FEEDBACK

Vitamin D deficiency

Exercise details
Username:
132300

Name:
EMAD MOHAMMAD BASHAR MUSTAFA MUSTAFA

Unit:
Pharmacy Practice Training Summer2022 JUST Year: 2021

Tutorial:
Nutrition, vitamins, and herbal supplements

Exercise:
Vitamin D deficiency

Date completed:
08/24/2022 12:53:11
 Summary & Outcome

Hi, I suspect that I have vitamin D deficiency. The last time I had
this, my doctor told me to take this formulation. Can I take it again?

Summary: Joseph Smith presented with the above query

Your customer had these Muscle weakness, muscle aches, muscle cramps
symptoms: bone pain
fatigue

Outcome feedback: Well done, you have correctly decided NOT to recommend
treatment for this patient.
Note from your tutor: This patient suspects that they have vitamin D
deficiency without any lab tests to confirm.
They cannot be given such a high dose of vitamin D
without seeing the doctor and checking their vitamin D
levels.
In addition, they are also taking a multivitamin daily.
Most multivitamins contain vitamin D 500-1000 IU, so
this would be a potential for overdose if they take the
50000 IU capsules.

Your justification for not too high dose of vit D without lab test is risky
recommending:

You selected the

following as reasons not Potential for overdose of active
to recommend: ingredient which is also in meds Correct decision
patient is taking

Inappropriate use of a requested

OTC product / therapeutic use Correct decision
not established

Patient notes

Your Notes Feedback

No feedback
You did not enter any
patient notes

Counselling notes

Your Notes Feedback

 1. Tell patient to see doctor for lab tests to
You did not enter any confirm vitamin D deficiency before
counselling notes initiating 50'000 IU dose.
2. Overdose: Patient must bring in the
multivitamin that they are taking, in order
for the doctor and pharmacist to confirm
that it does not contain vitamin D
3. Counsel patient on the importance of a
good diet to maintain proper vitamin
levels.
4. After vitamin D levels normalize, experts
recommend maintenance dosages of
cholecalciferol (vitamin D3) at 800 to
1,000 IU per day from dietary and
supplemental sources.
oily fish – such as salmon,
sardines, herring and mackerel.
red meat.
liver.
egg yolks.
fortified foods – such as some fat
spreads and breakfast cereals

Patient Fact Finding

Generic feedback: Your Fact Finding for this exercise was ok. You nearly gathered
all of the essential information to complete the exercise but
missed a few questions.

Find out if the patient has had any lab tests done to
Note from your tutor: confirm their vitamin D deficiency.
Find out further details about their symptoms.
Find out if they have any allergies.
Find out their medication history.
You inquired about about
these topics: Allergies Required

Previous use of medication(s) Required

Symptoms Required

Purpose of medication(s) Asked

Other symptoms Required

Have you had any lab tests done to confirm the

vitamin D deficiency?
Required

You should have inquired

about about these topics: Other medications