Pharmacotherapy Casebook: A Patient-Focused Approach / Edition 7

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Learn How to Apply the Principles of Pharmacotherapy to Real-World Clinical Practice!

Pharmacotherapy Casebook sharpens the problem-solving and clinical decision-making skills you need to identify and resolve commonly encountered drug problems. This new edition is packed with more than 150 patient cases -- almost all of them new or revised -- and makes the perfect study companion to the seventh edition of DiPiro's Pharmacotherapy: A Pathophysiologic Approach.

Everything you need to develop expertise in pharmacotherapy decision making:

  • Realistic patient presentations include medical history, physical examination, and laboratory data, followed by a series of questions using a systematic, problem-solving approach
  • Compelling range of cases -- from the uncomplicated (a single disease state) to the complex (multiple disease states and drug-related problems)
  • Diverse authorship, with cases provided by 180 clinicians from 94 institutions
  • Casebook sections conveniently categorized by body organ system to correspond with the DiPiro's Pharmacotherapy textbook
  • Coverage that integrates the biomedical and pharmaceutical sciences with therapeutics
  • Appendix containing valuable information on pharmacy abbreviations, laboratory texts, mathematical conversion factors, anthropometrics, and sample responses to case questions

Terry L. Schwinghammer, PharmD, FCCP, FASHP, BCPS, Professor and Chair, Department of Clinical Pharmacy, West Virginia University School of Pharmacy, Morgantown, WV

Julia M. Koehler, PharmD, Associate Professor and Chair, Department of Pharmacy Practice, Butler University, College of Pharmacy and Health Sciences; and Clinical Pharmacist in Family Medicine, Methodist Hospital and the Indiana University-Methodist Family Practice Center, Clarian Health Partners, Indianapolis, IN

The book contains predominantly black-and-white illustrations, with some two-color illustrations.

