Medicine- Day 8

Lesson from Psych out-patient group today: patients are genuinely interested in the medications that they are taking. They are often willing to share personal experiences in a group setting.

FMI:

• vivid dreams can be cause by aricept or wellbutrin
• Side effect of ACEI: angioedema (apid swelling (edema) of the dermis, subcutaneous tissue,[1]mucosa and submucosal tissues) This can happen anytime during therapy
• vanco c. diff dose:125-500 mg orally every 6-8 hours for 7-10 days
• cogentin ( or Benztropine mesylate): sed in patients to reduce the side effects of antipsychotic treatment, such as parkinsonism and akathisia.
• epival: causes hair loss
• rogaine: doesn’t work in woman???????
• metronidazole dosing: 0700, 1200, 2200// it is dosed with meals to avoid stomach irritation

Procedure Log Reflection:

After working-up a patient’s drug related problems, Beth and I discussed each of the patient’s medical issues. I was able to summarize a list of recommendations to the GP, who I contacted by phone this afternoon. The GP agreed to some of the recommendations and reserved others for a later time. After the discussion with the GP, I accurately transcribed the medication order onto the patient’s orders. I will follow up with the patient to tomorrow to see how she is reacting to the changes.