Below is a summary of Brittany’s EHR activity during her first hour in the ED. As a pharmacist, you are responsible for ensuring that Brittany receives the proper medications and dosage ordered by the physician. You are also responsible for reviewing any adverse interactions Brittany might have with her current medications. Using her EHR, Virtual Physical Exam (VPE) and Internet research, answer the questions and be prepared to discuss the responses with the rest of Brittany’s healthcare team.
Internet Research: The nurse inserted a large bore intravenous line (IV) and started a saline solution immediately. Why is an IV started immediately for an accident victim?
Review Brittany’s VPE: Are there any possible adverse reactions to the contrast materials used in the CT exam?
Review Brittany’s ED EHR: You review Brittany’s EHR and notice that she has an allergy. What is Brittany allergic to?
Internet Research: Why is it necessary to have this noted in her EHR?
Review Brittany’s ED EHR: Brittany is prescribed several medications. Using her EHR, list these medications.
Internet Research: Explain the purpose of each medication and why it is used on a brain injury patient.
Saline: Salt, in medicine, is referring to sodium chloride. Sodium chloride is common table salt and the salt concentrated in the earth and in sea water. Certain concentrations of both sodium and chloride in the blood are essential for normal body functions. Saline solutions are commonly used in medicine as fluid replacements to treat or prevent dehydration.
(“Saline”. Medterms. N.P., n.d. Web. 26 August 2014.)