Feedback received regarding journal club and case presentation is in the handout. Feedback
Interesting case: Patient on ketogenic diet for seizure prophylaxis. As a pharmacist, my role was to make sure to use medicines that do not add excessive glucose to her total intake.
Other tasks performedEpipen teaching
Making phenobarbital suspension from tablets
Gentamicin levels x 2
Vancomycin levels x 2
Things to keep in mind:
Check the date and time of diagnostic tests
Report and write the dose in mg/kg
Be aware of when the last dose of antibiotics is?
You are the drug expert! Prove to yourself why a certain drug is on patient’s profile. If you cannot, question it!
Be convicted in your recommendation
Use primary literature vs. tertiary
Pharmacists are paid to think, you are the problem solver!
Summary of jaundice from a handout:
Not a disease, it is a symptoms. It is common in new-borns and in most cases, is a natural part of the newborn’s adjustment to life after birth. May make a baby sleepy and slow to feed, but it rarely causes any problems.
RBC breakdown–bilirubin–eliminated by liver–immature liver–accumulation of bilirubin
Other causes of jaundice:
Infection: may reduce liver’s efficiency
Bruising: bruising during the birth process can result in a larger than usual amount of bilirubin
Mother and baby-blood incompatability
Phototherapy: light changes bilirubin into a harmless chemical. Baby will require more frequent feedings to replace fluids lost through phototherapy.
Breast milk jaundice, occurs in about 1%, cannot be diagnosed until the 2nd week of life.