{"id":2980,"date":"2016-04-07T10:38:31","date_gmt":"2016-04-07T08:38:31","guid":{"rendered":"https:\/\/blog.uchceu.es\/farmacia\/?p=2980"},"modified":"2023-02-20T20:41:47","modified_gmt":"2023-02-20T19:41:47","slug":"riesgo-cardiovascular-de-un-paciente-que-acude-a-la-farmacia-comunitaria","status":"publish","type":"post","link":"https:\/\/blog.uchceu.es\/farmacia\/riesgo-cardiovascular-de-un-paciente-que-acude-a-la-farmacia-comunitaria\/","title":{"rendered":"Riesgo cardiovascular de un paciente que acude a la farmacia comunitaria"},"content":{"rendered":"

Sesi\u00f3n cl\u00ednica presentada por Fernando Mud<\/strong> (Dr. en Farmacia): Caso cl\u00ednico<\/p>\n

Estado de situaci\u00f3n<\/h3>\n

Edad 50 | Sexo Mujer | Peso 73,5Kg | Talla 160cm | IMC 28,7<\/p>\n

\"Metformina-Glucophage\"Mujer que acude a la farmacia comunitaria y se le invita a participar en la campa\u00f1a del coraz\u00f3n que se estaba realizando en ese momento. Se le cita por la ma\u00f1ana en ayunas para realizarse las pruebas acordadas en la campa\u00f1a.<\/p>\n

Desde junio 2014, problema de salud<\/strong>:  Diabetes tipo II , medicamento<\/strong>:  Metformina 850mg 1-0-0<\/p>\n

Anal\u00edtica<\/strong>: Se realizan en la farmacia comunitaria en ayunas:\"Captura<\/p>\n

Evaluaci\u00f3n del tratamiento<\/h3>\n

El tratamiento que toma es el correcto ya que la metformina es el f\u00e1rmaco de primera elecci\u00f3n en la diabetes.<\/p>\n

INTERVENCI\u00d3N (Septiembre 2015)<\/h3>\n

Al paciente se le explica la importancia de llevar unos h\u00e1bitos de vida saludable como son realizar ejercicio y que la ingesta de alimentos sea la adecuada. Para ello, se deriva al paciente al servicio de asesoramiento nutricional de la farmacia comunitaria.<\/p>\n

Adem\u00e1s, el paciente es derivado al m\u00e9dico directamente ya que tiene un elevado riesgo cardiovascular:<\/p>\n

    \n
  • Presenta 4 factores de riesgo: Presi\u00f3n arterial elevada, Colesterol total elevado, Trigliceridos elevados y Sobrepeso.<\/li>\n
  • Es diab\u00e9tica y adem\u00e1s tiene un mal control de la enfermedad.<\/li>\n<\/ul>\n

    RESULTADOS (Septiembre 2015)<\/h3>\n

    El paciente empieza un plan de educaci\u00f3n nutricional adaptado a la situaci\u00f3n que presenta el paciente.<\/p>\n

    La paciente acude al m\u00e9dico de atenci\u00f3n primaria y este realiza la siguiente intervenci\u00f3n:<\/p>\n

      \n
    • Modifica el tratamiento que la paciente lleva prescrito para la diabetes. Cambia la metformina por la asociaci\u00f3n de metformina 1000mg \u2013 sitagliptina 50mg<\/li>\n
    • Empieza tratamiento con:\n
        \n
      • Fenofibrato 145mg<\/li>\n
      •  Simvastatina 10mg<\/li>\n
      • Valsartan 160mg<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

        Gracias a la implicaci\u00f3n del farmac\u00e9utico comunitario en la detecci\u00f3n precoz de enfermedades se detect\u00f3 que el paciente ten\u00eda hipertensi\u00f3n arterial, hipercolesterolemia y hipertrigliceridemia.<\/span><\/p>\n

        Adem\u00e1s, se vio que el paciente no ten\u00eda bien controlada la diabetes y gracias a ello el m\u00e9dico le modifico el tratamiento para que se ajustara a su situaci\u00f3n.<\/p>\n","protected":false},"excerpt":{"rendered":"

        Sesi\u00f3n cl\u00ednica presentada por Fernando Mud (Dr. en Farmacia): Caso cl\u00ednico Estado de situaci\u00f3n Edad 50 | Sexo Mujer | Peso 73,5Kg | Talla 160cm | IMC 28,7 Mujer que acude a la farmacia comunitaria y se le invita a participar en la campa\u00f1a del coraz\u00f3n que se estaba realizando en ese momento. Se le cita […]<\/p>\n","protected":false},"author":58,"featured_media":2982,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[155],"class_list":{"0":"post-2980","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-casos-clinicos","8":"tag-metformina"},"yoast_head":"\nRiesgo cardiovascular de un paciente que acude a la farmacia comunitaria<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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