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CAPSule The Newsletter of the Carolina Association of Pharmacy Students at the UNC Eshelman School of Pharmacy

CAPSule Editor:

Mary La


Mary La Richie Tran

Final Reviewers:



Lauren Nienas

Dr. Anthony Emekalam

Tracy Olejniczak

Dr. Macary Marciniak

Sarah Todd

Dr. Philip Rodgers Dr. Greene Shepherd Dr. Dennis Williams

Many thanks to David Etchison and John Zhu of the Communications Office for their advice on graphic design.

October CAPSule — Important Dates: Draft deadline : Wed 10/9/2013 Publishing date : Fri 10/25/2013

Questions? Comments? Interested in contributing to the next edition of the CAPSule? Email for more information!

Table of


The Aging in Stride 5K Run/Walk……………………................................2 Courtney Guidry and Kylie Weigel

Operation Immunization—Give It a Shot!.........................................4 Rachel LaBianca and Tegan Magsam

Pharmacy Through a Different Language..………………………….........6 Mariana Lucena and Caroline Pascual

A Cat Walks into a Pharmacy: The Role of the Pharmacist in Veterinary Health Care…………………………………………………………………7 Erin Nemecek

Spotlight: The CAPS Public Relations Team………………………………..9 Tracy Olejniczak

The CAPSule Asks (About): Your Study Habits…….........................10

The Aging in Stride 5K Run/Walk By Courtney Guidry and Kylie Weigel | Photos courtesy of Brittany Loy and Megan Hughes


n October 13, 2013, Project AGE (Advancing Geriatric Education) will host the 9th annual Aging in Stride 5K Run/Walk benefiting the Orange County Aging in Place Fund. This fund provides senior citizens with the

resources they need to stay in their homes as they age. This is the only 5K sponsored by CAPS, and our organization is the largest contributor to the Aging in Place Fund! Join us for a morning of activity and fun in supporting a great cause! Age group winners will receive prizes, and there are trophies for the overall male and female winners. This year, the race will feature chip timing to improve accuracy of finishing times. CAPS members can earn active CAPS points by participating in the race or volunteering. Make sure to sign up to volunteer via Sakai. The race begins at 9AM at the Bell Tower on UNC’s campus. Registration information: 

$20 for participants under 65 years of age, $8 for participants over 65

$25 race day registration

Register by October 4 to be guaranteed a T-shirt

Two ways to register:  Register online at  Mail registration form (available on the above website and

in the PharMart) along with payment to: Jena Ivey Burkhart, PharmD, CB 7574, Beard 115H, UNC Eshelman School of Pharmacy, Chapel Hill, NC 27599 

Pharmacy students can place registration forms in Courtney Guidry (Class of 2015) or Kylie Weigel’s (Class of 2015) folder.

Please contact Courtney Guidry ( or Kylie Weigel (, Project AGE Co-Chairs, with any questions!

CAPSule | September 27, 2013

Operation Immunization — Give It a Shot! By Rachel LaBianca and Tegan Magsam | Photos courtesy of Rachel LaBianca and Tegan Magsam


s the craziness of mid-semester exams, projects, assignments, and organizations looms ahead, Operation Immunization (OI) is also kicking off a busy semester of events. In addition to being American Pharmacists Month, October is when many people start to think about getting flu shots, so it is always the busiest month for Operation Immunization. Despite students’ crammed schedules, Operation Immunization is a perfect way to take a short break from studying this semester and make an impact on patients in our community. Operation Immunization was created in 1997 and was the first National Patient Care project developed by the American Pharmacists Association Academy of Student Pharmacists (APhA-ASP). The project’s goal is to “increase the public’s knowledge of immunizations while raising the number of adults receiving immunizations.”1 Through CAPS, our chapter of APhAASP hosts a number of events each year so student pharmacists can practice their skills learned in the

classroom while accomplishing this goal in our state and community. This year, we are especially excited to increase patient education and awareness due to the new North Carolina law HB832 which expands pharmacists’ immunization authority (more information on page 5). We kicked off this fall’s events at our Operation Immunization Interest Meeting, with a training session to follow on October 1st at 12PM in Kerr 2001. The training session will be a great opportunity for both new and returning CAPS students to learn what to expect at events and to review pertinent counseling points relating to immunizations. This training session aims to make our volunteers feel more comfortable with administering immunizations and educating the community about the importance of vaccinating against preventable diseases. Our first community event of the semester was the Poplar Springs Church Health Fair in Raleigh on Saturday, September 21st. We partnered with Kroger Pharmacy, Operation Heart, and

