COMPLEX PATIENT CASE SHADOW HEALTH
2026 PRACTICE ASSESSMENT AND
DOCUMENTATION REVIEW A+
◉ Medication Symptoms: allopurinol Answer: Life threatening: none
Frequent: nausea
◉ Medication Symptoms: azithromycin Answer: Life threatening:
CDAD, Steven-Johnson syndrome, angioedema, hepatotoxicity,
seizures, toxic epidermal necrolysis
Frequent: diarrhea, nausea
◉ Medication Symptoms: ceTRIAxone Answer: Life threatening:
CDAD, Steven-Johnsons syndrome, agranulocytosis, anaphylaxis,
seizures, toxic epidermal necrolysis
Frequent: candidiasis, diarrhea, nausea
◉ Medication Symptoms: furosemide Answer: Life threatening:
Steven-Johnsons syndrome, agranulocytosis, anemia, erythema
multiforme, toxic epidermal necrolysis
, Frequent: hypocalcemia, hypochloremia alkalosis, hypoglycemia,
hypokalemia, hypomagnesemia, hyponatremia, loss of hearing, rash,
◉ Medication Symptoms: insulin aspart Answer: Life threatening:
anaphylaxis
Frequent: hypoglycemia
◉ Medication Symptoms: metoprolol succinate Answer: Life
threatening: HF, agranulocytosis, bradycardia,
pulmonary/peripheral edema
Frequent: diarrhea, dizziness, hypotension, nausea, palpitations
◉ Medication Symptoms: spironolactone Answer: Life threatening:
agranulocytosis, hyperkalemia
Frequent: rash
◉ Based on available stock, how much to administer? Answer:
allopurinol: 3 tabs
azithromycin: 2 tabs
ceftriaxone: 25 mL
2026 PRACTICE ASSESSMENT AND
DOCUMENTATION REVIEW A+
◉ Medication Symptoms: allopurinol Answer: Life threatening: none
Frequent: nausea
◉ Medication Symptoms: azithromycin Answer: Life threatening:
CDAD, Steven-Johnson syndrome, angioedema, hepatotoxicity,
seizures, toxic epidermal necrolysis
Frequent: diarrhea, nausea
◉ Medication Symptoms: ceTRIAxone Answer: Life threatening:
CDAD, Steven-Johnsons syndrome, agranulocytosis, anaphylaxis,
seizures, toxic epidermal necrolysis
Frequent: candidiasis, diarrhea, nausea
◉ Medication Symptoms: furosemide Answer: Life threatening:
Steven-Johnsons syndrome, agranulocytosis, anemia, erythema
multiforme, toxic epidermal necrolysis
, Frequent: hypocalcemia, hypochloremia alkalosis, hypoglycemia,
hypokalemia, hypomagnesemia, hyponatremia, loss of hearing, rash,
◉ Medication Symptoms: insulin aspart Answer: Life threatening:
anaphylaxis
Frequent: hypoglycemia
◉ Medication Symptoms: metoprolol succinate Answer: Life
threatening: HF, agranulocytosis, bradycardia,
pulmonary/peripheral edema
Frequent: diarrhea, dizziness, hypotension, nausea, palpitations
◉ Medication Symptoms: spironolactone Answer: Life threatening:
agranulocytosis, hyperkalemia
Frequent: rash
◉ Based on available stock, how much to administer? Answer:
allopurinol: 3 tabs
azithromycin: 2 tabs
ceftriaxone: 25 mL