Determining and providing organized patient-specific pharmacotherapy recommendations involves a thorough evaluation of the patient’s medical problems and medication issues. Pharmacotherapy Principles and Practice Study Guide: A Case-Based Care Plan Approach, 3rd edition, contains 103 patient cases that correspond to chapters published in the third edition of Pharmacotherapy Principles and Practice. Our goal for this companion textbook is to be a study guide for today’s learners of the clinical application of pharmacotherapy through either self-study or during patient case discussion sessions with other health care professionals. The aim of this study guide is to help students navigate through the process of applying their knowledge of pharmacotherapy to a specific patient case by organizing patient data to logically assess a patient’s medication issues and formulate a rational pharmacotherapy care plan.
Using a patient database form as an organized guide, students in the health care profession should learn how to apply their knowledge to evaluate the following key aspects of a patient case:
Medical Problem List: Prioritize and organize each patient’s medical problem list and corresponding medications
Laboratory Values: Evaluate provided and missing laboratory values for issues related to each patient’s medication and medical problem list
Drug Therapy Problem Worksheet: Assess each patient for drug therapy problems and their causes by specifically focusing on drug dosing, missing medications, medications without an obvious indication, drug interactions, and the social and economical impact of certain pharmacotherapy recommendations
Pharmacotherapy Care Plan: Formulate a comprehensive, rational, and practical patient care plan with pharmacotherapy recommendations that are organized by the prioritized medical problem list
Patient Education Summary: Based on a patient’s medical problem list and pharmacotherapy recommendations, summarize brief patient education points that are individualized to the patient case
A guide for reviewing and evaluating patient cases and preparing patient database forms is provided in greater detail in Chapter 1. The cases have been written in a realistic fashion, using terms and abbreviations that would be seen in a real patient’s medical record. Definitions of abbreviations can be found in Appendix C. The Online Learning Center at www.PPPstudyguide.com has blank patient database forms that may be downloaded.
We, along with patient case authors, used published literature and our experiences as educators and clinicians to determine the focus of each patient case to be included in this textbook. If upon using this study guide, you feel that anything important has been left out, please let us know your thoughts for future editions.
We acknowledge the commitment of more than 150 patient case authors who dedicated their time and knowledge in the preparation of this third edition study guide. We also thank all of the editors and authors of Pharmacotherapy Principles and Practice, 3rd edition, who provided the pharmacotherapy background as reference material for this study guide’s patient cases and question hints, and for their thoughts and suggestions as we developed the idea for this book.
We are grateful to everyone at McGraw-Hill who advised us and helped prepare this third edition study guide. We specifically thank Michael Weitz for all of his suggestions and insight in preparing this new textbook. In addition, we thank Peter Boyle, Harleen Chopra, and Laura Libretti for guiding us through the publication process and for the hard work related to the copyediting and formatting of each patient case.
At the University of Tennessee, we thank Dr. Christina Spivey for her suggestions to provide more consistency between this study guide and the companion Pharmacotherapy Principles and Practice, 3rd edition, textbook and LeeAnn Landphair for keeping all of the patient case chapter-related materials organized.
Lastly, we sincerely thank Dr. Edward W. Randell for conscientiously checking every laboratory value in each patient case for SI unit conversion.
Michael D. Katz, PharmD
Kathryn R. Matthias, PharmD, BCPS (AQ-ID)
Marie A. Chisholm-Burns, PharmD, MPH, FCCP, FASHP