Shadow Health
Basic|| Anxiety||
Neurology||
Depression||
Abdominal||
Cardiovascular||
Heent||Health
Assessment
,Shadow Health Basic- [Patient Case/ Med Math]
"What is this?";
Let the patient know which medication you are giving & what it is
intended to treat. Correct Answer Model Response: This is
lisinopril, which you are getting to help control your high blood
pressure.
"I guess I'm not supposed to take this with food. Is that right?";
This is an opportunity to teach the patient whether this medication
should be taken with food. Correct Answer Model Response:
Lisinopril can actually be taken with or without food, whatever fits
your routine best. What is most important is to take this at the
same time everyday.
"Is it okay to take this with the blood thinner they're giving me?";
Inform your patient whether there is an interaction between these
drugs. Correct Answer Model Response: I'm glad you asked.
There is no interaction between these drugs, so it's okay to take
them together. It's actually very important to keep your high blood
pressure well controlled while you are receiving blood thinners
like warfarin and enoxaparin, which means you'll want to keep
taking your lisinopril regularly while you are on those medications.
"So, this is the Lipitor then?";
Let your patient know about the generic medication he is
receiving. Correct Answer Model Response: Yes, this is
atorvastatin, which is the generic name for lipitor. I'm giving it to
you to help keep your cholesterol levels under control.
,"So, I just keep taking this stuff and it'll do it's magic for my
cholesterol, huh?";
This is an opportunity to educate your patient on the lifestyle
adjustments he can make to improve the desired outcomes of this
medication. Correct Answer Model Response: To manage your
cholesterol levels effectively, it is important to work on this in your
lifestyle too. Having a regular exercise regimen, eating a diet that
is low in fats, carbohydrates, and alcohols, and not smoking can
help this medication do its job.
Mr. Larson's general practitioner advised him to take 2g of fish oil
per day. The capsules Mr. Larson purchased are 1,000mg. How
many fish oil capsules should he take each day? Correct Answer
2g x (1,000 mg/ 1 g) x (1 capsule/ 1,000 mg)
= 2 capsules per day
Before his surgery, Mr. Larson was taking tramadol, prescribed as
50 mg by mouth every 6 hours as needed for pain. If he took it
every available dose in a 24-hour period, how many mg tramadol
would he ingest? Correct Answer 24 hours x (1 dose/ 6 hours) x
(50 mg/ 1 dose)
= 200 mg tramadol
While in the hospital, the orders call for Mr. Larson to take
atorvastatin 20 mg, 1 tablet, by mouth once a day. However, the
pharmacy only has 10 mg tablets. How many tablets of
atorvastatin should be administered to him? Correct Answer (20
mg/ 1 day) x (1 tablet/ 10 mg)
= 2 tablets atorvastatin per day
, While in the hospital, the orders call for Mr. Larson to take
lisinopril 10 mg, 1 tablet, by mouth once a day. The pharmacy
only stocks 5 mg tablets of lisinopril. How many tablets of lisinopril
should be administered to him? Correct Answer (10 mg/ 1 day) x
(1 tablet/ 5 mg)
= 2 tablets lisinopril per day
The Davis's Drug Guide reports a potential drug-drug interaction
with acetaminophen and warfarin. If a patient is taking warfarin,
more than 2 g/ day of acetaminophen may increase bleeding.
Because Mr. Larson is ordered both, he should receive no more
than 2 g/ day of acetaminophen.
If Mr. Larson takes acetaminophen 325 mg, 2 tablets, by mouth
every 4 hours for mild pain, what is the maximum number of
tablets you can give him so that he doesn't exceed 2 g/ day?
(Assume you will only give him whole tablets) Correct Answer 2 g
x (1000 mg/ 1 g) x (1 tablet/ 162.5 mg)
= 12.3 → 12 tablets per day;
Error on key: 2 g x (1000 mg/ 1 g) x (1 tablet/ 325 mg)
= 6.15 → 6 tablets per day
At 0800, Mr. Larson reports a moderate pain level of 5, and so
you administer oxycodone 5 mg/ acetaminophen 325 mg, 1 tablet,
by mouth. At 1200, Mr. Larson reports mild pain rated 3, so you
administer acetaminophen 325 mg, 2 tablets, by mouth. At this
point, how much acetaminophen has Mr. Larson taken? Correct
Answer Dose 1 = 325 mg acetaminophen x 1 tablet = 325 mg
acetaminophen
