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    May 2022

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    Jay Menon
    The intern pharmacist carried out various activities at the gynecology ward including participating in ward rounds, managing drug stocks, and providing pharmaceutical care for patients. Specifically, the pharmacist followed two cases - a pregnant woman with a urinary tract infection who recovered with antibiotic treatment, and a postoperative woman who was on an excessive rectal NSAID dose. The pharmacist intervened to reduce the NSAID dose to prevent kidney damage, which improved the patient's pain.

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    May 2022

    Uploaded by

    Jay Menon
    18 views4 pages
    The intern pharmacist carried out various activities at the gynecology ward including participating in ward rounds, managing drug stocks, and providing pharmaceutical care for patients. Specifically, the pharmacist followed two cases - a pregnant woman with a urinary tract infection who recovered with antibiotic treatment, and a postoperative woman who was on an excessive rectal NSAID dose. The pharmacist intervened to reduce the NSAID dose to prevent kidney damage, which improved the patient's pain.

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    jyuk

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    MAY 2022 -

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    The intern pharmacist carried out various activities at the gynecology ward including participating in ward rounds, managing drug stocks, and providing pharmaceutical care for patients. Specifically, the pharmacist followed two cases - a pregnant woman with a urinary tract infection who recovered with antibiotic treatment, and a postoperative woman who was on an excessive rectal NSAID dose. The pharmacist intervened to reduce the NSAID dose to prevent kidney damage, which improved the patient's pain.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    18 views4 pages

    May 2022

    Uploaded by

    Jay Menon
    The intern pharmacist carried out various activities at the gynecology ward including participating in ward rounds, managing drug stocks, and providing pharmaceutical care for patients. Specifically, the pharmacist followed two cases - a pregnant woman with a urinary tract infection who recovered with antibiotic treatment, and a postoperative woman who was on an excessive rectal NSAID dose. The pharmacist intervened to reduce the NSAID dose to prevent kidney damage, which improved the patient's pain.

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    © All Rights Reserved
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    Download as docx, pdf, or txt
    of 4

    HOIMA REGIONAL REFERRAL HOSPITAL

    DEPARTMENT OF PHARMACY

    31ST MAY 2022

    A REPORT OF THE ACTIVITIES CARRIED OUT AT GYNECOLOGICAL WARD


    BETWEEN 2ND MAY AND 20TH MAY 2022

    BY

    MULINDWA JOSEPH STUART


    INTERN PHARMACIST
    ACTIVITIES
    Ward rounds
    I always joined the rest of the medical team in morning ward rounds running from 9am to
    midday. The team consisted of together with me as an intern Pharmacist, a medical doctor, intern
    doctor, intern nurse, medical students and nursing students. The ward rounds would happen at
    least thrice a week and during the sessions I would actively give my contribution on the choice
    of therapy given to patients with different cases. I would also follow up patients on adherence to
    treatment up to the point of discharge. The most common cases handled at the gynecological
    ward included;
     Incomplete abortion
     Threatened abortion
     Ectopic pregnancies
     Polycystic ovarian syndrome
     Malaria in pregnancy
     Urinary Tract Infections
     Sexually transmitted infections
    Stock management
    Gynecological ward makes orders and receives supplies from the main stores on a weekly basis.
    These items include; disposable gloves, surgical gloves, face masks, Absorbent gauze, surgical
    blades and cotton. On receiving these items, I always ensured that the quantities received were
    filled in the stock cards and would also follow up to ensure that quantities issued out at the end
    of each day were updated by the ward in charge, I would also assist in determining which items
    and thus quantities needed to be ordered from stores at the beginning of each week.
    Pharmaceutical care
    During my rotation at the gynecology ward I took part in management and also followed up on
    the progress of two major cases as follows;
    CASE 1;
    Case summary:
    NJ is a 28 year old female with a pregnancy at 25 weeks. She reports lower abdominal pain, back
    pain, frequent urination accompanied with slight itching. This has happened for the last 4 days
    worsening to the point that she had to be admitted.
    Patient database:
    Age: 28years
    Sex: Female
    Nationality: Ugandan
    Marital status: Single
    Address: Kigorobya
    Para: 1 Gravida: 2
    On examination
    Afebrile.
    Lower abdominal tenderness.
    Lab tests and results
    Urinalysis done which indicated slightly turbid urine with pus cells.
    Diagnosis
    Lower urinary tract infection in pregnancy.
    Drug therapy
    IV Ceftriaxone 1g o.d x 7/7
    IV Metronidazole 500mg tds x 5/7
    IV Paracetamol 1g tds x 3/7
    There were no drug therapy problems observed, patient had fully recovered by seventh day and
    was ready for discharge.
    CASE 2;
    Case summary

    Post-operative female patient aged 35 with continuing lower abdominal pain after pfannenstiel
    surgery.

    Patient presentation

    Lower abdominal pain since transfer on second day since operation

    Chief complaint -progressing lower abdominal pain

    Past Medical History

    Unremarkable

    Current medications

    IV ceftriaxone 2g od 3/7
    IV metronidazole 500mg tds 3/7

    Rectal diclofenac 100mg tds 3/7

    Drug therapy problem;

    Dose too high for rectal diclofenac (NSAID) maximum recommended daily is 150mg.

    Can lead to renal damage

    Intern Pharmacist’s intervention;

    Consult with the prescriber to;

    Discontinue NSAID

    Reduced the frequency of administration of rectal diclofenac to at most 100mg bd

    Add another non NSAID pain killer maybe im tramadol and reduce dosage of the NSAID

    Advise nurses on the administration and the possible end results if dose not reduced of the
    NSAID

    Outcomes of the intervention;

    Reduction in the patient’s pain

    Prevention of kidney damage by diclofenac

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