are wearing contact lenses, do we need to refer them? Or we just advise them not to wear it? Thank you. ]]> 2017-05-29 11:52:27 UTC https://padlet.com/Darsh_2016/cnandv1z35qn/wish/174239663