formal case presentation

Formal Case Presentation

Nora Ahmed, PharmD StudentNora Ahmed, PharmD StudentNora Ahmed, PharmD Student

College of Pharmacy-King Saud University

PHCL 413: Pharmacy Practice Lab 3

Date

Patient Information

• General Patient Information– Date & time of admission to the hospital or arrival

at the clinic or office– Patient initials – Age– Gender– Race– Height – Weight– BMI

2

Don’t get stuck in here, if you don’t have some of the information, that

is fine

Patient Information

• CC

3

Patient Information

• HPI

4

Patient Information

• PMH

5

Patient Information

•FH

•SH

•Allergies

6

Patient Information

• MedHx• Sample

Drug Regimen Indication Duration Notes

Digoxin 0.125 mg PO OD CHF 1 month Use this column to note specific info drusg mentioned in the case e.g. patient is taking it differently, or if the dose was increased a week ago, or patient stopped 3 days ago…etc

Furosemide 80 mg PO BID CHF 4 years

7

Patient Information

• ROS

8

Patient Information

• PE

9

Patient Information

• Lab Tests

10

Patient Information

• Diagnostic Tests

11

Medical Problems List

1. 2. 3. 4. 5. 6. 7.

13

Topic DiscussionManagement of XXXXXXXX

• General approach to the management of main problem

• Use tables, algorithms, diagrams• 1-2 slides maximum

12

Drug Related Problems

• Medical Problem 1 Title1. DRP 12. DRP 23. DRP 3

14

Drug Related Problems

• Medical Problem 2 Title1. DRP 12. DRP 23. DRP 3

15

Drug Related Problems

• Medical Problem 3 Title1. DRP 12. DRP 23. DRP 3

16

Medical Problem 1 Title

Medical Problem 1 Title

• Subjective

3

Medical Problem 1 Title

• Objective

3

Medical Problem 1 Title

• Assessment

3

Medical Problem 1 Title

• Plan

3

Medical Problem 2 Title

Medical Problem 2 Title

• Subjective

3

Medical Problem 2 Title

• Objective

3

Medical Problem 2 Title

• Assessment

3

Medical Problem 2 Title

• Plan

3

Medical Problem 3 Title

Medical Problem 3 Title

• Subjective

3

Medical Problem 3 Title

• Objective

3

Medical Problem 3 Title

• Assessment

3

Medical Problem 3 Title

• Plan

3

Summary of the Pharmacist Plan

Updated Medication List

• A list of medications (with dosage regimens) the patient will receive according to your care plan

23

References

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