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Editorial Reviews

Angela Johnston
This is a collection of patient case studies involving a broad spectrum of disease states. It is intended to complement the information presented in the fourth edition of Dipiro's Pharmacotherapy: A Pathophysiologic Approach (Appleton & Lange, 1999). The editor's purpose is to aid students in healthcare fields in the development of patient care related skills involving the identification and resolution of medication-related problems through the use of patient care studies. The target audience is pharmacy educators and pharmacy students; however, it may be a useful learning tool for all healthcare professionals. In Part One the following information is outlined: how to use the casebook; active learning strategies; case studies in patient communication; and documentation of pharmacist interventions. The remaining portion of the casebook is divided into the following sections: disorders of organ systems; diseases of infectious origin; oncologic disorders; and nutrition and nutritional disorders. Patient case studies begin with patient presentation, which mimics what is found in a typical patient chart. A series of questions for the student follow the case presentation, and a list of useful references. This casebook is a beneficial extension to the fourth edition of Pharmacotherapy: A Pathophysiologic Approach, in that the editor encourages students to apply newly learned information to clinical scenarios. References listed following each patient case study direct students to additional information, which may be useful in answering questions. Overall, this reference is a useful tool for teaching students the pharmacotherapeutic approach to patient care,which involves the designing, implementing, and monitoring of a drug therapy regimen.
A casebook highlighting general principles of drug therapy decision- making. Introductory chapters cover principles of patient-focused therapy and disorders of organ systems. Detailed cases are related to multiple organ systems, infectious diseases, oncologic disorders, and nutritional disorders. Designed to complement the fourth edition of . This second edition contains some 140 new cases, three levels of case complexity, and enhanced focus on identifying, assessing, and resolving drug-related problems in complex cases with multiple disease states. Lacks a subject index. The editor teaches pharmaceutical sciences at the University of Pittsburgh. Annotation c. Book News, Inc., Portland, OR (
From The Critics
A complement to the fifth edition of the textbook , presenting 147 case studies to help students in the health professions develop skills for identifying and resolving drug related problems. The third and fourth editions were not published. There is no index. Annotation c. Book News, Inc., Portland, OR (
From The Critics
Reviewer: Melissa M. Ranieri, BS, PharmD (Temple University School of Pharmacy)
Description: This book provides patient case studies to help students actively learn how to solve pharmacy related problems or to enhance the knowledge of currently practicing pharmacists. The book also contains chapters on developing care plans, counseling patients, active learning, and documenting clinical interventions.
Purpose: The purpose is to provide an opportunity for students to actively apply their knowledge to real-life patient scenarios, and to develop problem-solving skills. The book is not focused on finding the "correct answer" to the patient cases, but on the process used to evaluate and solve the drug-related problems. The book is successful at providing patient cases for several disease states and is an excellent tool for applying concepts taught in the classroom and developing problem solving skills.
Audience: According to the author, the book has been used by many schools of pharmacy and nurse practitioner programs, and may also be used by pharmacists currently practicing to expand their clinical skills. It may be useful for students, provided it is used in conjunction with the textbook Pharmacotherapy: A Pathophysiologic Approach, 6th edition, by DiPiro et al. (McGraw-Hill, 2005). It may be more difficult for currently practicing pharmacists, especially without the textbook or the knowledge of the pathophysiology and pharmacotherapy of each disease state provided in the classroom setting.
Features: The book contains 148 patient cases organized by organ system. Each case presents the patient as in a clinical setting, with the following information: chief complaint, HPI, PMH, FH, SH, medications, allergies, ROS, PE, and labs. Questions following the case are intended to guide the student in assessing drug related problems and developing appropriate care plans. There are also self-study assignments used to engage the student in independent learning activities. Clinical pearls provide learning points relevant to the patient case. The book also contains several introductory chapters: how to use the case book, active learning strategies, patient counseling tools, care planning, and documentation of pharmacist interventions. Although all of these chapters provide important information, many are not relevant to the overall purpose of the book: evaluating patient cases and developing problem solving skills. The introductory chapter on how to use the case book and the care planning chapter are both necessary because they relate to the overall process of applying clinical knowledge to patient scenarios. The care planning section is especially helpful in highlighting a systematic approach to identify, solve, and prevent drug related problems. The cases are a good learning tool in developing clinical problem solving skills. They also provide an opportunity to develop self learning and critical thinking skills that are not often taught in the traditional lecture method of pharmacy schools. However, a brief answer key for each case would be helpful. Although there is no "correct answer" to each case, a guide would be helpful in determining if the student or clinician is engaging in the proper thought process in identifying and resolving the drug related problems. Perhaps some of the introductory chapters could be replaced by a response key to the case questions. The book also contains several sections including: conversion factors, laboratory values and medical abbreviations. These sections may be helpful as a reference tool for students when resolving the patient cases.
Assessment: This book provides a good learning opportunity for the student to apply concepts taught in the classroom or for the clinician hoping to expand their current clinical skills. The cases help develop the critical thinking process and allow students and clinicians to learn problem-solving methods in an independent manner. However, a simple key highlighting the main points for each case would be helpful in assuring that students are engaging in the proper thought process.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780071488358
  • Publisher: McGraw-Hill Companies, The
  • Publication date: 7/9/2008
  • Edition description: Older Edition
  • Edition number: 7
  • Pages: 480
  • Product dimensions: 8.40 (w) x 10.70 (h) x 0.70 (d)

Meet the Author

Terry L. Schwinghammer, PharmD, FCCP, FASHP, BCPS, Professor and Chair, Department of Clinical Pharmacy, West Virginia University School of Pharmacy, Morgantown, WV

Julia M. Koehler, PharmD, Associate Professor and Chair, Department of Pharmacy Practice, Butler University, College of Pharmacy and Health Sciences; and Clinical Pharmacist in Family Medicine, Methodist Hospital and the Indiana University-Methodist Family Practice Center, Clarian Health Partners, Indianapolis, IN

