Below is a summary of Mike’s EHR activity during his first few minutes in the ED. As a pharmacist, you are responsible for ensuring Mike receives the proper medications ordered by the physician. You are also responsible for reviewing any adverse interactions Mike might have with his current medications. Using his EHR, Virtual Physical Exam (VPE) and Internet research, answer the questions and be prepared to discuss the responses with the rest of Mike’s health care team.

  1. Review Mike’s ED EHR: According to Mike’s EHR he is allergic to several things. What is Mike allergic to?

    Internet Research: One of Mike’s allergies is to a medication. Why is an allergy to this medication a problem for Mike given his current health status?

  2. Internet Research: Why is nitroglycerin prescribed and how will it help?

  3. Review Mike’s VPE: How will Mike’s physician use his echocardiogram with ejection fraction, chest X-ray and blood test results to determine if he is suffering from congestive heart failure or a heart attack?

View Mike’s EHR – ED Chart   Virtual Physical Exam