Home' Australian Pharmacist : April 2011 Contents Vol. 30 -- April #04
Continuing Professional Development
knowledge in practice
The questions in this series are independently researched and compiled by PSA commissioned authors and peer reviewed.
Each question is worth 0.5 CPD credits.
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. is section
is not meant to be easy. ere are
no simple clear-cut answers to the
questions. e standard references
listed below may be of use when
answering the questions.
1. Sansom L (ed). Australian Pharmaceutical Formulary
and Handbook, 21st Ed. Canberra: Pharmaceutical
Society of Australia, 2009.
2. Rossi S (ed). Australian Medicines Handbook. Adelaide:
Australian Medicines Handbook Pty Ltd; 2011.
3. National Prescribing Service [online]. At: www.nps.org.au
4. Merck Manual of Diagnosis and Therapy [online].
5. Product information -- available from various
sources, e.g. MIMS, APP Guide or online on
6. Royal College of Pathologists of Australasia. RCPA
Manual [online]. At: www.rcpamanual.edu.au
7. Therapeutic Guidelines Series. eTG complete
[CD-ROM]. Melbourne: Therapeutic Guidelines Limited.
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 medicines.
• Address primary health needs
Competency standards (2010)
addressed: 4.2.1, 4.2.2, 4.2.3,
6.1.1, 6.1.2, 7.1.2, 7.1.3, 7.1.4, 7.2.2
National Vascular Disease
Alliance. Quick reference guide
for health professionals: absolute
cardiovascular disease risk
assessment [online]. National
Heart Foundation of Australia.
2009 [accessed 9 Mar 2011].
National Prescribing Service. NPS
News 71: Managing lipids [online].
1 Feb 2011 [accessed 9 Mar 2011].
Gordon is a fit 60-year-old Anglo-
Australian who has gained a
moderate amount of abdominal fat
recently because he has had to limit
his usual exercise regimen due to
an injury. He has previously been
healthy, and has not felt the need to
regularly visit his GP. However, he
has been encouraged by his family
to have a check-up. Gordon is a non-
smoker and drinks on average two
light beers a day. He is not taking
any regular medications and has no
medical conditions that he is aware
of. Gordon's father died from a
myocardial infarction at the age of 63
after suffering angina for five years.
The results of Gordon's check-up and
subsequent blood tests show:
• Blood pressure 135/85 mmHg
• Total cholesterol 5.7 mmol/L
• HDL cholesterol 0.8 mmol/l
• LDL cholesterol 2.4 mmol/L
After assessing Gordon's five-year
cardiovascular risk, the MOST
for his GP to make is to advise
a) Adopt a diet which is high in
wholegrain breads and cereals, fruit
and vegetables, olive oil and fish.
b) Commence atorvastatin
40 mg daily.
c) Commence simvastatin 40 mg and
lisinopril 2.5 mg daily.
d) Commence pravastatin 40 mg daily
and adopt a Mediterranean diet.
End-stage heart failure
Additional reference: Davidson PM,
Macdonald PS, Newton PJ, et al. End
stage heart failure patients: palliative
care in general practice [online].
Australian Family Physician. 39(12):916--
20; Dec 2010 [accessed 8 Mar 2011].
Margaret has heart failure (New York
Heart Association Class IV) which has
resulted in six hospital admissions over
the past 12 months. She is 85 years
old and resides in an aged-care facility.
Margaret's other medical conditions
include hypertension, hypothyroidism
and gout. During a visit to her aged-
care facility, Margaret's doctor notices
that she is severely anxious and finding
it increasingly difficult to breathe.
Her GP reviews Margaret's blood test
results, performed the previous day,
• Na: 136 mmol/L (135--145 mmol/L)
• K: 3.8 mmol/L (3.5--5 mmol/L)
• Hb: 105 g/L (115--165 g/L)
• Ferritin: 250 micrograms/L
• Alb: 35 g/L (32--45 g/L)
• Urate: 0.41 mmol/L
• CrCl: 20 mL/min (worsened over last
Links Archive March 2011 May 2011 Navigation Previous Page Next Page