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Case:
A case due to illegible prescription is presented, occurring in a 52-year- old man with a history of duodenal
ulcer admitted to hospital with epigastric pain. He was prescribed Lansoprazole (Aprazol tablet) and
Calcium Magnesium Carbonate (Rennie suspension), but Naproxen Sodium (Skelan) was given him instead
of Lansoprazole. Shortly after starting medication, he was diagnosed upper gastrointestinal bleeding and
complete recovery was reached in a short time.
After discharge from hospital, the patient filed a lawsuit against the pharmacy in the criminal court of first
instance. At the end of trial, the court's decision was both the pharmacist and his assistant were mainly
responsible for detriment of complainant’s health. They should have contacted with the prescribing doctor
if any doubt existed about the name of drug that was being prescribed. According to the decision, the
doctor's responsibility was smaller than the others.
Questions:
c. What is the medication error severity level?
Step by step
Solved in 2 steps
- Case:A case due to illegible prescription is presented, occurring in a 52-year- old man with a history of duodenal ulcer admitted to hospital with epigastric pain. He was prescribed Lansoprazole (Aprazol tablet) and Calcium Magnesium Carbonate (Rennie suspension), but Naproxen Sodium (Skelan) was given him instead of Lansoprazole. Shortly after starting medication, he was diagnosed upper gastrointestinal bleeding and complete recovery was reached in a short time. After discharge from hospital, the patient filed a lawsuit against the pharmacy in the criminal court of first instance. At the end of trial, the court's decision was both the pharmacist and his assistant were mainly responsible for detriment of complainant’s health. They should have contacted with the prescribing doctor if any doubt existed about the name of drug that was being prescribed. According to the decision, the doctor's responsibility was smaller than the others. Questions:a. What do you think is the reason why in…Case:A case due to illegible prescription is presented, occurring in a 52-year- old man with a history of duodenalulcer admitted to hospital with epigastric pain. He was prescribed Lansoprazole (Aprazol tablet) andCalcium Magnesium Carbonate (Rennie suspension), but Naproxen Sodium (Skelan) was given him insteadof Lansoprazole. Shortly after starting medication, he was diagnosed upper gastrointestinal bleeding andcomplete recovery was reached in a short time.After discharge from hospital, the patient filed a lawsuit against the pharmacy in the criminal court of firstinstance. At the end of trial, the court's decision was both the pharmacist and his assistant were mainlyresponsible for detriment of complainant’s health. They should have contacted with the prescribing doctorif any doubt existed about the name of drug that was being prescribed. According to the decision, thedoctor's responsibility was smaller than the others. Questions: b. What type of medication error happened in this…List counselling points to discuss with a patient who has trouble swallowing and is picking up a prescription for Celecoxib (Celebrex). Discuss the potential application of the Pill Glide for the patient.
- CASE: A 61-year-old American woman was referred to a Gastroenterology Clinic from primary care provider due to consistent discomfort and significant weight loss. She looked for a PCP’s advice as she had a tarry stool in the early morning which she had never experienced before. She presented with a 2-month history of burning pain in the epigastric abdomen and chest which radiated toward her back. Her pain worsened after taking aspirin and drinking coffee, and was relieved after taking antacids. She had previously lost 10 pounds in 2 months due to decreased intake caused by the feeling of bloating, early fullness and stomachaches between meals. She also reported nausea and vomiting. She expressed concern especially because the food appeared undigested when she vomited. She also reported doubling her NSAID intake due to increased knee pain. She looked pale and exhausted when she entered the clinic. Past medical history shows Gastritis with Helicobacter pylori (H. pylori) infection,…CASE: A 61-year-old American woman was referred to a Gastroenterology Clinic from her primary care provider due to consistent discomfort and significant weight loss. She looked for a PCP’s advice as she had a tarry stool in the early morning which she had never experienced before. She presented with a 2-month history of burning pain in the epigastric abdomen and chest which radiated toward her back. Her pain worsened after taking aspirin and drinking coffee and was relieved after taking antacids. She had previously lost 10 pounds in 2 months due to decreased intake caused by the feeling of bloating, early fullness, and stomachaches between meals. She also reported nausea and vomiting. She expressed concern especially because the food appeared undigested when she vomited. She also reported doubling her NSAID intake due to increased knee pain. She looked pale and exhausted when she entered the clinic. Past medical history shows Gastritis with Helicobacter pylori (H. pylori) infection,…Mr. Jones, 22 yr old AA male, comes into the Emergency Room with an exacerbation of Sickle Cell crisis. States his pain is a 20 out of 10.Give examples of a non-pharmacologic pain relief.Give examples of pharmacological pain relief.Which would be appropriate for the physician to prescribe at this point.
- CASE: PEPTIC ULCER DISEASE Chief complain: Mr. Garcia, a 57-year-old man, was admitted yesterday after he began passing black stools. He has a two-day history of severe stomach pains and has had indigestion on and off for several months. He undergoes an endoscopy this morning and has been newly diagnosed as having a bleeding duodenal ulcer. His doctor discharge him the same day and was given with a discharge medication order. Answer the following: 4. Following a review of the discharge medication order, the following are prescribed: enalapril 5 mg twice daily,omeprazole 20 mg twice daily, and furosemide 40 mg daily. It was documented that Naproxen should bediscontinued. What is the reason for this? 5. Will you recommend Mr. Garcia the use of antacids for his ulcer? 6. Considering the medical history of Mr. Garcia, below are some options that you can recommend to the doctor as a replacement for Naproxen, for his arthritis. Discuss which of the given will be suitable.• Paracetamol +…Define: Gastrectomy Osteitis Cystoscopy Hepatoma Electroencephalogram Diagnosis Inflammation of the nose Study of the cells High level of sugar in the blood Pertaining to the cerebrum Cancerous tumor High blood sugar Inflammation of the Urinary BladderA 45 year old male presents to the emergency department complaing of intense joint pain. The previous night, the patient experienced similar pain accompanied by inflammation and redness of his wrists and large toe. The physician on-call orders testing for serum uric acid concentration with a reporting value of 9.1 mg/dL. Identify the diagnosis consistent with the patients presentation. Fanconi syndrome, Alzheimer's disease, Lesch-Nyhan syndrome, or gout?