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Exercise 1 - Hypertensive patient

Exercise details
Username:
u21104008

Unit:
Pharmacy Skills IA Year: 2023

Tutorial:
Pharmacy Skills IA - Training 2

Exercise:
Exercise 1 - Hypertensive patient

Date completed:
17/10/2023 13:32:09
 Summary & Outcome

Mr Johnston is a newly diagnosed hypertension patient and

he didn't use hypertension medication before.

Summary: Samuel Johnston presented with a prescription.

Outcome feedback: Well done, you have correctly decided NOT to dispense this
prescription.

Your justification for not do not dispense because of the medication interaction so i
dispensing: will refer you to the doctor
You selected these as
reasons not to dispense: Medication unsafe Incorrect decision

Medication interaction Correct decision

Note from your tutor: As a pharmacist, you shouldn't dispense the medication as
it's unsafe and the possibility of drug-drug interaction.

You also need to provide justification and

recommendations, such as:

The prescribed medication can cause a major

contraindication/interaction with the patient's condition. This
patient has asthma, and the prescribed medication
propranolol (B-blocker) can cause severe and sometimes
fatal bronchoconstriction in people with asthma.

Recommendation: Bisoprolol

Patient notes

Your Notes Feedback

No feedback
You did not enter any
patient notes

Counselling notes

Your Notes Feedback

1-lifestyle modification and Students need to provide counselling points
exercise more suitable to this patient. Such as:
2-monitor blood pressure
regularly - Please make sure to go to your physician
3-increase fluid intake tomorrow to change medication.

1-lifestyle modification and - Keep Monitoring your Blood pressure

exercise more measurement.
2-monitor blood pressure
regularly - I would like also to recommend some lifestyle
3-increase fluid intake changes, such as:
4-refer to the doctor to Salt reduction: The target of salt reduction is
charge the medicine <6 g per day.
5-Limit alcohol Dietary pattern: Try to increase your
fruit/vegetable intake, and cholesterol/saturated
fatty acid intake should be reduced. Fish (fish
oil) intake should also be increased.
Exercise: Primarily periodic (30 minutes or
longer, daily, if possible), for example, aerobic
exercise is very useful.

Patient Fact Finding

Generic feedback: Your Fact Finding for this exercise was very good. You
gathered all of the essential information to complete the
exercise without asking any inappropriate questions.

Note from your tutor: Asking about allergies, other medications, and purpose of
medication(s) isa must
You inquired about about
these topics: Age Asked

Alcohol consumption Asked

Allergies Required

Previous use of medication(s) Asked

Other medications Required

Prescriber Fact Finding

Generic feedback: You did not ask any questions.

Note from your tutor: As there is a drug interaction. You as a pharmacist need to call
the physician and medication for hypertension need to be
changed.

You should have inquired

about about these topics: Interaction

Patient Questions

Customer asked:

How should I take this medication?

Your response
You did not respond to this question

Note from your tutor:

You can take one tablet daily, every 12 hours. However, i won't dispense your medication
today. Your Doctor will send a new prescription tomorrow.