Home' Australian Pharmacist : February 2013 Contents 68
Australian Pharmacist February 2013 I ©Pharmaceutical Society of Australia Ltd.
KNOWLEDGE IN PRACTICE
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
• 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.
Accreditation number: CAP130202f
Question 2. Medication
MH is a nursing home resident whose
medications you are asked to review.
She is 79 years old and has diagnoses of:
• Alzheimer’s disease
• hearing loss
• chronic urticaria
She is considered to have a medium risk
of falls. Her current medications are:
• perindopril 4 mg daily in the morning
• risperidone 0.5 mg daily at midday and
up to three times a day when required
(1 dose when necessary taken about
twice a month on average)
• paracetamol 500 mg 2 tablets four
times a day when required (rarely used)
• Movicol twice a day when required (not
• Microlax 1–2 when required (not
Additional Reference: Hypertensive disorders of pregnancy. Aust Prescr
2012;35:47–50. At: http://tinyurl.com/apv32012
• Dermaveen shower and skincare
products (increasingly used recently)
• mupirocin 2% cream three times a day
to affected areas (recently prescribed for
infected excoriated skin areas)
Her most recent blood pressure
• 8 months ago: 135/85 mmHg
• 7 months ago: 143/95 mmHg
• 5 months ago: 133/99 mmHg
• 4 months ago: 136/104 mmHg
Nursing staff report that she has been
increasingly unsettled recently, wandering
at night and having difficulty sleeping.
Her skin condition has worsened,
and she scratches herself continually.
A dermatologist has previously ruled out a
Of the following, which is the MOST
appropriate initial recommendation
to make to her prescriber?
a) Consider a trial of fexofenadine 180 mg
daily in the morning.
b) Consider a trial of changing risperidone
dose to 1 mg at night.
c) Consider prescribing naproxen SR
750 mg 1 tablet daily.
d) Consider increasing perindopril to 8 mg
daily in the morning.
Further details at: www.psnz.org.nz/public/
Optimal Use of Medicines in Mental
Health with recording of 2011
audioconference, Care of Older Client
with recording of 2008 audioconference.
New Module topics for 2013 –
Pharmacoeconomics and Law + Ethics.
Enrolments commence early in 2013.
Medicines Use Review (MUR)
Sunday 17 February 2013, Christchurch.
Further training will be scheduled
based on demand. Further details and
Expression of Interest Form on the
Medicines Therapy Assessment (MTA)
Portfolio Submissions. Details on
Distance training options available are:
Online or CD Training. See the website
Emergency Contraceptive Pill Training
Live audioconference Learning – dates
to be confirmed - June / November /
December. Distance Learning option
available upon application.
2013 ‘Live’ Audioconferences
Upcoming topics for 2013 (dates and
topics to be confirmed): COPD, Opiate
Dependency, Skin Problems in the Elderly,
Constipation and Diarrhoea, Acne,
Colorectal Cancer, Depression in Older
People, Understanding Intestinal Microflora
& Effects on Health, Overview on Vitamin
and Mineral Supplements, Musculoskeletal
2012 Distance Learning Audio Packs
(CD recordings and associated material
from previous audioconferences): Skin
Cancer and Sunsmart, Childhood Asthma,
Heart Failure, Anaemia, Oral Health, The
Assessment and Management of Cough,
The Ears, Atrial Fibrillation, Allergy,
Chloramphenicol for Bacterial Conjunctivitis
Basic Practice Update Booklets:
New: Polypharmacy, Diabetes for Pharmacy
Technicians, Heart Health for Pharmacy
Updated Second Editions: Childhood
Diseases, Diabetes I & II, Heart Health I & II.
Other titles: Parkinson’s disease, Care of
the older client, Epilepsy, Antibiotics, Men’s
health, Pregnancy, Eczema, Palliative care
Revisit The Workplace (distance –
community or hospital versions.)
NZ College program
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