Recitation Assignment 2
Group 1: Priya Patel, Daniella Smid, Kessy Kesner, Jared Trout, Martin Slowinski, Beverly Pitogo
Create a list of the patient’s drug therapy problems.
Plaque psoriasis is not controlled by current drug regimen of cyclosporine and acitretin.
Pruritus is uncontrolled with non-medicated moisturizer three times a day
Worked related stress needs to be assessed.
What signs and symptoms consistent with plaque psoriasis does this patient demonstrate?
GK presents with pruritus. More than 50% of patients with psoriasis have associated pruritus. 1 GK also presents with extensive lesions on abdomen, arms, legs, back, and scalp. Patient has thick- crusted lesion on elbow, knees, palms, and soles. These lesions are red to violet in color and are covered with silvery-white scales. Patient also…show more content… Efficacy is determined by the reduction in number, severity, and frequency of psoriasis plaques. The patient should be monitored for infection as one of the side effects from anti-TNF-a therapy is an increased risk of opportunistic infection. The patient should also look out for signs of serum sickness which include fatigue, flu like symptoms, rash, etc.3
What information should be provided to the patient to enhance compliance and ensure successful therapy?
The patient should be counseled on how to take or self-administer each medication (for example, for Adalimumab, the patient should inject the drug subcutaneously at a 90 degree angle in the thigh).
Irritation at the site of injection.
Avoid scratching lesions because this puts them at a higher risk for infection.
The patient should stay up to date with their doctor appointments.
Adverse effects can occur, some more severe than others. If side effects worsen or persist, it is important to contact their physician right away.
Some of these medications may put the patient at greater risk of infections.1
