Below is a summary of Ryan’s EHR activity while he is in the ED. As a pharmacist, you are responsible for ensuring Ryan receives the proper medications and dosage ordered by the physician. You are also responsible for reviewing any adverse reactions Ryan 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 Ryan’s health care team.
Review Ryan’s VPE: In the ED, advanced cardiac life support (ACLS) continues. Ryan is hooked up to the hospital’s standard defibrillator with monitor and is shocked for a fourth time with 200 joules. What is the purpose of defibrillation?
Internet Research: During ACLS, the physician orders Epinephrine and Amiodarone. What are these medications and why are they used?
Review Ryan’s ED EHR: You review Ryan’s EHR and notice he has two allergies. What is Ryan allergic to?
Internet Research: Why is it important that you know this information?
Advanced Cardiac Life Support (ACLS): Emergency medical procedures in which basic life support efforts of cardiopulmonary resuscitation (CPR) are augmented by establishment of an IV fluid line; possible defibrillation; drug administration; control of cardiac arrhythmias; endotracheal intubation and use of ventilation equipment.
(“Definition of ACLS.” Aclscertification.com. ACLS Certification Institute, n.d. Web. 09 June 2014.)
Joule: The International System Unit of electrical, mechanical and thermal energy.
(“Joule.” Dictionary.com. Dictionary.com, n.d. Web. 09 June 2014.)