Pharmacist Interview
Patient Case Study
Name
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First Name
Last Name
Email
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example@example.com
Contact Number
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1. What would be your key considerations when undertaking a medication review and prescription re-authorisation?
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2. A patient is requesting their repeat medication of Ramipril 5mg and Atorvastatin 20mg. Their review date has passed and their last blood test was 13 months ago. In this scenario what would be the most suitable action?
Refer to a GP
Task the reception to request the patient book a blood test before you can issue their medication
Complete a short notes based review, issue the medication and amend the review date for the short term and signpost for relevant blood test.
Reject the medication request
3. Mrs Smith your 72-year-old female patient comes in for her medicines review. She is recovering from a hip fracture after experiencing a fall at home. Listed below are the medicines post discharge that she takes. Medical history notes asthma and hypertension and IBD. Please highlight a least 5 areas to consider for medicines optimisation or further clarification, include any SCA considerations.
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Medication List: Amitriptyline 10mg ON, Atenolol 25mg OD, Alendronic Acid 70mg OD, Azathioprine 50mg BD, Cetirizine 10mg OD, Co-Codamol 30/500 2QDS, Mesalazine 400mg 1TDS, Morphine Sulphate 10mg/5ml 5ml QDS, Ramipril 10mg OD, Salmeterol 25mcg 1-2p BD, Salbutamol 1-2p PRN, Zopiclone 7.5mg ON
4. You are reviewing a 71 year old male patient, with a history of AF. They have a CHADSVASC score of 3 and a CrCL of 62ml/min. Their weight is 80kg. They are currently taking Atorvastatin 20mg and Ramipril 5mg. What would your considerations be in relation to stroke prevention? What additional treatment and/or monitoring would you suggest?
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