CAPSule | September 27, 2013

Operation Immunization — Give It a Shot! Operation Diabetes to administer flu shots and provide blood pressure and blood glucose screenings for local church members. We had a great turnout of both patients and students from all classes (PY1s through PY3s). Similar upcoming events will include a flu clinic with Kroger in October and an educational event in November at a Carrboro health fair. PY1s are highly encouraged to sign up for these educational opportunities to get practice talking to patients. Any relevant counseling information will be provided prior to each event, as well as during the Operation Immunization training session. PY1s are also encouraged to participate in Operation Immunization’s largest annual event at the NC State Fair on October 17 -27 (worth 5 active CAPS points). We will have ongoing events throughout the semester for immunization-certified student pharmacists, including: 

UNC Campus Health Services, weekdays from 25PM starting October 1st

SHAC Clinic, certain Wednesday nights from 610PM (first expected date in mid-October)

NC State Fair, daily October 17-27 from 9AM-2PM or 2PM-7PM

More Operation Immunization events will be scheduled throughout the semester, so keep an eye out for event sign-ups on Sakai! Whether you have volunteered with Operation Immunization in the past or if this is your first time, make sure that you give your brain a break this semester and give Operation Immunization a shot! Do not hesitate to contact us about any questions you may have. Rachel LaBianca ( and Tegan Magsam ( Operation Immunization Co-Chairs 1

APhA-ASP Operation Immunization. American Pharmacists Association. 2013. Available at

HB832: Expanding Pharmacist Immunization Authority Effective October 1, 2013: Immunizing pharmacists in North Carolina can now administer any CDC-recommended vaccine to any patient at least 18 years of age with a prescription. Immunizing pharmacists can also administer the following vaccines to patients at least 18 years of age according to written protocol: 1. Influenza (for patients age 14 and over) 2. Pneumococcal 3. Zoster 4. Hepatitis B 5. Meningococcal 6. Tdap, tetanus, and tetanus-diphtheria Immunizing pharmacists must record any immunizations administered in a patient profile, report the administration to the patient’s primary care provider within 72 hours, and record the immunization in the North Carolina Immunization Registry within 72 hours. Adapted from: House Bill 832 Ratified Bill. General Assembly of North Carolina Session 2013. Available at Bills/House/PDF/H832v5.pdf.

CAPSule | September 27, 2013

Pharmacy Through a Different Language By Mariana Lucena and Caroline Pascual ¡Hola!

exciting game with teams such as “Amigos y un

SpanishRx is the newest addition to CAPS, serving

Gringo” battling for victory! This year, keep an

as a resource to facilitate interactions with the diverse community in our area. Our goal is to increase the number of student pharmacists who

eye out for Spanish Scattergories, our newest competition where you can sharpen your Spanish skills while contending against your peers. ¡Qué

are able to and are comfortable with using Span-


ish to communicate more effectively with their

Nervous when trying to communicate with Span-

Spanish-speaking patients. We hope to enhance

ish-Speaking patients? Ready to fine-tune your

communication between Spanish-only speaking

Spanish language skills? Don’t fret because Span-

patients and student pharmacists, and thus im-

ishRx is here to help you. Don't be intimidated as

prove patient outcomes.

we will teach you everything you need for a

Regardless of Spanish-speaking ability, everyone

splendid Spanish success!

is welcome to join our group to build an even stronger bridge with a population in our area, a large proportion of which is currently distant from our health care services.

