Overactive Bladder
PP is an 82-year-old woman who periodically visits Rx-Mart Pharmacy for her medications. Today she comes to see the pharmacist, looking slightly uncomfortable. The pharmacist takes a minute to check PP’s profile. Her medications include hydrochlorothiazide 25 mg daily, atenolol 50 mg daily, and fluoxetine 20 mg daily.
After escorting PP to the private consultation area, the pharmacist asks PP if there is anything wrong and if she (the pharmacist) can help. PP explains that she has been experiencing episodes where she cannot contain her urine. She admits that she is embarrassed to discuss this issue with anyone. The pharmacist calms her by telling her that incontinence is a common problem and that treatment options are available.
After probing for more information, the pharmacist discovers that, when PP has incontinent episodes, she has been urinating large amounts. The patient explains that “the urge to urinate comes on so suddenly that I just can’t make it to the bathroom in time. I find myself getting up at night to go to the bathroom—sometimes 2 or 3 times a night. This has been getting worse over the past few months. I have tried to cover up the problem by using diapers, but now I feel that I must get some help.” The pharmacist calls PP’s physician for her and schedules an appointment for the following day.
QuizYou must log in to view and answer the questions associated with this interactive case scenario.
 |
