Download - 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
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Don’t get stuck in here, if you don’t have some of the information, that
is fine
Patient Information
• CC
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Patient Information
• HPI
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Patient Information
• PMH
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Patient Information
•FH
•SH
•Allergies
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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
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Patient Information
• ROS
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Patient Information
• PE
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Patient Information
• Lab Tests
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Patient Information
• Diagnostic Tests
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Medical Problems List
1. 2. 3. 4. 5. 6. 7.
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Topic DiscussionManagement of XXXXXXXX
• General approach to the management of main problem
• Use tables, algorithms, diagrams• 1-2 slides maximum
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Drug Related Problems
• Medical Problem 1 Title1. DRP 12. DRP 23. DRP 3
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Drug Related Problems
• Medical Problem 2 Title1. DRP 12. DRP 23. DRP 3
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Drug Related Problems
• Medical Problem 3 Title1. DRP 12. DRP 23. DRP 3
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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
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Medical Problem 2 Title
Medical Problem 2 Title
• Subjective
3
Medical Problem 2 Title
• Objective
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Medical Problem 2 Title
• Assessment
3
Medical Problem 2 Title
• Plan
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Medical Problem 3 Title
Medical Problem 3 Title
• Subjective
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Medical Problem 3 Title
• Objective
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Medical Problem 3 Title
• Assessment
3
Medical Problem 3 Title
• Plan
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Summary of the Pharmacist Plan
Updated Medication List
• A list of medications (with dosage regimens) the patient will receive according to your care plan
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References
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