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Table of Contents

Ch. 1 Introduction : how to use this casebook 1
Ch. 2 Active learning strategies 9
Ch. 3 Case studies in patient communication 13
Ch. 4 Care planning : a component of the patient care process 25
Ch. 5 Documentation of pharmacist interventions 33
Ch. 6 Cardiopulmonary resuscitation 39
Ch. 7 Hypertension 42
Ch. 8 Obstructive sleep apnea and hypertension 45
Ch. 9 Hypertensive urgency/emergency 47
Ch. 10 Heart failure 49
Ch. 11 Ischemic heart disease and acute coronary syndrome 53
Ch. 12 Acute myocardial infarction 56
Ch. 13 Ventricular tachycardia 58
Ch. 14 Atrial fibrillation 61
Ch. 15 Hypertrophic cardiomyopathy 63
Ch. 16 Deep vein thrombosis 65
Ch. 17 Pulmonary embolism 68
Ch. 18 Chronic anticoagulation 72
Ch. 19 Ischemic stroke 74
Ch. 20 Hyperlipidemia : primary prevention 76
Ch. 21 Hyperlipidemia : secondary prevention 79
Ch. 22 Peripheral vascular disease 81
Ch. 23 Hypovolemic shock 83
Ch. 24 Acute asthma 87
Ch. 25 Chronic asthma 90
Ch. 26 Chronic obstructive lung disease 93
Ch. 27 Cystic fibrosis 95
Ch. 28 Gastroesophageal reflux disease 99
Ch. 29 Peptic ulcer disease 102
Ch. 30 NSAID-induced ulcer disease 104
Ch. 31 Stress ulcer prophylaxis/upper GI hemorrhage 106
Ch. 32 Crohn's disease 109
Ch. 33 Ulcerative colitis 111
Ch. 34 Nausea and vomiting 114
Ch. 35 Diarrhea 116
Ch. 36 Irritable bowel syndrome 118
Ch. 37 Pediatric gastroenteritis 120
Ch. 38 Constipation 122
Ch. 39 Ascites management in portal hypertension and cirrhosis 124
Ch. 40 Esophageal varices 126
Ch. 41 Hepatic encephalopathy 128
Ch. 42 Acute pancreatitis 130
Ch. 43 Chronic pancreatitis 133
Ch. 44 Viral hepatitis A vaccination 135
Ch. 45 Viral hepatitis B 137
Ch. 46 Viral hepatitis C 139
Ch. 47 Drug-induced acute renal failure 143
Ch. 48 Acute renal failure 145
Ch. 49 Progressive renal disease 147
Ch. 50 End-stage renal disease 149
Ch. 51 Chronic glomerulonephritis 151
Ch. 52 Syndrome of inappropriate antidiuretic hormone release 154
Ch. 53 Hyperkalemia, hyperphosphatemia, and hypercalcemia 156
Ch. 54 Hypercalcemia of malignancy 158
Ch. 55 Hypokalemia and hypomagnesemia 161
Ch. 56 Metabolic acidosis 163
Ch. 57 Metabolic alkalosis 165
Ch. 58 Multiple sclerosis 169
Ch. 59 Complex partial seizures 171
Ch. 60 Generalized tonic-clonic seizures 173
Ch. 61 Status epilepticus 175
Ch. 62 Acute management of the brain injury patient 177
Ch. 63 Parkinson's disease 179
Ch. 64 Pain management 181
Ch. 65 Headache disorders 184
Ch. 66 Attention-deficit hyperactivity disorder 187
Ch. 67 Eating disorders : anorexia nervosa 189
Ch. 68 Alzheimer's disease 191
Ch. 69 Alcohol withdrawal 193
Ch. 70 Nicotine dependence 195
Ch. 71 Schizophrenia 197
Ch. 72 Major depression 200
Ch. 73 Bipolar disorder 202
Ch. 74 Generalized anxiety disorder 205
Ch. 75 Obsessive-compulsive disorder 208
Ch. 76 Insomnia 210
Ch. 77 Type 1 diabetes mellitus and ketoacidosis 213
Ch. 78 Type 2 diabetes mellitus : new onset 216
Ch. 79 Type 2 diabetes mellitus : existing disease 218
Ch. 80 Hyperthyroidism : graves' disease 221
Ch. 81 Hypothyroidism 223
Ch. 82 Cushing's syndrome 225
Ch. 83 Addison's disease 227
Ch. 84 Hyperprolactinemia 228
Ch. 85 Contraception 231
