Below is a summary of Maya’s EHR activity during her four hours in the ED. As a pharmacist, you are responsible for making sure that Maya receives her medications. You are also responsible for reviewing possible side effects Maya might have with her medications. Answer the following questions and be prepared to discuss the responses with the rest of Maya’s healthcare team.

  1. Review Maya’s ED EHR: You are responsible for ensuring that the medications prescribed by Maya’s physician do not interfere with her current medications or allergies. What is Maya allergic to?
    A. Altace
    B. Lipitor
    C. Toprol-XL
    D. Codeine

  2. Internet Research: What would happen if Maya was given the drug she is allergic to?
    A. Her drug reaction could go away with time so there would be no issue.
    B. She could have a life-threatening reaction to the medicine.
    C. Her body would fight back by setting off an allergic reaction.
    D. Both B and C

  3. Internet Research: Maya’s ED EHR indicates that she was taking Altace (Ramipril), Zaroxolyn (Metolazone) and Toprol-XL (Lopressor) prior to admittance. Match each medication with the type and treatment use.
    ______ Altace       A. Beta blocker used to reduce heart rate.
    ______ Zaroxolyn       B. ACE inhibitor used to relax blood vessels and treat high blood pressure.
    ______ Toprol-XL       C. Diuretic used to treat salt and water retention.

  4. Review Maya’s VPE: The physician orders a tissue plasminogen activator (tPA).

    True or False: tPA is used to dissolve the blood clot that can cause an ischemic stroke.

View Maya’s EHR – ED Chart   Virtual Physical Exam