Shadow Health Pharm John Larsen Patient Case 1
9 9 9 9 9 9 9
Question
911/18/1
hello
8
10:009PM
9CST
Oh,9hey.
im9going9to9be9administering9your9medications9today,9they9are9for9yo
Statement
ur9blood9pressure.9they9might9make9you9feel9dizzy,9but9they9should9b
911/18/18
e9effective9in9about9309minutes
10:039PM
9CST
Oh,9okay,9thanks.
Question
are9you9in9any9pain9today?
911/18/1
8
10:049PM
Nah,9I'm9not9in9any9pain9right9now.9My9knee9was9really9hurting9a9few 9CST
9hours9ago,9probably9because9of9the9surgery.9You9don't9get9through9a9
total9knee9replacement9without9some9pain,9huh?9The9last9nurse9gave9
me9some9pretty9heavy9stuff9for9it9though,9so,9no,9I'm9not9in9pain.
this9medication9will9also9effect9your9cholesterol9levels,9to9help9preve
nt9stroke9heart9disease Statement
911/18/18
10:109PM
Oh,9okay,9thanks. 9CST
do9you9have9a9history9of9liver9disease?
Question
911/18/1
8
No,9nothin'9like9that. 10:109PM
9CST
are9you9having9muscle9tenderness?
Question
911/18/1
8
10:119PM
9CST
,No,9nothin'9like9that.
Statement
911/18/18
this9medication9can9be9taken9with9or9without9food
10:139PM
9CST
Oh,9okay,9thanks.
Question
911/20/1
Have9you9had9any9allergic9reactions9to9any9medications9in9the9past?
8
12:419PM
9CST
Oh,9hey.
HAve9you9had9any9allergic9reactions9to9any9prescription9medications Question
9in9the9past? 911/20/1
8
12:429PM
I9have9an9allergy9to9Codeine,9I9know9that9much. 9CST
What9happens9when9you9take9codeine?
Question
911/20/1
8
I9think9the9last9time9I9took9it,9I9felt9sick9to9my9stomach9and9there9was9 12:429PM
some9vomiting9involved. 9CST
If9you9experience9any9allergic9reactions9or9side9effects,9please9make9
sure9you9let9me9know9as9soon9as9possible.
Statement
911/20/18
Oh,9okay,9thanks. 12:439PM
9CST
Some9of9the9things9we9watch9for9are9a9rash,9hives,9coughing,9wheezi
ng,9shortness9of9breath,9swelling9of9your9face,9lips,9tongue9or9throat.9
This9could9be9from9the9Atorvastatin.
Statement
911/20/18
Oh,9okay,9thanks. 12:459PM
9CST
, Statement
Some9others9to9let9me9know9about9could9be9joint9pain,9feeling9very9 911/20/18
tired9or9weak,9confusion,9or9issues9with9remembering9things. 12:469PM
9CST
Oh,9okay,9thanks.
Exam9Action
Checked9vitals9before9giving9medication 911/20/18
12:469PM
9CST
Question
911/20/1
Can9you9rate9your9level9of9pain9right9now9on9a9scale9from90-10?
8
12:529PM
9CST
I9guess9a919or92.9I9don't9feel9much9on9this9heavy9pain9med9they9have
9me9on.
Exam9Action
Checked9intake9and9output9before9giving9medication
911/20/18
12:569PM
9CST
Question
911/20/1
How9much9have9you9drank9today?
8
1:439PM
9CST
I9had9some9water9when9I9woke9up,9but9that's9about9it.
Question
Do9you9feel9thirsty9now?
911/20/1
8
1:439PM
Nah,9they've9been9keeping9me9watered.9I'll9let9you9know9if9I'm9thirsty. 9CST
9 9 9 9 9 9 9
Question
911/18/1
hello
8
10:009PM
9CST
Oh,9hey.
im9going9to9be9administering9your9medications9today,9they9are9for9yo
Statement
ur9blood9pressure.9they9might9make9you9feel9dizzy,9but9they9should9b
911/18/18
e9effective9in9about9309minutes
10:039PM
9CST
Oh,9okay,9thanks.
Question
are9you9in9any9pain9today?
911/18/1
8
10:049PM
Nah,9I'm9not9in9any9pain9right9now.9My9knee9was9really9hurting9a9few 9CST
9hours9ago,9probably9because9of9the9surgery.9You9don't9get9through9a9
total9knee9replacement9without9some9pain,9huh?9The9last9nurse9gave9
me9some9pretty9heavy9stuff9for9it9though,9so,9no,9I'm9not9in9pain.
this9medication9will9also9effect9your9cholesterol9levels,9to9help9preve
nt9stroke9heart9disease Statement
911/18/18
10:109PM
Oh,9okay,9thanks. 9CST
do9you9have9a9history9of9liver9disease?
Question
911/18/1
8
No,9nothin'9like9that. 10:109PM
9CST
are9you9having9muscle9tenderness?
Question
911/18/1
8
10:119PM
9CST
,No,9nothin'9like9that.
Statement
911/18/18
this9medication9can9be9taken9with9or9without9food
10:139PM
9CST
Oh,9okay,9thanks.
Question
911/20/1
Have9you9had9any9allergic9reactions9to9any9medications9in9the9past?
8
12:419PM
9CST
Oh,9hey.
HAve9you9had9any9allergic9reactions9to9any9prescription9medications Question
9in9the9past? 911/20/1
8
12:429PM
I9have9an9allergy9to9Codeine,9I9know9that9much. 9CST
What9happens9when9you9take9codeine?
Question
911/20/1
8
I9think9the9last9time9I9took9it,9I9felt9sick9to9my9stomach9and9there9was9 12:429PM
some9vomiting9involved. 9CST
If9you9experience9any9allergic9reactions9or9side9effects,9please9make9
sure9you9let9me9know9as9soon9as9possible.
Statement
911/20/18
Oh,9okay,9thanks. 12:439PM
9CST
Some9of9the9things9we9watch9for9are9a9rash,9hives,9coughing,9wheezi
ng,9shortness9of9breath,9swelling9of9your9face,9lips,9tongue9or9throat.9
This9could9be9from9the9Atorvastatin.
Statement
911/20/18
Oh,9okay,9thanks. 12:459PM
9CST
, Statement
Some9others9to9let9me9know9about9could9be9joint9pain,9feeling9very9 911/20/18
tired9or9weak,9confusion,9or9issues9with9remembering9things. 12:469PM
9CST
Oh,9okay,9thanks.
Exam9Action
Checked9vitals9before9giving9medication 911/20/18
12:469PM
9CST
Question
911/20/1
Can9you9rate9your9level9of9pain9right9now9on9a9scale9from90-10?
8
12:529PM
9CST
I9guess9a919or92.9I9don't9feel9much9on9this9heavy9pain9med9they9have
9me9on.
Exam9Action
Checked9intake9and9output9before9giving9medication
911/20/18
12:569PM
9CST
Question
911/20/1
How9much9have9you9drank9today?
8
1:439PM
9CST
I9had9some9water9when9I9woke9up,9but9that's9about9it.
Question
Do9you9feel9thirsty9now?
911/20/1
8
1:439PM
Nah,9they've9been9keeping9me9watered.9I'll9let9you9know9if9I'm9thirsty. 9CST
