Below is a summary of Pam’s electronic health record activity while she is in the hospital. As a pharmacist, your duty is to make sure that Pam receives the correct medications. You will also make sure that Pam’s medications are not harmful to her. Answer the following questions and be prepared to discuss the responses with the rest of Pam’s healthcare team.

  1. Review Pam’s Outpatient EHR: According to Pam’s Outpatient EHR, she is allergic to penicillin and codeine. What type of reaction could she experience if she were given any form of these medications?
    A. Swelling of tongue from penicillin; hives and a rash from codeine.
    B. Difficulty breathing from penicillin; hives and a rash from codeine.
    C. Hives and a rash from penicillin; difficulty breathing from codeine.
    D. Hives and a rash from penicillin; swelling of tongue from codeine.

  2. Internet Research: As a pharmacist it is important to be aware of the different symptoms associated with drug allergies. Which symptoms below are a type of allergic reaction?
    A. Infection
    B. Skin rash / hives
    C. Increase in blood pressure
    D. Wheezing

  3. Internet Research: TRUE or FALSE: Pam will NOT have a similar reaction to any form of penicillin.

  4. Internet Research: Albuterol is a short-term bronchodilator. Select the answer that BEST describes how it functions when taken.
  5. A. Slow (extended) release medication that opens up the passages
    B. Slow (extended) release medication that relieves chest pains
    C. Quick-relief medication that opens up breathing passages
    D. Quick-relief medication that relieves chest pains

  6. Review Pam’s VPE: Referring to Pam’s VPE (Treatment tab), each statement below is a step to administer a bronchodilator. Put a number (1 – 6) by each statement to show the correct order in using a bronchodilator.
    ____ Place inhaler directly into mouth
    ____ Shake inhaler, as directed, and remove cap
    ____ Breathe in slowly, evenly and deeply
    ____ Tilt head back slightly, breathe out slowly
    ____ Hold inhaler upright with mouthpiece at the bottom
    ____ Press inhaler one time and continue to breathe in slowly

  7. Internet Research: How does a long-term bronchodilator (LT) differ from a short-term bronchodilator (ST)? Use the corresponding letters to match the type of bronchodilator with each statement.
    ____ Quick relief of asthma symptoms
    ____ Long-term control of asthma
    ____ Used twice daily
    ____ Works within minutes after inhalation

  8. Internet Research: As part of a nicotine replacement therapy, Pam’s physician prescribes Chantix. Which statement explains how it works in the brain?
    A. Blocks dopamine from being released in the brain
    B. Blocks all hormones from being released in the brain
    C. Releases dopamine to prevent withdrawal symptoms
    D. Releases hormones to prevent withdrawal symptoms

View Pam’s EHR – Outpatient   Virtual Physical Exam