COPD shadow healthCOPD shadow health, Exams of Nursing

Download COPD shadow healthCOPD shadow health and more Exams Nursing in PDF only on Docsity! COPD shadow health Experience Overview Patient: Debbie O'Connor Digital Clinical Experience Score Proficiency Level: Beginning • Students rated as “beginning” are starting to develop their advanced practice competencies and clinical reasoning skills. In comparable programs, 50% of students perform at the level of a beginning practitioner. Review your results in the tabs on the left side of the page to identify areas for improvement. Subjective Data Collection 30 out of 32 Medication Selection 22 out of 27 Education and Empathy 4 out of 6 Patient Teaching 93.8 % This score measures your performance on the Student Performance Index in relation to other students in comparable academic programs. Your instructor has chosen to scale your Student Performance Index score so that the average score on the index is a 80.0%. This score may not be your final grade if your instructor chooses to include additional components, such as 93 out of 111 • Finding: Asked about additional symptoms • Finding: Reports fatigue and weakness (Found) Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: Do you feel fatigued? • History of Present Illness Example Question: What are your symptoms? • Finding: Reports desire for smoking cessation aids (Found) Pro Tip: A patient's chief complaint establishes any illnesses or concerns they are presenting. Asking about the chief complaint will allow the patient to voice any concerns or symptoms the patient may have. Example Question: What can I do for you? Finding: Reports purulent sputum (Found) Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: Do you have purulent sputum? • Finding: Reports cough (Found) Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: Do you have a cough? • Finding: Reports feeling anxious about symptoms and worsening health issues (Found) Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: How do you feel about your symptoms? • Finding: Asked about onset and duration of symptoms • Finding: Reports most severe fatigue and difficulty breathing began three days ago (Found) Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: When did your fatigue begin? • Finding: Reports purulent sputum production started two weeks ago (Found) Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: When did your productive cough begin? • Finding: Reports respiratory symptoms increased in the last four months (Found) Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: When do you have coughing fits? • Finding: Asked about treatment and relieving factors of respiratory symptoms • Finding: Reports trying to hold off on smoking cigarettes as long as possible (Found) Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: How long do you wait between cigarettes? • Finding: Asked about severity of respiratory distress • Finding: Reports breathing difficulty and associated discomfort is a 6/10 (Found) Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current • Finding: Asked about existing health conditions • Finding: Reports chronic bronchitis related to COPD (Found) Past Medical History complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: Can you rate your symptoms on a scale of 1 to 10? • Finding: Asked about effects of health on social activity • Finding: Reports low social activity - doesn't feel up to getting out and about (Found) Pro Tip: Asking a patient about the length of their current health issues solicits information relevant to the history of their present illness. Details of their current complaint will help you follow-up on any present conditions or symptoms, such as the location of their pain or the amount of pain they may be experiencing. Example Question: How do your symptoms prevent you from social activities? Pro Tip: Inquiring into the patient's relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient's existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment. Example Question: Do you have chronic bronchitis? • Finding: Followed up on chronic bronchitis COPD diagnosis • Finding: Reports diagnosed with "Class B" COPD (Found) Pro Tip: Inquiring into the patient's relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient's existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment. Example Question: What class of COPD were you diagnosed with? • Finding: Reports diagnosed after respiratory distress episode (Found) Pro Tip: Inquiring into the patient's relevant history can reveal past diagnoses and previous conditions or concerns. Information about the patient's existing health conditions, a timeline of diagnosis, symptoms, and allergies can indicate where you should follow-up for further care and treatment. Example Question: What was your respiratory episode? Pro Tip: A patient's home medications can provide insight into the patient's current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient's background and how it may affect their current situation. Example Question: Do you use a LABA inhaler? • Finding: Reports formoterol dose of 12 micrograms (Available) Pro Tip: A patient's home medications can provide insight into the patient's current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient's background and how it may affect their current situation. Example Question: What is the dosage of your inhaler? • Finding: Reports only using once every 12 hours, once in the morning and once at night (Found) Pro Tip: A patient's home medications can provide insight into the patient's current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient's background and