Clinical Case Study Library
Browse real-world pharmacy cases to deepen your clinical reasoning and competency skills.
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Conditions Covered
Warfarin Drug Interaction in an Elderly Patient
An 80-year-old patient on warfarin presents a prescription for co-trimoxazole. Identify the interaction, assess bleeding risk, and counsel appropriately.
Child with Acute Otitis Media — OTC Request
A parent requests Otrivine for their 3-year-old with ear pain and fever for two days. Apply the WWHAM framework and decide on appropriate action.
Controlled Drug Prescription — Schedule 2 Irregularities
A handwritten morphine prescription is presented with a missing dose frequency. Work through the legal requirements under Irish Misuse of Drugs legislation.
Metformin Initiation and Renal Function
A new prescription for metformin 500mg BD arrives for a patient with recently documented eGFR of 38. Review appropriateness and counsel on sick-day rules.
Dosage Calculation — IV Vancomycin Loading Dose
Calculate a weight-based vancomycin loading dose for a 94 kg patient and determine an appropriate infusion rate to minimise red man syndrome risk.
Emergency Hormonal Contraception Consultation
A 19-year-old requests Plan B (levonorgestrel) 72 hours after unprotected intercourse. Conduct an appropriate consultation and address her questions about efficacy.
Asthma Step-Up — Patient Not Responding to SABA
A patient using salbutamol more than three times a week reports poor asthma control. Review their inhaler technique and recommend appropriate step-up therapy.
Near-Miss Dispensing Error — Sound-Alike Drugs
A dispensary near-miss occurs when hydroxyzine is almost dispensed instead of hydralazine. Analyse contributing factors and propose systemic safeguards.