Group 3 by Kannan Maharaj https://padlet.com/kanpharm2002/yfsmoodndi6lhduf Share your discussion points on case study 2. en-us 2023-02-02 13:01:27 UTC 2023-02-10 05:25:56 UTC hello@padlet.com Scenario 1 https://padlet.com/kanpharm2002/yfsmoodndi6lhduf/wish/2475887345 ·       What is the most likely diagnosis for this patient? 
-bacterial infection, tonsilitis
·       Why is it important to check his immunisation status?
-check whether its recurring problem
-check whether its viral infection
-check enough antibodies inside the body to fight against the infection 
·       What is the appropriate course of action for this patient?
-can be self-limiting 
-only give antibiotics for patient if over 7 days
-15mg/kg --paracetamol
 
·       What can you say to mum about the difference in the paracetamol
-Calpol(50ml) as anagelsics , although its cheaper (3.49) .
-80ml 1ml-50mg total amount 4000mg, 
-we just 350-375 mg, 4 times a day, --most 2 days 
-200ml can last for almost 5 days, so preferrable paracetamol oral suspension 200ml

]]> 2023-02-10 02:46:44 UTC https://padlet.com/kanpharm2002/yfsmoodndi6lhduf/wish/2475887345 Scenario 2 https://padlet.com/kanpharm2002/yfsmoodndi6lhduf/wish/2475887801 ·       Review the prescription and think about anything that might need to be changed for you to safely dispense the prescription 
-14/7 : 14 days 
-QDS: 4 times a day 
PRN: when required
Phenoxymethylpenicillin(antibiotics for the infection) 
-last for 5-10 days 
-ONLY give the patient tablets of 7-10 days, otherwise will have antibiotics resistance
-ask mum whether choose tablet or liquid, as liquid is more expensive ,
 
Paracetamol : 250-500mg 
-if get better than don’t have to increase the dose 
-if the infection does not heal, can increase dose up to 500mg 
 
Difflam: sore throat

]]> 2023-02-10 02:47:22 UTC https://padlet.com/kanpharm2002/yfsmoodndi6lhduf/wish/2475887801 Scenario 3 https://padlet.com/kanpharm2002/yfsmoodndi6lhduf/wish/2475888581 ·       Can we supply an alternative formulation of the antibiotic? 
-amoxicillin,500mg , 3 times a day 
·       What other questions might you want to ask?
-ask do they want to change formulation 
-how sick he was 
-bowel movement, urination problem, chances of diarrhoe , ask habits, how does he feel 
·       What is the best course of action for this patient and why 
-line up all the options 
-refer them to GP

]]> 2023-02-10 02:48:13 UTC https://padlet.com/kanpharm2002/yfsmoodndi6lhduf/wish/2475888581 Phenoxymethylpenicillin 250mg kanpharm2002 https://padlet.com/kanpharm2002/yfsmoodndi6lhduf/wish/2475933582 Phenoxymethylpenicillin 250mg - dose is correct. Would need to confirm if he can swallow the tablets- some 8 year olds can but not most. if he can't swallow, you need to think about liquid formulation. ]]> 2023-02-10 03:50:33 UTC https://padlet.com/kanpharm2002/yfsmoodndi6lhduf/wish/2475933582 Phenoxymethylpenicillin - other formulations kanpharm2002 https://padlet.com/kanpharm2002/yfsmoodndi6lhduf/wish/2475933665 Pen V does come in 2 different strength liquids. Could consider alternative strength as will taste different. Depending on what strength supplied initially it might increase the volume (likely to be less successful) or decrease the volume (can make it a lot easier to administer). 

]]> 2023-02-10 03:50:40 UTC https://padlet.com/kanpharm2002/yfsmoodndi6lhduf/wish/2475933665 Scenario 1 kanpharm2002 https://padlet.com/kanpharm2002/yfsmoodndi6lhduf/wish/2475933847 1. Tonsillitis- the patient has all the symptoms of tonsillitis- presence of pus on tonsils implies it is more likely to be bacterial cause.

The main symptoms in children and adults are:

  • a sore throat
  • problems swallowing
  • a high temperature of 38C or above
  • coughing
  • a headache
  • feeling sick
  • earache
  • feeling tired
Sometimes the symptoms can be more severe and include:

  • swollen, painful glands in your neck (feels like a lump on the side of your neck)
  • pus-filled spots on your tonsils
  • bad breath
2. Helps exclude differential diagnosis such as measles, mumps, rubella, influenza (if flu season) covid.

3. Course of action: Patient requires antibiotics. Not improving after 3 days therefore not self limiting. As it is an bacterial tonsillitis, it can be treated using  antibiotics.  As a prescribing pharmacist you could consider prescribing these yourself. However, it is a busy pharmacy and you are the only pharmacist on that day and therefore wouldn’t have someone else to screen the prescription- best course of action would be try to ring to refer to GP.



]]> 2023-02-10 03:50:54 UTC https://padlet.com/kanpharm2002/yfsmoodndi6lhduf/wish/2475933847 Calpol Vs Generic kanpharm2002 https://padlet.com/kanpharm2002/yfsmoodndi6lhduf/wish/2475933977 The calpol might taste a bit better than the generic (It is a sweet, viscous, strawberry-flavored syrup).  No harm will be done to the child if they get the generic but can supply as part of minor ailments scheme (see next section).

You can supply the paracetamol for free without discussing the change in the dose under the Minor Ailments schemes.

As a pharmacist, you need to understand  how paracetamol works and what are the risk of overdose due to liver metabolism. Explain PRN clearly to the patients/parent. Efficacy, duration  and maximum dose allowed is a point worth to mention.



]]> 2023-02-10 03:51:02 UTC https://padlet.com/kanpharm2002/yfsmoodndi6lhduf/wish/2475933977 Paracetamol for children kanpharm2002 https://padlet.com/kanpharm2002/yfsmoodndi6lhduf/wish/2475986573 You may refer this for more details. 

Paracetamol  - dose mentioned in the prescription is incorrect for age. In addition, there is no formulation specified. Pharmacist as a prescriber they could change the dose. They could also supply the paracetamol for free without discussing the change in the dose under the Minor Ailments schemes. 

]]> 2023-02-10 05:13:32 UTC https://padlet.com/kanpharm2002/yfsmoodndi6lhduf/wish/2475986573