ANEMIA Cynthia Jackevicius, B.Sc.Phm., M.Sc., FCSHP.
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Transcript of ANEMIA Cynthia Jackevicius, B.Sc.Phm., M.Sc., FCSHP.
![Page 1: ANEMIA Cynthia Jackevicius, B.Sc.Phm., M.Sc., FCSHP.](https://reader035.fdocuments.us/reader035/viewer/2022062409/56649c9e5503460f9495e72d/html5/thumbnails/1.jpg)
ANEMIA
Cynthia Jackevicius, B.Sc.Phm., M.Sc., FCSHP
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Mrs. JP’s drug-related problems
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Mrs. JP’s drug-related problems
• Mrs. JP is at risk of continuing to experience S and Sx of iron-deficiency anemia (IDA), secondary to not receiving iron therapy
• Mrs. JP may be experiencing gastritis and associated blood loss, and therefore IDA, secondary to the use of ASA
• Mrs. JP is experiencing heartburn, most likely due to the use of plain ASA
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Mrs. JP’s drug-related problems
• Mrs. JP has the potential to experience peptic ulcer disease, secondary to the use of ASA, which may not be the most appropriate drug for the management of her headaches.
• Mrs. JP may be at risk for osteoporosis and may benefit from prophylactic therapy
(RF: thin, post-menopausal)
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Mrs. JP’s drug-related problems
• Mrs. JP is at risk of continuing to experience S and Sx of iron-deficiency anemia (IDA), secondary to not receiving therapy
![Page 6: ANEMIA Cynthia Jackevicius, B.Sc.Phm., M.Sc., FCSHP.](https://reader035.fdocuments.us/reader035/viewer/2022062409/56649c9e5503460f9495e72d/html5/thumbnails/6.jpg)
Justification of main DRP
Mrs. JP is experiencing signs & Sx of iron-deficiency anemia
• What is anemia?
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Justification of main DRP
• what is iron-deficiency anemia?
• What are some Sx of Fe-deficiency anemia?
Chronic onset: recent onset:
• other Sx?
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Justification of main DRP
• What Sx does JP have?
• Can it be diagnosed based on Sx alone?
• What are some signs of Fe-deficiency anemia?
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Justification of main DRP
• What are some general causes of Fe-deficiency anemia?
• Drug-induced causes:
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Justification of main DRP
• What RF does JP have for Fe-deficiency anemia?
• Is she on any drugs that may cause this?
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Role of Fe in the body
• Needed for Hgb synthesis
• daily requirement:
• serum Fe:
• ferritin:
• TIBC:
• MCV:
• RDW:
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Other Terminology
• Macrocytic, microcytic, normocytic:
• hypochromic, normochromic:
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Justification of main DRP
• What are other types of anemia?
• Why are these ruled out?
• Therefore, justified that Mrs. JP is experiencing signs and Sx of IDA
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Justification of main DRP
• Justify relationship of S and Sx to drug therapy: secondary to not receiving therapy
assumption: treatment is needed - WHY?
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Consider treatment options
Diet
Oral formulations
injectable formulations
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Consider treatment options
Efficacy
Onset
Side effects
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Consider treatment options
Drug interactions
convenience
cost
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Anemia
Therefore, we have provided justification to state that: Mrs. JP is at risk of continuing to experience S and Sx of iron-deficiency anemia, secondary to not receiving therapy
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Anemia
• Mrs. JP may be experiencing gastritis and associated blood loss, secondary to the use of regular ASA
Does ASA cause gastritis? Does it cause PUD?
Do the original signs and Sx for which she is receiving this need Tx?- consider management of her headaches
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Anemia
• Mrs. JP is at risk of continuing to experience S and Sx of iron-deficiency anemia (IDA), secondary to not receiving therapy
• Mrs. JP may be experiencing gastritis and associated blood loss, and therefore IDA, secondary to the use of ASA
• Mrs. JP has the potential to experience peptic ulcer disease, secondary to the use of ASA, which may not be the most appropriate drug for the management of her headaches.
![Page 21: ANEMIA Cynthia Jackevicius, B.Sc.Phm., M.Sc., FCSHP.](https://reader035.fdocuments.us/reader035/viewer/2022062409/56649c9e5503460f9495e72d/html5/thumbnails/21.jpg)
Pharmacy Care Plan
clinical outcome
pharmacotherapeutic outcome
pharmacotherapeutic endpoints
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Pharmacy Care Plan
Alternatives and assessment
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Pharmacy Care Plan
Therapeutic Plan
Therapeutic Plan Endpoints
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Pharmacy Care Plan
Monitoring Plan and follow-up
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Common Drug-Related Problems seen in patients with Anemia
Lack of response due to:
• non-compliance
• EC / SR products being prescribed
• Interactions with other medications and diet
Inadequate duration of therapy