Shadow Health Pharm John Larsen Patient Case 1
Started: Nov 18, 2018
Question
11/18/18
hello
10:00 PM
CST
Oh, hey.
Statement
im going to be administering your medications today, they are for
11/18/18
your blood pressure. they might make you feel dizzy, but they
10:03 PM
should be effective in about 30 minutes
CST
Oh, okay, thanks.
Question
11/18/18
are you in any pain today?
10:04 PM
CST
Nah, I'm not in any pain right now. My knee was really hurting a
few hours ago, probably because of the surgery. You don't get
through a total knee replacement without some pain, huh? The last
nurse gave me some pretty heavy stuff for it though, so, no, I'm not
in pain.
Statement
11/18/18
this medication will also effect your cholesterol levels, to 10:10 PM
help prevent stroke heart disease CST
Oh, okay, thanks.
Question
11/18/18
10:10 PM
do you have a history of liver disease?
CST
No, nothin' like that.
Question
11/18/18
10:11 PM
are you having muscle tenderness?
CST
,No, nothin' like that.
Statement
11/18/18
this medication can be taken with or without food
10:13 PM
CST
Oh, okay, thanks.
Question
11/20/18
Have you had any allergic reactions to any medications in the past?
12:41 PM
CST
Oh, hey.
Question
HAve you had any allergic reactions to any prescription 11/20/18
medications in the past? 12:42 PM
CST
I have an allergy to Codeine, I know that much.
Question
11/20/18
What happens when you take codeine?
12:42 PM
CST
I think the last time I took it, I felt sick to my stomach and there
was some vomiting involved.
Statement
If you experience any allergic reactions or side effects, please make 11/20/18
sure you let me know as soon as possible. 12:43 PM
CST
Oh, okay, thanks.
Statement
Some of the things we watch for are a rash, hives, coughing,
11/20/18
wheezing, shortness of breath, swelling of your face, lips, tongue or
12:45 PM
throat. This could be from the Atorvastatin.
CST
Oh, okay, thanks.
, Statement
Some others to let me know about could be joint pain, feeling very 11/20/18
tired or weak, confusion, or issues with remembering things. 12:46 PM
CST
Oh, okay, thanks.
Exam Action
Checked vitals before giving medication 11/20/18
12:46 PM
CST
Question
11/20/18
Can you rate your level of pain right now on a scale from 0-10?
12:52 PM
CST
I guess a 1 or 2. I don't feel much on this heavy pain med they have
me on.
Exam Action
Checked intake and output before giving medication 11/20/18
12:56 PM
CST
Question
11/20/18
How much have you drank today?
1:43 PM
CST
I had some water when I woke up, but that's about it.
Question
11/20/18
Do you feel thirsty now?
1:43 PM
CST
Nah, they've been keeping me watered. I'll let you know if I'm
thirsty.
Started: Nov 18, 2018
Question
11/18/18
hello
10:00 PM
CST
Oh, hey.
Statement
im going to be administering your medications today, they are for
11/18/18
your blood pressure. they might make you feel dizzy, but they
10:03 PM
should be effective in about 30 minutes
CST
Oh, okay, thanks.
Question
11/18/18
are you in any pain today?
10:04 PM
CST
Nah, I'm not in any pain right now. My knee was really hurting a
few hours ago, probably because of the surgery. You don't get
through a total knee replacement without some pain, huh? The last
nurse gave me some pretty heavy stuff for it though, so, no, I'm not
in pain.
Statement
11/18/18
this medication will also effect your cholesterol levels, to 10:10 PM
help prevent stroke heart disease CST
Oh, okay, thanks.
Question
11/18/18
10:10 PM
do you have a history of liver disease?
CST
No, nothin' like that.
Question
11/18/18
10:11 PM
are you having muscle tenderness?
CST
,No, nothin' like that.
Statement
11/18/18
this medication can be taken with or without food
10:13 PM
CST
Oh, okay, thanks.
Question
11/20/18
Have you had any allergic reactions to any medications in the past?
12:41 PM
CST
Oh, hey.
Question
HAve you had any allergic reactions to any prescription 11/20/18
medications in the past? 12:42 PM
CST
I have an allergy to Codeine, I know that much.
Question
11/20/18
What happens when you take codeine?
12:42 PM
CST
I think the last time I took it, I felt sick to my stomach and there
was some vomiting involved.
Statement
If you experience any allergic reactions or side effects, please make 11/20/18
sure you let me know as soon as possible. 12:43 PM
CST
Oh, okay, thanks.
Statement
Some of the things we watch for are a rash, hives, coughing,
11/20/18
wheezing, shortness of breath, swelling of your face, lips, tongue or
12:45 PM
throat. This could be from the Atorvastatin.
CST
Oh, okay, thanks.
, Statement
Some others to let me know about could be joint pain, feeling very 11/20/18
tired or weak, confusion, or issues with remembering things. 12:46 PM
CST
Oh, okay, thanks.
Exam Action
Checked vitals before giving medication 11/20/18
12:46 PM
CST
Question
11/20/18
Can you rate your level of pain right now on a scale from 0-10?
12:52 PM
CST
I guess a 1 or 2. I don't feel much on this heavy pain med they have
me on.
Exam Action
Checked intake and output before giving medication 11/20/18
12:56 PM
CST
Question
11/20/18
How much have you drank today?
1:43 PM
CST
I had some water when I woke up, but that's about it.
Question
11/20/18
Do you feel thirsty now?
1:43 PM
CST
Nah, they've been keeping me watered. I'll let you know if I'm
thirsty.
