Rupal Patel Mansukhani, PharmD, CTTS, FAPhA, and Ammie J. Patel, PharmD, BCACP
Case 1: Rash
Q: CL, a 37-yr-old girl, is looking for a recommendation concerning a rash on each her fingers. The rash is erythematous and itchy with a burning sensation. CL lately commenced working for a domestic cleaning carrier. At paintings, she uses cleaning answers that often incorporate bleach to easy bathrooms. CL says that she is burdened about why she is experiencing this rash, given that she continuously washes her palms. She is wholesome and reports no allergic reactions or use of continual protection medicinal drugs. How need to CL control this irritant touch dermatitis?
A: Advise her that chemical irritants, specifically oxidizing agents including bleach, can boom the permeability of pores and skin by using disrupting its herbal barrier, making it extra liable to irritation.1 Additionally, frequent handwashing may erode skin and increase the probability of touch dermatitis.2 For this rash, CL will want to repair moisture with the aid of making use of barrier lotions and lipid-wealthy moisturizers to lock in moisture to rebuild her skin’s barrier. Three She also can take colloidal oatmeal baths to lessen the itching. Three CL ought to keep away from topical OTC products containing Caine-type anesthetics, such as benzocaine and lidocaine, as they may irritate the skin further.3, four To save you destiny occurrences, she needs to use rubber gloves at paintings to avoid chronic exposure to irritants, together with bleach and other cleaning solutions.3, five Finally, if CL has every other pore and skin publicity to cleaning solutions, she needs to rinse with lukewarm water after which wash with a hypoallergenic, slight cleanser, such as Cetaphil or Dove, after which rinse and dries gently. Five
Case 2: Osteoporosis
Q: NM is a sixty three-yr-old female who’s looking for something to help keep her bones sturdy. She says she feels as if she is getting weaker as she a long time, and some of her buddies have broken their hips. NM is searching out something for bone health. She has been examined for osteoporosis the use of a twin-power x-ray absorptiometry scan, and her physician said that the whole thing seemed normal. However, NM’s physician encouraged that she take a day by day calcium complement. Upon thinking, NM says that she has an extraordinarily healthful food regimen, even though she does not usually consume dairy merchandise. She has no different medical situations. NM is beaten using the number of calcium products and does now not understand which one to take. She also says she is taking a multivitamin that has calcium in it. What recommendations do you’ve got?
A: Advise NM that everybody should try to assist construct bones and use preventive strategies to decrease the possibilities of getting osteoporosis. She can take calcium supplements, however, let her realize that multivitamins by myself can’t provide good enough calcium. Based on NM’s age, she ought to get 1200 mg of calcium in keeping with day. Adults who are 50 years or more youthful have to take approximately one thousand mg of calcium in line with day, and ladies 51 years or older need to take 1200 mg consistent with day. Experts additionally endorse an everyday intake of nutrition D of about six hundred IU, as much as age 70.6 Although many brands are available on the market, NM can take any person she chooses for calcium carbonate at 500 to six hundred mg twice day by day. Advise her to split the dosing to get most gain. If NM wants to get the calcium thru her weight loss program, she will attempt increasing her day by day intake of oatmeal, sardines, soybeans, and tofu. If she is able to tolerate dairy, she can also attempt milk and yogurt.6 If NM is trying to gain her calcium thru her food plan, permit her to recognize that she wishes to be consistent and eat the suitable meals of her preference each day.3
Case 3: HPV Vaccine
Q: RD is a 24-yr-antique woman who’s seeking out something to prevent human papillomavirus (HPV) contamination. She says that her mother died from ovarian most cancers, and he or she is seeking out an OTC option to help increase her immunity. RD does now not drink alcohol or smoke. She has been sexually active for the past 2 years. RD also says she began taking an every day calcium supplement, multivitamins, and omega-three fish oil to stay healthy. She has no scientific situations. What recommendations do you’ve got?
A: HPV is a sexually transmitted virus. Most infections depart by using themselves within 2 years. However, a few can closing longer and purpose cancers and different illnesses. HPV can cause cancer of the anus, the lower back of the throat, the cervix, the penis, the vagina, and the vulva. About 33,seven-hundred cancers in the United States are due to HPV every 12 months. RD can nonetheless acquire the vaccine; however, it’s miles most useful while given earlier than an infant will become sexually lively. The CDC recommends that all boys and women age eleven or 12 years be vaccinated against HPV.7 The vaccination series may be started as early as nine years. The CDC advises that guys can receive the vaccine till age 21 and ladies can acquire the vaccination till age 26.7 RD falls into this variety, so she can acquire the vaccine today. Clinical trials display that HPV vaccines offer close to 100% protection towards cervical precancers and genital warts. Data display a 64% discount in vaccine-kind HPV in the United States since the vaccine got here to marketplace. Advise RD that the HPV vaccine has unfavorable effects just like those of different vaccines, along with fatigue, fever, headache, joint or muscle pain, nausea, redness, and swelling in the arm.