Home' Australian Pharmacist : Australian Pharmacist January 2015 Contents Australian Pharmacist January 2015 I © Pharmaceutical Society of Australia Ltd.
CONTINUING PROFESSIONAL DEVELOPMENT
KNOWLEDGE IN PRACTICE
The challenge of applying what
you learn to pharmacy practice!
Knowledge in practice is designed to
be difficult and aims to make you apply
information from articles in this month’s
Australian Pharmacist and other suggested
reading to the questions below, just as you
would for a client/patient. This section is not
meant to be easy. There are no simple clear-
cut answers to the questions. The standard
references listed below may be of use when
answering the questions.
1. Sansom LN, ed. Australian pharmaceutical
formulary and handbook, 22nd edn. Canberra:
Pharmaceutical Society of Australia; 2012.
2. Rossi S, ed. Australian medicines handbook.
Adelaide: Australian Medicines Handbook; 2014.
3. National Prescribing Service. At: www.nps.org.au
4. Merck Manual of Diagnosis and Therapy [online].At:
5. Product information – available from various
sources, e.g. MIMS, APP Guide or online on
6. Royal College of Pathologists of Australasia. RCPA
Manual. At: www.rcpamanual.edu.au
7. Therapeutic Guidelines Series. eTG complete
Melbourne: Therapeutic Guidelines Limited. At: http://
Knowledge in practice
TO ANSWER KNOWLEDGE IN
Answers for Knowledge in practice can only be
submitted online through the PSA members-only
area of the PSA website at: www.psa.org.au
PSA members will receive instant feedback on
the correct answers with an explanation of why
the answer is correct. If you do not have member
access details for the PSA website, you can request
them via a link from the login page.
Question 1. Urinary tract
infection and dementia
You are doing a medication review for
Mrs Nelson (81 years old), a resident in
an aged care facility. She has a history of
hypertension, ischaemic heart disease
and dementia with Lewy bodies (DLB).
Mrs Nelson’s current medications are:
Renitec Plus 20/6 (enalapril 20 mg/
hydrochlorothiazide 6 mg) 1 daily
metoprolol 50 mg twice daily
aspirin 100 mg daily (>10 years)
atorvastatin 20 mg daily (>10 years)
glyceryl trinitrate spray 400–800 mcg
when required (>10 years)
risperidone 500 mcg twice daily
(4 months – recently increased from
250 mcg twice daily)
citalopram 20 mg daily (4 years)
docusate with senna 1–3 tablets when
A staff member tells you that Mrs Nelson
has recently been getting extremely
agitated. They have also noticed that
her urine has been cloudy for the
past few days. Although there have
been no other symptoms of a urinary
tract infection (e.g. fever, haematuria,
frequency), she wonders whether Mrs
Nelson needs a course of antibiotics.
Through successful completion of this activity, the
learner will demonstrate their ability to:
Use readily available information sources to
access and select relevant and up-to-date
clinical and practice based information
Promote and contribute to the optimal use of
Address primary healthcare needs of patients.
Competency standards (2010) addressed: 4.2,
6.1, 7.1, 7.2 .
Accreditation number: CAP150101F
Submit your answers online before
1 March 2017 at www.psa.org.au and
receive automatic feedback, or NZ
members can fax/mail to:
NZCP CPD answers,
PO Box 11 640, Wellington
F: 04 381 4786
Australian Pharmacist Continuing Professional
Development (CPD) is a central element of PSA’s
CPD & PI program. It is also part of the New
Zealand College of Pharmacists (NZCP) education
program for NZ pharmacists.
The CPD section is recognised under the PSA
CPD & PI program as a Group 2 activity. Members
can choose which articles they want to answer
questions on and get CPD credits based on the
questions they answer.
CPD credits are allocated based on the length of
the article and the complexity of the information
presented. A minimum of 6 out of 8 questions,
4 out of 5 questions, or 3 out of 4 questions
correct is required for the allocation of Group 2
PSA members can answer online at
www.psa.org.au and receive automatic feedback.
You will need to login to submit your
answers online. If you do not have member
access details, you can request them via a
link from the login page.
Select Submit Answers.
Select Australian Pharmacist CPD.
Which of the following would be the
MOST appropriate recommendation?
a) Take a urine sample from Mrs Nelson and
have it cultured to check for the presence
b) Prescribe Mrs Nelson an empirical course
of trimethoprim 300 mg daily.
c) Increase the dose of risperidone to 1 mg
d) Cease Mrs Nelson’s risperidone therapy.
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