Mariana Lucena ( Caroline Pascual ( SpanishRx Co-Chairs

We plan to offer our help at health fairs, blood glucose and blood pressure screenings. In preparation for these events, SpanishRx will hold engaging mini-lectures focused on basic medical Spanish terms and knowledge that you can utilize for the rest of your pharmacy career. We intend to host several translation workshops during which we will translate patient handouts from English to Spanish to give to our Spanishspeaking patients at events. But wait, there is more! SpanishRx is continuing its tradition with Spanish Jeopardy, a legendary competitive and

CAPSule | September 27, 2013

A Cat Walks into a Pharmacy: The Role of the Pharmacist in Veterinary Health Care By Erin Nemecek


f you have worked in a community pharmacy recently, chances are you have seen a prescription for a cat or dog, or answered a question about an over-the-counter product for a pet. More and more pet owners have begun to see their pets as members of the family, deserving of the same quality medical care that they would expect for human family members. In fact, Americans will spend $13 billion on pet medications in 2013.1 Many pharmacies are now advertising pet medication programs in an effort to secure a part of this market. This, in combination with changing regulations surrounding the availability of veterinary branded medications, will result in a profound influx of veterinary prescriptions to our community pharmacies over the next several years. Is the average pharmacist prepared for these prescriptions? Maybe not.

Species differences in physiology mean that drugs behave differently in cats versus dogs versus humans. Some of the drugs that we use every day are deadly to our non-human patients. Likewise, some of the drugs that we use in animals are extremely dangerous to humans. While some human medications can be used for animals, some drugs are approved for veterinary use only. And it’s not just dogs and cats; how about cows, horses, chickens, and reptiles?

CC Image courtesy of * starrynight1 on Flickr

CC Image courtesy of TomConger on Flickr

CAPSule | September 27, 2013

To help illustrate why it is so important for a pharmacist to have a basic knowledge of veterinary pharmacotherapy, consider this example. A woman shopping in your store approaches you with a bottle of Tylenol and asks how much she should give her cat, who is older and showing signs of arthritis. How would you counsel this woman? Would you ask how much her cat weighs so you can calculate a dose?

A Cat Walks into a Pharmacy

CC Image courtesy of Knight725 on Flickr

Would you recommend she use the children’s liquid formulation to make it easier to administer? Hopefully not! An assumption made based on a pharmacist’s knowledge of human pharmacotherapy in this case could lead to disastrous results. While it is considered one of the safest drugs available to humans (when used properly!), acetaminophen is the most dangerous drug one could give a cat. Cats lack the ability to sufficiently glucuronidate acetaminophen, which results in a rapid buildup of the toxic metabolite NAPQI. NAPQI is the same metabolite that causes toxicity in cases of human overdose. In fact, the treatment for cats who have ingested acetaminophen is largely the same as that for humans who have experienced an overdose. It doesn’t take much to cause a problem in cats, with toxicity occurring at doses as low as 10mg/kg.2 This means that it only takes one 325mg tablet to cause potentially fatal toxicity. The best advice for your customer would be that she should pay a visit to her veterinarian to discuss a more appropriate pain reliever for her cat.

If we are dispensing medications to their pets, we should certainly be able to provide that same standard of care. If you are interested in learning more about veterinary pharmacotherapy so that you can provide quality care to all of your patients, then the Veterinary SIC is for you. SIC events will focus on providing practical knowledge of veterinary pharmacotherapy and general principles of medication use in animals. Join us on October 25th for our first guest speaker, Jessica Ward, DVM. Dr. Ward is a 2 nd year resident in cardiology at the NCSU College of Veterinary Medicine, and will discuss the management of cardiovascular disease in companion animals. Hope to see you there! For more information, contact Erin Nemecek, Veterinary SIC representative, at


American Pet Products Association.


The Merck Veterinary Manual. Available online at: gs/analgesics_toxicity.html?qt=acetaminophen%20cat&alt=sh

Our patients expect us as pharmacists to provide accurate, quality information about their medications to ensure their safety and well-being.

