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Integrated Pharmacy Case Stu Contents Contents Foreword by Catherine Duggan " vii 3 Nebulised therapy for chronic obstructive " Acknowledgements " viii pulmonary disease 97 4 Paediatric cystic fibrosis " 101 About the editors " ix 5 Cough " 108 List of contributors " x Abbreviations " xiii 4 Central nervous system cases " 113 Introduction " xvii INTRODUCTION " 113 1 Types of anxiety, their treatment and 1 Gastrointestinal, liver and renal associated issues " 116 cases " 1 2 Treatment options in schizophrenia – ff " INTRODUCTION " 1 antipsychotics and side e ects 118 " 1 Uninvestigated dyspepsia " 3 3 Bipolar disorder and its treatment 122 2Inflammatory bowel disease " 7 4 Treatment-resistant depression in a patient " 3 Treatment of threadworm " 10 on haemodialysis 124 ’ 4 Liver disease in an elderly patient " 13 5 Self-medication of depression with St John s " 5 Alcoholic liver cirrhosis " 15 wort, a herbal remedy 128 6 Liver disease with ascites " 19 6 Extemporaneous preparation of 7 Management of paracetamol overdose with methadone " 131 " acetylcysteine " 22 7 Neuropathic pain 134 ff 8 Chronic kidney disease " 26 8Dierential indicators for migraine and " 9 Haemofiltration " 31 medication-overuse headache 138 " 10 Renal replacement therapy " 35 9 Epilepsy 142 10 Phenytoin and acute therapeutics " 146 11 Drug therapy of Parkinson’s disease " 149 2 Cardiovascular cases " 39 12 Smoking cessation in community " INTRODUCTION " 39 pharmacy 153 1 Atrial fibrillation " 43 13 Dementia/Alzheimer’s disease " 159 2 Angina management " 49 14 Dementia and its pharmacotherapy " 163 3 Heart failure " 52 4 Acute coronary syndromes " 56 5 Infections cases " 169 5 Management of hypertension in black " patients " 61 INTRODUCTION 169 6 Cardiovascular (blood pressure) support in 1 Cellulitis and MRSA " 173 " an elderly hypotensive patient " 66 2 Typhoid 178 " 7 Deep vein thrombosis and warfarin " 70 3 Community-acquired pneumonia 183 " 8 Treatment of acute ischaemic stroke " 75 4 Urinary tract infection 187 9 Secondary stroke prevention " 78 5 Uncomplicated genital Chlamydia " 10 Drug interactions " 82 trachomatis infection 189 6 Surgical antibiotic prophylaxis " 193 7 Diarrhoea and antibiotic treatment " 196 3 Respiratory cases " 87 8 ‘Fever with no focus’ in a young infant " 198 INTRODUCTION " 87 9 Management of tuberculosis and its 1 Asthma " 89 complications " 202 2 Treating an acute severe asthma — [continued over] exacerbation " 93 v Sample pages from Integrated Pharmacy Case Studies, published by Pharmaceutical Press, 2015 10 Management of latent TB infection and 2 Approaches to the effective treatment of pharmacy interventions " 205 non-specific, low back pain " 314 11 Influenza " 207 3 DMARDs and treatment for rheumatoid Contents 12 Chronic hepatitis C " 210 arthritis " 317 13 Primary HIV Infection " 215 4 Glucosamine supplements for osteoarthritis 14 Immunisations against infectious diseases and joint stiffness " 324 and malaria chemoprophylaxis " 221 5 Treating juvenile idiopathic arthritis in young people " 327 6 Systemic lupus erythematosus " 331 6 Endocrinology cases " 225 INTRODUCTION " 225 " 1 Insulin pump use in a child " 228 9 Eye, nose and