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!) patient with UC. Being precribed 5ASA. Patinet has allergy to ASA.

Cant use S 5
ASA. Patinet is also on Iron and doctor say that he has low hemoglobin. Options include
Azothioprine or Prednions. I said predsioe.
2) Patint on nictoderm first step patch. He says he is getting palpitations. From it. He says
that he is smoking as well. Was doing good first week but now second week and starting
to smoke
3) Paxil and St. Johns wart patint come in say that she is not feeling well. Want to use
St. Johns wart but there is an interaction between both drugs
4) Counsl on Cipropirox
5) Cousel on rampirl. Need to explain why using eventhouth BP is normal in this patint.
Given extract from a study that show that ramipril good for patient who at risk of heart
disease.
6) Duraglec. Simple question about total daily morphine dose (just add up what it says on
patient prole).. convert to duragleci dose just look at monograph. Question about what
other pain meds should patient get while starting on duraglesic ( short acting morphone
should be continued??? What dose how long for should continue)
7) Patient come in for refill for methylphenidate. Patient was on the short acting before
and now starting concerta. Main thing is to tell patient to stop taking old methylphendate
and coucel on how to take new ones
8) Cials Coucelling. Guy said not like grapefruit juce.. simple coucel
9) Pateint come in on triphasil OC. The patient is also taking cortate for eczema. Saying
want to get pregnant in a month. Given different multivitamins (ie pregrancy type
multivitamins). Also have single product selenium, niacin, etc.. also given Canada food
guide, and photocopy of patient self care.
Counsel say eat heallty diet and take Materna od.
10) Pateint come in say that he have stuffy nose. Using phenyephirei for 3 days now.
When question say that he also have itchy eyes etc. Tell patient to stop the decongestant.
Then make recommendation. Products available are cetrizine, loratidien alone, loratidine
with decongestant, and nasal saline.
11) Interaction between cyclosporine and azithmycin and between diltiazem and azith.
12) On table have tablets in wrappers. Need to identify them with CPS. All you are told is
that they are for HTN

13) Check prescriptions

14) Doctor come in and say that patient INR is 5.0 and what should she do. Sheet tell you
to withhold 1-2 doses and then montor INR. Patient also been recently put on
clarithmycin which is cause only 2 days left of clarithomycin. Dr then ask if should give
vitamin K. Sheet say only give if actively bleeding or at risk of bleeding> Patient not at
risk of bleeding. Patient has Hx of stokes not sure if should give vitamin k probably
not
15) Pateint come in for refill of budesonide and ipratropium for COPD. When ask
patient about how they are working she says that they are working fine. Also she
says that no side effect and that her technique is correct. She says that wash out
mouth. She says that uses ventolin first as well. But on profile says that she is
been put on adavir by another doctor. Should question why on two different
corticosteoids at same time. Iproprotium lookes ok

16) Kid coming from dentist mother come in for Rx for hydoxizine. Worried about using
it. Dosing weight etc are all corrct. Mother concerned about using med. Says why is
dentis using. She says I dont want to give med to child just because dentist want own job
made easier. Reassure that it can be used. Say it is used for this. Dose corret.. what are
side effects.. just rassure her.

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