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Category Archives: Practice

The Comprehensive Adult Health History


Initial Information Data and Time of History The date is always important. Be sure to document the time you evaluate the patient, especially in urgent, emergent, or hospital setitngs. Identify Data These include age, gender, marital status, and occupation. The source of history or referral can be the patient, a family member or friend, an […]

Creatinine Clearance Estimation – Non-Steady State


Using non-steady-state serum creatinine values to estimate creatinine clearance is difficult, and a number of approaches have been proposed. The author use Equation 1 below to estimate creatinine clearance when steady-state conditions have not been achieved. ClCr (mL/min) = { (Production of Creatinine in mg/day) – [(SCr 2 – SCr 1)(V Cr) / t]*(10 dL/L)} […]

[Clinical Art][Pharmacokinetics] Interpretation of Plasma Drug Concentrations (Steady-State)


Plasma drug concentration are measured in the clinical setting to determine whether a potentially therapeutic or toxic concentration has been produced by a given dosage regimen. This process is based on the assumption that plasma drug concentrations reflect drug concentrations at the receptor and, therefore, can be correlated with pharmacologic response. This assumption is not […]

[Clinical Skills] Therapeutics Planning


Also see Pharmacy Profession Forum for the thread "[Diagnosis] Diagnostic Series" at Identify the Problems Step 1 Obtain Patient Data Consider all available patient data. Review all previously charted data (history, physical examination findings, results of laboratory and diagnostic tests) and interview the patient for the patient's medication history. Reviewall relevant data resources, including data […]

[Clinical Skills] Taking Medication History


1.Ask open-ended questions at the start of the interview and then move to more direct and targeted questions as the interview proceeds. e.g., to ask the patient to describe any medications taken daily; e.g., to ask the patient to describe the size, shape, and color of the medication regularly taken (a more direct and targeted […]