Question

Case Studies

QUESTION 1

A 66-year old male comes into your pharmacy and asks to get a hepatitis A vaccine. After going through their vaccination history, you learn they've already had their MMR and Varicella vaccines many years ago. What other vaccines would you want to ask about? If during your discussion you learn they were also diabetic would you recommend further vaccinations?

QUESTION 2

A 67-year-old female patient comes into your pharmacy and requests a pneumonia vaccine. They are not sure which one they need. Upon looking at their medical record, you see that they had received the Prevnar vaccine 3 months ago. The patient tells you that their do-tor told them they needed the vaccines as they were immunocompromised. Which vaccine will the patient be getting today?

QUESTION 3

Your patient comes into the clinic asking for advice on quitting smoking. She says that she has tried before on her own and couldn't maintain abstinence. She mentions that her friend successfully quit 10 years ago through a Cooper Clayton program and would like to know of any groups like that she could contact. Where do you direct her?

QUESTION 4

A patient comes into the pharmacy and wonders what tools the pharmacy might have to help her manage her diabetes. Are there any lab tests that can be performed and interpreted by the pharmacist for this patient?

Answer 1

ANSWER :

QUESTION 1 :

▪︎Adults > 65yrs old have weaker immune system leading to certain diseases ,

So other vaccines to be asked about are :

• Influenza vaccine
• Td or Tdap(Tetanus , diptheria and pertusis)
• Pneumococcal polysaccharide vaccine(PPSV23)
• PCV13 ( Pneumococcal conjugate vaccine)
• Shingles vaccine

▪︎Yes , i recommend further vaccinations in diabetics because :

• They have extremely weak immune system
• They are at high risk for pneumonia hepatitis A, B infections etc
• Some infections can lead to extreme elevation of blood glucose levels