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Pharmacy Case Study

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Olufidipe Oyetola GEN/CC: MM is an 80-year-old white male who presents to MCPHS pharmacy with a new prescription for Breo Ellipta 100/25 one inhalation PO twice daily. HPI: MM states ‘My COPD is getting worse and my old medicine doesn’t work anymore’. He has had 4 COPD exacerbations in the past 6 months. He has just received a new prescription from his doctor for Breo Ellipta 100/25 one inhalation PO twice daily. PMH: Glaucoma, BPH, HTN, Hyperlipidemia, OA, Insomnia, chronic COPD. PSH: Right knee replacement in 1999, Transurethral resection of the prostate (TURP) in 2012 MED: Ventolin 90mcg MDI 2 inhalations PO QID PRN for wheezing Rosuvastatin 60mg PO daily Lisinopril 10mg PO daily Furosemide 20mg PO daily Ibuprofen 200mg PO QID …show more content…

• Continue to monitor your progress by checking your breathing ability against your personal best, you what to be at 80% of your personal best. • You really need to stop smoking, I can refer you to a support group if you want to stop. 5. Smoking cessation Subjective: MM has smoked 2 to 3 cigars every day for the past 50 years Objective: cigar pack years are 20 to 30 pack-years. Assessment: He knows he should stop smoking but he has tried and doesn’t really want to stop. Pharmacological therapy and psychological intervention is required to help him quit Plan : Clinical recommendation • Start the use of nicotine patch 14mg/24hrs for 6 weeks, then 7mg/24hrs for 2 weeks • Refer patient to smoking cessation support program Patient recommendation • You really have to stop smoking, that is the only way your COPD can get better and I have the training to help you now if you are ready • I can refer you to a smoking cessation support group as well • I will see you in about 30 days when you come to refill your

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