Effectiveness Information to consider when looking for “Effe…

Effectiveness Information to consider when looking for “Effectiveness” MRPs in any patient (generally speaking): What are the goals of therapy? Are the goals being met? Is there any information I need to gather form the patient or EMR (if applicable) to identify whether goals are being met?   Questions to ask this patient to identify possible “Effectiveness” MRPs: NOTE: This is not all-inclusive. You may have come up with other information in addition to what is listed below. Do you check your blood pressure at home? If yes, what have your readings been? Do you check your blood sugar at home? If yes, what have your readings been? Is your PCP regularly monitoring your cholesterol readings? If yes, do you know when these were last checked and what they were? Is your PCP regularly monitoring your Hgb A1c? If yes, do you know when these were last checked and what they were?

Safety Information to consider when looking for “Safety” MRP…

Safety Information to consider when looking for “Safety” MRPs in any patient (generally speaking): Has the patient noticed any side effects (you should ask about specific side effects, but this will depend on the patient’s medications)? Are there any clinically significant drug interactions that necessitate a change in therapy? Are there any renal or hepatic dosing considerations that are important for this patient? Are there any contraindications or warnings that pertain to this patient that should be addressed? Are there any drug allergies that should be considered?   Questions to ask this patient to identify possible “Safety” MRPs: NOTE: This is not all-inclusive. You may have come up with other information in addition to what is listed below. Any dizziness or lightheadedness? (lisinopril, metoprolol) Any cough? (lisinopril) Any unusual bruising or bleeding? (aspirin, clopidogrel) Any muscle pain? (atorvastatin, gemfibrozil) Any stomach upset or diarrhea? (Trulicity) Any painful urination or foul smelling urine (s/s UTI)? (Jardiance) Do you have any history of kidney or liver issues? Are you taking atorvastatin and gemfibrozil together? NOTE: the combination of Trulicity and Jardiance would NOT be expected to cause hypoglycemia. Although you could ask about lows, this is not a high priority question since the patient is not on insulin or a sulfonylurea.