Ch. 86 Premenstrual dysphoric disorder 233
Ch. 87 Managing menopausal symptoms 236
Ch. 88 Erectile dysfunction 239
Ch. 89 Benign prostatic hyperplasia 241
Ch. 90 Neurogenic bladder & urinary incontinence 244
Ch. 91 Systemic lupus erythematosus 247
Ch. 92 Solid organ transplantation 249
Ch. 93 Osteoporosis 253
Ch. 94 Rheumatoid arthritis 255
Ch. 95 Osteoarthritis 257
Ch. 96 Gout and hyperuricemia 260
Ch. 97 Glaucoma 263
Ch. 98 Allergic rhinitis 265
Ch. 99 Acne vulgaris 269
Ch. 100 Psoriasis 271
Ch. 101 Atopic dermatitis 273
Ch. 102 Cutaneous reaction to drugs 275
Ch. 103 Iron deficiency anemia 277
Ch. 104 Vitamin B[subscript 12] deficiency 280
Ch. 105 Folic acid deficiency 282
Ch. 106 Sickle cell anemia 284
Ch. 107 Using laboratory tests in infectious disease 289
Ch. 108 Bacterial meningitis 291
Ch. 109 Pediatric cough illness/acute bronchitis 293
Ch. 110 Prevention and treatment of influenza 295
Ch. 111 Community-acquired pneumonia 297
Ch. 112 Otitis media 300
Ch. 113 Streptococcal pharyngitis 301
Ch. 114 Rhinosinusitis 303
Ch. 115 Pressure sores 304
Ch. 116 Diabetic foot infection 307
Ch. 117 Infective endocarditis 309
Ch. 118 Pulmonary tuberculosis 311
Ch. 119 Clostridium difficile-associated diarrhea 314
Ch. 120 Intra-abdominal infection 316
Ch. 121 Lower urinary tract infection 318
Ch. 122 Acute pyelonephritis 320
Ch. 123 Pelvic inflammatory disease and other sexually-transmitted diseases 324
Ch. 124 Syphilis 327
Ch. 125 Genital herpes and chlamydial infections 328
Ch. 126 Osteomyelitis and septic arthritis 330
Ch. 127 Gram-negative sepsis 333
Ch. 128 Dermatophytosis 335
Ch. 129 Bacterial vaginosis 337
Ch. 130 Candida vaginitis 339
Ch. 131 Systemic fungal infection 341
Ch. 132 Infections in immunocompromised patients 344
Ch. 133 Antimicrobial prophylaxis for surgery 346
Ch. 134 Pediatric immunization 348
Ch. 135 Adult immunization 350
Ch. 136 Cytomegalovirus (CMV) retinitis 352
Ch. 137 HIV infection 354
Ch. 138 HIV and hepatitis C coinfection 357
Ch. 139 Breast cancer 361
Ch. 140 Non-small cell lung cancer 364
Ch. 141 Colon cancer 367
Ch. 142 Prostate cancer 369
Ch. 143 Non-Hodgkin's lymphoma 371
Ch. 144 Hodgkin's disease 373
Ch. 145 Ovarian cancer 376
Ch. 146 Acute lymphocytic leukemia 378
Ch. 147 Chronic myelogenous leukemia 382
Ch. 148 Melanoma 384
Ch. 149 Hematopoietic stem cell transplantation 386
Ch. 150 Parenteral nutrition 391
Ch. 151 Adult enteral nutrition 394
Ch. 152 Obesity 397
Ch. 153 Chemical exposure 401
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  • Anonymous

    Posted August 23, 2001

    Practical view

    Very good examples of pharmacotherapy cases for teaching. Complete histories and exams of patients help students learn to differenciate normal values from altered. Levels of difficulty indicated in each case are a good guide for selection cases adequate to students level of comprehension. Students who aquired the book too, missed possible right answers to improve home-learning. Excelent for Pharmacist training on Clinical Pharmacy.

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    Posted March 21, 2009

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    Posted January 27, 2010

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