Jorge did not have any documented or reported drug adverse reaction or medication side effects that required medical treatment during this quarter. His current medication regimen appears to be effective. Due to a diarrhea episode his Miralax was placed on hold on 6/8/17 then restarted in 7/3/17. His Clozaril was increased for better control of psychotropic symptoms. Jorge’s last Moses on 4/12/17 with total scores of 3 (2-tics/grimace, 1 weight decreased). Discus on 6/29/17 with total scores of 4 (1-Tics, 1-Grimaces, 2-blinking) psychiatrist indicated probable TD but no increase scores plus benefits outweigh the risk. Last QDRR in 5/30/17 indicates that patient is free from poly-pharmacy but he is not free of potential drug interaction:
The most recent decision was on June 29th that basically that a guy named Glossip tried to sue a hospital or something because the does of Midazolam didn't work. It's clear that petitioners failed to set up a successful petition so there wasn't a petition. the case number is 14-7955, was argued on April 29 and was decided two months later on June 29.
First, the medical assistant should convert the doctor’s prescription into layman’s terms for Doris. Medication A is two teaspoons by mouth every four hours. Medication B is 2.5 milliliters by mouth three times daily (Fulcher, Fulcher, & Soto, 2012, p. 1b). Doris should be cautious of confusing her medication dosages as that could lead to possible overdose. If Doris is afraid of mixing her medications, the medical assistant should convert to the unit that Doris is more comfortable with. For example, if Doris prefers milliliters, she should take around 9.8 milliliters of medication A. Alternatively, medication B could be taken at .5 teaspoons (Fulcher, Fulcher, & Soto, 2012, p. 131). Patients taking multiple medications should have a medication
Controlled Substance Utilization Review and Evaluation System (CURES) report ran 9/17/2016 and is appropriate for previous prescriptions and providers. Urine drug screen was completed in clinic and was consistent from 3/2016 and repeated on 6/16/16 and showed positive for Ultram. Patient remains consistent. Lidoderm patch 5% topically was discontinued due to poor
Participant was informed that the team is concerned with his ability to remain safe in the community. Participant has been engaging in risky behaviors that endanger him, staff as well as the continuation of his waiver services. Participant has been obtaining marijuana illegally from unknown sources despite his ability to obtain marijuana legally for medicinal purposes.
At today’s visit she is found sitting in the chair, she is awake, alert, and confused. I am asked to seek this pain for new onset pain. The patient complains of acute pain in pubic area and right hip area, pain is dull, achy, severity 4/10, pain is worse with walking. At this time the patient is not taking anything for pain. The ALF staff reports that the patient has daily anxiety and has to be given Ativan three times daily. The patient ambulates with a walker. Gait is
Discussion: Mrs. Lanchance reported that Dylan Risperdal was D/c'd and Cogentin was prescribed. Mrs.Lanchace said that she has noticed some changes in behavior since the change in meds. She stated the Dylan is "edgy, hyperactive and easily distracted." She also informed the team that the MRI test for an ocular headache came out normal and no further test was recommended.
Although much can be said about Depakote’s dismal prospect. The mother with her teenage son informed that if it was not for this medication, her son’s mood would have been intolerable. She stated that because of an adjusted dosage, her son’s mood has been stable and tolerable. Without the Depakote medication, her son would have been unruly, and disrespectful. Last couple of years the son had been attending an alternative school within the local school district. The school administrator who previously withdrew him from the school had matriculated him back into the school population. The parent is hopeful, that the Depakote medication can sustain and stabilize her son’s mood long enough to avoid any sorts of altercation at school. However, just
HISTORY OF PRESENT ILLNESS: This patient is a 57 yr. old, Cuban woman with a long history of rheumatoid arthritis. She has received methotrexate on a weekly basis as an outpatient for many years, approximately 2 weeks ago she developed a respiratory infection for which she received antibiotics and completed that course of antibiotics. She developed some ulcerations of her mouth and was instructed to discontinue the
D- The patient reports she is stable at her current dose and haven't used any illicit drugs. This writer discussed about the 5th take home bottle application and informed the patient about when her 4th bottle was approved, which was on 03/9/2016. This writer informed the patient that she has to wait 30 days to apply for the next bottle, which will be completed on the patient next bi-weekly scheduled appointment. Furthermore, the patient informed this writer that she has to leave as she has to be at work at 8:30am and apologized for arriving late to her session.
I am concerned with the drug to drug interaction with Mrs. Cynthia. She has hypertension, type II diabetes, and she is old. Her body mechanism metabolism the medication at a slower rate or it may metabolism too quickly. Cynthia labs result closely because she is also diabetic and is taking Lisinopril. I am concerned with her taking a potassium-sparing diuretic, potassium supplement, and aspirin. Patients who are taking potassium-sparing diuretics, potassium supplements, potassium-containing salt substitutes should not be placed on Lisinopril (mmm ) Lisinopril is
Pharmaceutical agents are intended to help patients with various conditions. Tikosyn and Clozaril are two unusual medications used to treat different conditions. However, they both require monitoring and are only available to prescribers with appropriate training.
Ceftriaxone is a broad-spectrum antimicrobial used to treat bacterial infections varying from pelvic inflammatory disease to urinary tract infections and lung infections among many others (https://medlineplus.gov/druginfo/meds/a685032.html). It was used as such to treat supposed infection related to the catfish puncture. The tetanus toxoid was administered for the purpose of preventing further infection by the bacteria Clostridium tentani, which was suspected because of the puncture wound and is an appropriate action according to the National Institute of Health (https://www.ncbi.nlm.nih.gov/pubmed/1562661). Both of these applications were ineffective because they do
drugs can be potentially dangerous for a patient, particularly if they are receiving medications from different clinicians who are not communicating with each
The activity that I performed and relates to this outcome is medication reconciliation. I performed this activity in my IPPE-III class as a PS-III student. It was a mandatory activity, which I carried out in workshop in the group of 4 students. In this activity, we were given a patient case, which had list of all the medications that patient was taking and had patient’s demographic information. After reviewing patient’s given information, I had to interview a standardized patient and find out if the patient is taking all the medications as directed by prescriber or not. If patient is taking any other vitamins, herbal or OTC medications that is not on the list and also had to look out for if there is any discrepancy with the medications patient currently on for example, duplicate therapy, drug-drug interaction, incorrect frequency etc.
Adverse reactions to drugs are common and almost any drug can cause an adverse reaction.