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    Case Based Learning Pain

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    I WAYAN SUDIARSA
    A 68-year-old female patient visited a pharmacist complaining of tingling, burning, and stabbing pain in her hands and feet, worse at night and interfering with sleep. She has a history of diabetes, stroke, hypertension, and osteoarthritis. She had been taking various pain medications but stopped them and asked the pharmacist if any left at home could help or what new medication to buy temporarily until her hospital visit on Monday.

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    Case Based Learning Pain

    Uploaded by

    I WAYAN SUDIARSA
    18 views1 page
    A 68-year-old female patient visited a pharmacist complaining of tingling, burning, and stabbing pain in her hands and feet, worse at night and interfering with sleep. She has a history of diabetes, stroke, hypertension, and osteoarthritis. She had been taking various pain medications but stopped them and asked the pharmacist if any left at home could help or what new medication to buy temporarily until her hospital visit on Monday.

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    Original Title

    CASE BASED LEARNING PAIN

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    A 68-year-old female patient visited a pharmacist complaining of tingling, burning, and stabbing pain in her hands and feet, worse at night and interfering with sleep. She has a history of diabetes, stroke, hypertension, and osteoarthritis. She had been taking various pain medications but stopped them and asked the pharmacist if any left at home could help or what new medication to buy temporarily until her hospital visit on Monday.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    18 views1 page

    Case Based Learning Pain

    Uploaded by

    I WAYAN SUDIARSA
    A 68-year-old female patient visited a pharmacist complaining of tingling, burning, and stabbing pain in her hands and feet, worse at night and interfering with sleep. She has a history of diabetes, stroke, hypertension, and osteoarthritis. She had been taking various pain medications but stopped them and asked the pharmacist if any left at home could help or what new medication to buy temporarily until her hospital visit on Monday.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    CASE-BASED LEARNING

    PAIN MANAGEMENT

    A 68-year-old female patient came for counseling with a pharmacist at the pharmacy on Saturday
    morning. The patient complains of tingling pain in both the palms of the hands and feet. Sometimes
    the pain is like burning and stabbing. The patient complains that the pain is more pronounced at
    night and interferes with the quality of his sleep.

    The patient had a history of uncontrolled diabetes, post-ischemic stroke, controlled hypertension,
    and mild controlled osteoarthritis.

    Patient's medication history:


    • Metformin 2 x 500 mg (still continuing)
    • Basal/bolus insulin 18 units (still continuing)
    • Candesartan 1 x 16 mg (still continuing)
    • Aspirine 1 x 80 mg (still continuing)
    • Atorvastatin 1 x 20 mg (Continuing)
    • Glucosamine 2 x 500 mg (still continuing)
    • Gabapentin 1 x 300 mg (Already Stopped) The medicine is still left at home
    • Amitriptyline 1 x 25 mg (Already Stopped) The medicine is still left at home
    • Meloxicam 2 x 7.5 mg (Already Stopped) The medicine is still left at home
    • Paracetamol 2 x 600 mg (Already Stopped) The medicine is still left at home
    • Dexamethasone 2 x 0.5 mg (Already Stopped) The medicine is still left at home

    The patient asked the pharmacist about the medicines he had left in his house, which he thought
    he could use to relieve the symptoms of the pain he was feeling. If there is no medicine left that
    can be used, the patient asks for a recommendation on what medicine he can buy temporarily to
    relieve the symptoms of pain that is felt. The patient plans to have routine check-ups at the hospital
    on Monday.

    Case Questions:
    1. What is the type of pain that the patient suffer?
    2. Explain what things have the potential to cause pain to the patient!
    3. Based on the remaining medicines in the patient's home, which drug is the patient's choice
    to continue?
    a. If YES, what medication do you recommend to continue?
    b. If NO, what medicine do you recommend for the patient to buy?
    4. Based on age, the patient belongs to the Geriatric category. In your opinion, what
    medications should concern patients with geriatrics?

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