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Abstract(s)
O presente relatório destina-se à obtenção do grau de Mestre em Ciências Farmacêuticas
e encontra-se dividido em duas partes.
A primeira parte corresponde à componente de Investigação que consiste na avaliação
farmacoterapêutica dos idosos institucionalizados, pertencentes à Elderly of Beira
Interior cohort (EBIcohort), diagnosticados com a Doença Pulmonar Obstrutiva Crónica
(DPOC). Essa avaliação foi realizada utilizando os critérios Beers (2019), STOPP/START
versão 2 e EU(7)-PIM List. Desta análise foram obtidos um total de 90 Medicamentos
Potencialmente Inapropriados (PIM) pelos critérios Beers (2019), 50 PIM pelos critérios
EU(7)-PIM List e 96 PIM pelos critérios STOPP. Também foi verificada a existência de
interações farmacológicas entre os fármacos utilizados para o tratamento da DPOC e os
fármacos utilizados para o tratamento de outras comorbilidades. Destaca-se a interação
entre os broncodilatadores beta2 adrenérgicos de longa duração e os diuréticos, havendo
um maior risco de hipocalemia. O desenvolvimento deste estudo proporcionou uma
excelente oportunidade de um entendimento mais aprofundado da importância da
farmacovigilância e como tal, do papel do farmacêutico na avaliação da farmacoterapia
nestas instituições.
A segunda parte corresponde ao relatório de estágio curricular em farmácia comunitária,
realizado na Farmácia Portuguesa, no Funchal, que decorreu entre 12 de setembro de
2022 e 27 de janeiro de 2023. Aqui relato o funcionamento da farmácia, assim como
quais as funções realizadas pelo farmacêutico, desde o aprovisionamento, devoluções,
cedência de medicamentos e outros produtos de saúde, gestão de stock, observação da
realização de manipulados, serviços farmacêuticos, entre outros. É a finalização do
Mestrado Integrado na qual contei com o apoio de uma equipa muito prestável e
dinâmica.
The present report is aimed to obtain a Master's degree in Pharmaceutical Sciences and is divided into two parts. The first part corresponds to the Research component, which consists of the pharmacotherapeutic assessment of institutionalized elderly people, belonging to the Elderly of Beira Interior cohort (EBIcohort), diagnosed with Chronic Obstructive Pulmonary Disease (COPD). This assessment was performed using Beers (2019), STOPP/START version 2 and EU(7)-PIM List criteria, in which a total of 90 Potentially Inappropriate Medications (PIM) by Beers (2019) criteria, 50 PIM by EU(7)-PIM List criteria and 96 PIM by STOPP criteria were obtained. We also verified the existence of pharmacological interactions between the drugs used to treat COPD and the drugs for the treatment of other comorbidities. Several interactions were found, highlighting the concomitant use of long-acting beta2 adrenergic bronchodilators and diuretics, which entails a considerable risk of hypokalaemia. The second part corresponds to the report of the curricular internship in community pharmacy, carried out at Farmácia Portuguesa, in Funchal, between September 12 of 2022 and January 27 of 2023. Here I describe the functioning of the pharmacy, as well as the specific functions performed by the pharmacist in this setting, from supply, returns, provision of medicines and other health products, stock management, observation of manipulations, pharmaceutical services, among others. It is the finalization of the Integrated Master in which I had the support of a very helpful and dynamic team.
The present report is aimed to obtain a Master's degree in Pharmaceutical Sciences and is divided into two parts. The first part corresponds to the Research component, which consists of the pharmacotherapeutic assessment of institutionalized elderly people, belonging to the Elderly of Beira Interior cohort (EBIcohort), diagnosed with Chronic Obstructive Pulmonary Disease (COPD). This assessment was performed using Beers (2019), STOPP/START version 2 and EU(7)-PIM List criteria, in which a total of 90 Potentially Inappropriate Medications (PIM) by Beers (2019) criteria, 50 PIM by EU(7)-PIM List criteria and 96 PIM by STOPP criteria were obtained. We also verified the existence of pharmacological interactions between the drugs used to treat COPD and the drugs for the treatment of other comorbidities. Several interactions were found, highlighting the concomitant use of long-acting beta2 adrenergic bronchodilators and diuretics, which entails a considerable risk of hypokalaemia. The second part corresponds to the report of the curricular internship in community pharmacy, carried out at Farmácia Portuguesa, in Funchal, between September 12 of 2022 and January 27 of 2023. Here I describe the functioning of the pharmacy, as well as the specific functions performed by the pharmacist in this setting, from supply, returns, provision of medicines and other health products, stock management, observation of manipulations, pharmaceutical services, among others. It is the finalization of the Integrated Master in which I had the support of a very helpful and dynamic team.
Description
Keywords
Critérios de Beers Critérios Eu(7)-Pim Critérios Stopp/Start Doença Pulmonar Obstrutiva Crónica Farmacêutico Farmácia Comunitária Idosos Idosos Institucionalizados Interações Medicamentosas. Medicamentos Potencialmente Inapropriados