throat cases 335 2 Hypoglycaemia during insulin therapy " 232 INTRODUCTION " 335 3 Type 2 diabetes mellitus " 235 1 Conjunctivitis in pregnancy " 337 4 Serious lactic acidosis induced by 2 Chronic open-angle glaucoma " 341 metformin " 239 3 Wet age-related macular degeneration " 345 5 An unusual case of Cushing’s 4 Sore throat " 348 syndrome " 242 5 Hay fever " 352 6 Addisonian crisis " 248 7 Hypothyroidism " 254 " 8 Osteoporosis in a younger woman " 258 10 Skin cases 357 9 Osteoporosis in an elderly woman " 262 INTRODUCTION " 357 10 Treatment for Hypercalcaemia " 266 1 Atopic eczema " 359 2 Contact dermatitis " 363 3 Management of an acute flare of 7 Malignant disease, psoriasis " 366 immunosuppression and haematology 4 Acne " 369 cases " 271 5 Antibacterial treatment of acne in young INTRODUCTION " 271 people " 372 1 Lung cancer " 274 6 Fungal infection of the foot " 376 2 The use of antimetabolites in the treatment 7 Treatment of head lice " 380 of breast cancer " 278 3 Clinical verification of prescriptions for oral " anticancer medicines " 282 11 Special cases 383 4 Thromboprophylaxis in a patient undergoing INTRODUCTION " 383 surgery for cancer " 287 1 Paediatric pharmacokinetics in a newborn 5 Febrile neutropenia in paediatric preterm infant " 385 oncology " 291 2 Falls and care of elderly people " 389 6 Managing chemotherapy-induced nausea and 3 Treating a patient with benign prostatic vomiting in a patient with lung cancer " 295 hyperplasia " 396 7 Drug therapy of multiple sclerosis " 299 4 Pain management using strong opiates in 8 Management of vaso-occlusive crisis in sickle palliative care " 399 cell disease " 304 5 Human papillomavirus and cervical cancer " 404 6 Black cohosh for menopausal 8 Musculoskeletal and joint disease symptoms " 406 cases " 309 Index " 411 INTRODUCTION " 309 1 Gout " 311 vi Sample pages from Integrated Pharmacy Case Studies, published by Pharmaceutical Press, 2015 List of contributors BOTHAINA B JERAGH ALHADDAD, BSc, MSc, PhD | Assistant MEE-ONN CHAI, MSc, DipClinPharm, BPharm | Clinical – ’ List of contributors Professor and Lecturer in Clinical Pharmacy, Department of Pharmacist, Team Leader Renal Services, King s College Pharmaceutical Sciences, Public Authority for Applied Hospital NHS Foundation, London, UK Education and Training, Shwaikh, Kuwait BARBARA CLARK, MPharm(Hons), GPhC, ClinDip | Lead Clinical FATEMAH MOHAMMAD ALSALEH, BPharm, MSc, PhD | Assistant Pharmacist, London Bridge Hospital; Chair UKCPA Professor, Department of Pharmacy Practice, Faculty of Haemostasis, Anticoagulation and Thrombosis (HAT) Pharmacy, Kuwait University, Kuwait Group, London, UK SOTIRIS ANTONIOU, MRPharmS, MSc, DipMgt | Independent JESSICA CLEMENTS, MPharm, CertPharm Pract, DipPharmPract, prescriber; Consultant Pharmacist, Cardiovascular Medicine, Cert Independent prescribing practice | Highly Specialised Bart’s Health NHS Trust, London, UK Pharmacist HIV at Medway Maritime Hospital, Gillingham, ANA ARMSTRONG, BPharm, PgDipClinPharm | Lead Pharmacist, Kent, UK Medical Division, Surrey and Sussex Healthcare NHS Trust, LOUISE COGAN, BSc, MRPharmS, PgDipFHEA | Teacher UK Practitioner, University of Central Lancashire, Preston, NELA RONČEVIĆ ASHTON, BSc, PgDip | Clinical