Arandilla, Dioso, Gunabe, Landero, Maravilla, Ranido, Rubio, Sarabia

Group 3 – PHARM3D

Pharmacy Department
Case Based Learning-PHCARE 203
Dispensing 2
1st Semester, BS Pharmacy

Karen a 23-year-old woman was rushed to the emergency department of San Pedro Hospital.
Her chief complaints were shortness of breath, headache, nausea, and numbness in her
extremities. She said all of this happened after she took her medication for anxiety that night.
Her blood pressure was 103/55. Upon, investigation it was found out that the medicine the
patient took that night supposedly for her anxiety was HYDRALAZINE. The hospital
coordinated with the patient’s physician, and the latter was told about the incident that took
place.

SAN PEDRO HOSPITAL

Bankerohan St, Davao City, 8000, Philippines
TEL:(082) 888-2908
NAME : Ms Karen Dela Paz Age : 23 Gender : F DATE: (present date)
ADD : Bankerohan, Davao City DIAGNOSIS: -

RX
Tab. Hydroxyzine #5
Sig. 1 tab BD

Adrian
DR. ADRIAN BALASUBAS MD
FOR TEACHING PURPOSE ONLY

The physician said that he prescribed HYDROXYZINE and not HYDRALAZINE. After, finding out
that there was a mix-up in her medications, Karen filed for legal charges to the only person
she can blame for the incident - the dispensing pharmacist. In an interview with the dispensing
pharmacist, she said she was sure that she dispensed Hydroxyzine, however she did not let
any of her co-workers double check the medication, because it was a busy hour in the
pharmacy.
PHARMACEUTICAL CARE PLAN

Date Issues Action Plan Outcome

September 23, 2020 Inappropriate Contact prescriber Prescriber
9:15 pm medication resulting and verify the confirmed he wrote
to hypotension. (BP medication a prescription for
103/55, SOB, prescribed to the Hydroxyzine 1 tab
headache, dizziness, patient. BD.
and extremities
dumbness.)
September 23, 2020 Inappropriate Segregate and store SALADs have been
9:30 pm dispensing by the SALADs in different stored in shelves
pharmacist due to a locations and label it according to
“sound alike; look with tallman letters. indication and were
alike (SALAD)” error. already labeled
using tallman
letters.
September 23, 2020 Prescription lacked • Contact • Prescriber
9:35 pm essential prescriber and verified he
information verify the dosage prescribes
strength and Hydroxyzine 25
route of mg 1 tab po BD.
administration. • Patient is given 5
• Dispense 5 tablets tabs of
of Hydroxyzine 25 Hydroxyzine.
mg, as per • Patient is
prescription. counselled.
• Patient is
suggested with
non-
pharmacologic
therapies for
normalizing BP.