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Table 4 Some examples of DRPs among geriatric patients admitted from April to July to Medical and Surgical wards of JUMC, Ethiopia, 2017

From: Drug related problems in admitted geriatric patients: the impact of clinical pharmacist interventions

Drug related problemCategory of DRPsDescription
A patient in the age range of 60–70 was admitted to surgical ward with the diagnosis of breast cancer. After one side mastectomy was done, the patient was prescribed with Tamoxifen 20 mg po daily.Untreated indicationPatient complained severe pain which is 8/10. However, the pain was not treated. Patient has untreated indication and needs morphine 2.5 mg every four hour.
A patient in the age range of 60–70 was admitted to internal medicine ward with the diagnosis of ischemic heart disease (NST Elevated myocardial infarction). The patient was prescribed with Simvastatin 40 mgSuboptimal effect of drug treatmentHigh intensity statins are required for patients with NSTEMI. Simvastatin 40 mg is medium intensity statin. Thus, it will have suboptimal effect. Therefore, we recommended Atorvasatin 80 mg.
A patient in the age range of 70–80 admitted with the diagnosis of peripheral arterial disease. After admission the patient prescribed with warfarin 5 mg and Heparin 12,500 IUNo effect of drug treatment (Warfarin and Heparin)
Untreated indication
Warfarin and Heparin have no effect on peripheral arterial.
Patient needs Atorvastatin and Aspirin to treat his condition.
Known cardiac patient in the age of 80–90 was admitted to internal medicine ward. The patient was taking aspirin and lost around 3 l of blood.Adverse drug event (possibly) occurredAspirin was considered the offensive drug and discontinued for 07 days. The bleeding stopped after aspirin was discontinued. Based on Naranjo scale the bleeding is possibly due to Aspirin.