CAPSule | September 27, 2013

Spotlight: The CAPS Public Relations Team


By Tracy Olejniczak

wanted to take a minute to say a huge THANK YOU to our CAPS Public Relations team! They have been working diligently to make sure that students at the UNC Eshelman School of Pharmacy understand the benefits of joining CAPS. This is a huge responsibility that our organization depends on to be successful. I would like to give a special note of appreciation for Lauren Nienas, our Public Relations Chair. She has spent a lot of time ensuring that students remember CAPS throughout the chaotic noise chaos that defines the beginning of a new school year. She has been integral to essential in planning for the our annual CAPS picnic, as well as running the CAPS social media pages such as the Facebook and Twitter pages. Be sure to check them out if you haven’t already for details and updates on CAPS events. Lauren will also play a crucial role during American Pharmacists Month in October working towards educating the public about the importance of our profession. Additionally, PY3 Lauren Clouse and PY2 Brianna Moore, the CAPS Special Projects Co-Chairs, put their heart into planning the CAPS picnic, which was a great success. They did an excellent job in planning the details of this event and coordinating the delicious food. Our Special Projects Co-Chairs will continue to work with the Public Relations Chair to make sure that large CAPS events, such as the picnic, proceed smoothly. Thanks to Lauren and Briana for a great picnic! Another unique aspect of the CAPS Public Relations team is the Community Outreach Coordinators: Nicole Palazzolo and Ruhani Alam, both PY2s. This is

CAPSule | September 27, 2013

a position newly implemented this year to foster the growth of CAPS’ presence in local schools and the expansion of our efforts at local health fairs. Nicole and Ruhani have gotten the year started off right by setting up opportunities for CAPS leaders to visit local schools and teach the students there about healthy decisions. Furthermore, Ruhani and Nicole have developed relationships with local drug stores to allow student pharmacists more opportunities to get out into the community and provide direct patient care. If you know of anyone who would like to work with CAPS, feel free to contact Nicole and Ruhani at Finally, some of our hardest-working members of the Public Relations team operate behind-the-scenes. Richie Tran, PY3, is the CAPS webmaster/historian. Richie helps manage the CAPS website efficiently and is our designated photographer at major events. Richie gets recruited to help with many aspects of CAPS’ technological advancement, such as creating new logos for some of our patient care projects. Also heading a newly implemented initiative this year is Mary La, PY3, our CAPSule editor. Mary has been integral to developing a publication platform, a schedule for publication dates, and a timeline for submissions, the editing process, and final review by the CAPS advisors. Her organization and attention to detail have been vital to developing a professional online newsletter for CAPS. In summary, the CAPS Public Relations Team consists of many individual leaders with exceptionally unique talents. Thank you all for getting this year off to a great start!

The CAPSule Asks (About):


Your Study Habits

n honor of the first (or second, third, etc.) round of exams, we asked you about your approach to studying and stress relief. Here’s what you said.

Q: What is one thing you have to have for a successful study marathon, and why? I must take five to ten minute breaks at least every hour to stretch my legs, and often to have a small snack. This gets blood back in my brain and puts some fuel in my system. Sometimes I get on a roll and forget to take a break, and I always notice that my time isn't as effective; I don't absorb what I'm studying. — A PY2 My N*Sync mixed tape on repeat. — A PY3 Study guides!! They help me organize the material in a cohesive way that I understand. — A PY3 Lots of snacks. I fall asleep if I'm not constantly eating. — A PY3 Motivation, otherwise you will find every reason not to focus on what you're supposed to be studying. — A PY2 Pandora, specifically Mumford & Sons really keep me calm and focused while studying. — A PY3

Coffee, it keeps you going. — A PY1 Diet Dr. Pepper, caffeine! — A PY2

Q: What is your favorite way to destress? What is the best thing to do after a big exam or assignment? Take a nap! — A PY1 I like to watch comedies. Basically I just want to turn my brain off for a couple of hours. — A PY2 My Backstreet Boys mixed tape on repeat, and getting my early-to-mid 90s on. — A PY3 I enjoy watching a movie or catching up on my favorite TV series. — A PY3 Exercise is my best de-stressor. After a big exam, a TV marathon hits the spot. — A PY2 Best way to de-stress: take a deep breath and just let it all go on the exhale. Best thing after a big exam is a tie between call my mom and go for a jog! — A PY3

CAPSule | September 27, 2013

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