In-class activity: Tertiary Resources

Question 1

Use the information provided to determine the ultimate question and classify the request.
1. Request: What is the first line treatment for a urinary tract infection (UTI)?
Background obtained from requestor: Dr. Garrett is urinary tract infection calling regrading a 25 year old female patient that has presented to his office complaining of back pain, frequent urination, and burning upon urination which started 2 days ago. The patient is healthy with only migraines in her history for which she takes sumatriptan as needed at the onset of a migraine. Dr. Garrett states the patient’s chart lists an allergy to penicillin with the reaction being rash but the date of the reaction is unknown. When Dr. Garrett questioned the patient about this allergy she stated her mother told her it was “when she was little.” A urinalysis with culture has been collected and sent to the outpatient laboratory but the results will not be back for at least 24 hours. Dr. Garrett suspects that the patient has acute uncomplicated cystitis or a urinary tract infection (UTI).

Ultimate Question
Classification

Answer 1

Ultimate question: what would be the best antibiotic for patient who has a penicillin allergy for UTI
Classification: therapeutic consult

Question 2

1. A patient recently moved to the US from France and is currently taking Tahor. What is the US equivalent of Tahor?

Answer 2

Reference: Index Norminum (Micromedex)

Question 3

2. What is the cost (AWP) of a 30-day supply of Xarelto 20 mg?

Answer 3

Reference: Red Book (Micromedex)

Question 4

3. What are common causes of uncomplicated urinary tract infections?

Answer 4

Reference: Harrison’s Principles of Internal Medicine

Question 5

4. A 58 year old patient recently diagnosed with chronic obstructive pulmonary disease (COPD) wants to know if they should receive the pneumococcal vaccine (PPSV23). Should they receive the PPSV23 vaccine?

Answer 5

Reference: CDC

Question 6

1. What is the drug of choice for methicillin-sensitive Staphylococcus aureus (MSSA) endocarditis (an infection of the heart valve)?

Answer 6

Reference(s): Pharmacotherapy, Harrison’s Principles of Internal Medicine
Reasoning: because both talks about specific therapy of MSSA disease states

Question 7

2. What is the pathophysiology (description of how a disease develops) of hypertension?

Answer 7

Reference(s): Pharmacotherapy; a pathophysiology

Reasoning: pharmacotherapy has pathophysiology

Question 8

3. What is the appropriate dose for intravenous cefepime (Maxipime®) used in the treatment of febrile neutropenia in a 4 year old child?

Answer 8

Reference(s): The Teddy Bear Book

Reasoning: dosing and administration of injectable drugs for pediatric

Question 9

4. What medication has the imprint code Pfizer/PGN 150?

Answer 9

Reference(s): Lexicomp, Micromedex

Reasoning: Lexicomp and Micromedex have Drug I.D that we can look up the imprint codes.