Tutor, School of Lancashire, UK Pharmacy and Biomedical Sciences, University of Central ANDREW CONSTANTI, BSc, PhD, FBPharmacolS | Reader in Lancashire; Advanced Primary Care Pharmacist, Cumbria Pharmacology, UCL School of Pharmacy, London, UK and Lancashire Clinical Support Unit, UK SHANI CORB, MRPharmS, MSc | Independent prescriber; Lead ZOE ASLANPOUR, BPharm, PhD | Member of UKPHR, FRSPH, Pharmacist, Paediatric Oncology, Royal Alexandra Children’s Head of Pharmacy and Public Health Practice, University of Hospital, BSUH NHS Trust, Brighton, Sussex, UK Hertfordshire; Consultant in Public Health, NHS JOYETA DAS, MPharm, DipClinPharm | Independent prescriber; Bedfordshire, UK Lead Pharmacist, Hepatology, Imperial College London NHS PAUL BAINS, DipClinPharm, MRPharmS | Independent Trust, London, UK prescriber; Senior Lead Pharmacist for Medicine, Imperial HALA M FADDA, MPharm, PhD | Assistant Professor, College of College Healthcare NHS Trust, Pharmacy Department, Pharmacy and Health Sciences, Butler University, Hammersmith Hospital, London, UK Indianapolis, IN, USA JOANNE BARTLETT, BPharm, ClinDipPharm | Specialist Clinical JOSEPHINE FOLASADE FALADE, BPharm, MSc, FHEA | Highly Pharmacist, End of Life Care, John Taylor Hospice, Specialist Pharmacist, Bart’s Health NHS Trust; Clinical Birmingham, UK Lecturer, UCL School of Pharmacy, London, UK GORDON BECKET, BPharm, PhD, MRPharmS, MRSC, FNZCP SALLY-ANNE FRANCIS, BPharm, PhD, MRPharmS, FHEA | Professor of Pharmacy Practice, School of Pharmacy and | Honorary Senior Lecturer, UCL School of Pharmacy, Biomedical Sciences, University of Central Lancashire, London, UK Preston, Lancashire, UK CLAIRE GOLIGHTLY, MPharm ClinDipHosp, PGCertEd SIÂN BENTLEY, BPharm, MRPharmS, DipClinPharm | Specialist | Lecturer in Professional Practice, Bradford School of Pharmacist, Paediatrics, Royal Brompton and Harefield NHS Pharmacy, University of Bradford, Bradford, UK Foundation Trust, London, UK LARRY GOODYER, PhD, MRPharmS, FFTMRCPS(Glas), FRGS RANIA BETMOUNI, BPharm, DipClinPharm | Independent | Professor, Head of the Leicester School of Pharmacy, prescriber; MSc Quality and Safety in Healthcare, Clinical Faculty of Health and Life Sciences, De Montfort University, Pharmacist – BUPA Cromwell Hospital, London, UK Leicester, UK ANNETT BLOCHBERGER, DipClinPharm | Independent prescriber; NICOLA J GRAY, BSc, PhD, MRPharmS, FHEA, FSAHM(US) Lead Pharmacist, Neurosciences, St George’s NHS | Independent pharmacist researcher; Director, Green Line Healthcare Trust, London, UK Consulting Limited, Manchester, UK LISA BOATENG, BSc, MSc, MRPharmS, Certificate in Clinical KATIE GREENWOOD, MRPharmS, PGCertTLHE, FHEA Pharmacy | Independent prescriber; Highly Specialised | Lecturer in Pharmacy Practice, Placement Co-ordinator and Pharmacist, Antimicrobials and Infection Control, London, Pre-Registration Facilitator, School of Pharmacy and UK Biomedical Sciences, University of Central Lancashire, MARK BORTHWICK, MPharmS, MSc | Consultant Pharmacist, Preston, Lancashire, UK Critical Care, John Radcliffe Hospital, Oxford University ELIZABETH HACKETT, BSc, MSc | Independent prescriber; Hospitals NHS Trust, Oxford, UK Principal Pharmacist
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