how it may affect their current situation. Example Question: How often do you take your inhaler? • Finding: Reports using LABA this morning (Available) Pro Tip: A patient's home medications can provide insight into the patient's current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient's background and how it may affect their current situation. Example Question: When is the last time you used your inhaler? • Finding: Reports the LABA is not very effective (Available) Pro Tip: A patient's home medications can provide insight into the patient's current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient's background and how it may affect their current situation. Example Question: Is the inhaler effective? • Finding: Denies medication side effects (Available) Pro Tip: A patient's home medications can provide insight into the patient's current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient's background and how it may affect their current situation. Example Question: Do you have any side effects from your inhaler? • Finding: Asked about supplements and vitamins • Finding: Denies use of supplements or vitamins (Found) Pro Tip: A patient's home medications can provide insight into the patient's current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient's background and how it may affect their current situation. Example Question: Do you take vitamins? • Finding: Asked about medication regimen adherence • Finding: Denies missing doses (Found) Pro Tip: A patient's home medications can provide insight into the patient's current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient's background and how it may affect their current situation. Example Question: Do you miss doses of your medication? • Finding: Asked about spirometry • Finding: Asked about living environment • Finding: Reports she lives with her daughter (Found) Pro Tip: A patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient's social history can also unveil the influence of their present illnesses in their social lives. Example Question: Social History frequency will help you understand the patient's background and how it may affect their current situation. Example Question: Have you had a flu shot? • Finding: Denies recent pneumococcal vaccines (Available) Pro Tip: A patient's home medications can provide insight into the patient's current treatment and its effacacy. Inquiring into medication history, dosage, and frequency will help you understand the patient's background and how it may affect their current situation. Example Question: Have you had a pneumonia vaccine? Who do you live with? • Finding: Reports recently moving in with her daughter because of her declining health (Found) Pro Tip: A patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient's social history can also unveil the influence of their present illnesses in their social lives. Example Question: When did you move in with your daughter? • Finding: Reports stress from arguments with daughter over smoking (Found) Pro Tip: A patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient's social history can also unveil the influence of their present illnesses in their social lives. Example Question: Is your home stressful? • Finding: Asked about substance use • Finding: Reports cigarette smoking (Found) Pro Tip: A patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient's social history can also unveil the influence of their present illnesses in their social lives. Example Question: Do you smoke cigarettes? • Finding: Denies drinking alcohol (Found) Pro Tip: A patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient's social history can also unveil the influence of their present illnesses in their social lives. Example Question: Do you drink alcohol? • Finding: Denies using illegal substances (Available) Pro Tip: A patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient's social history can also unveil the influence of their present illnesses in their social lives. Example Question: Pro Tip: A patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient's social history can also unveil the influence of their present illnesses in their social lives. Example Question: When did you start smoking? • Finding: Reports quit smoking when her daughter was young but started smoking again in her 30s (Found) Pro Tip: A patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient's social history can also unveil the influence of their present illnesses in their social lives. Example Question: Have you ever quit smoking? • Finding: Reports 37 pack years according to an online calculator her daughter used (Available) Pro Tip: A patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient's social history can also unveil the influence of their present illnesses in their social lives. Example Question: How many pack years do you have? • Finding: Followed up on smoking cessation • Finding: Reports trying to quit several times unsuccessfully with nicotine replacement therapy (Found) Pro Tip: A patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient's social history can also unveil the influence of their present illnesses in their social lives. Example Question: Have you ever quit smoking using nicotine replacement therapy? • Finding: Reports having tried nicotine gum, lozenges, and patches (Found) Pro Tip: A patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient's social history can also unveil the influence of their present illnesses in their social lives. Example Question: What kind of nicotine replacement therapy have you tried? • Finding: Reports nicotine replacement therapy failed because she did not want to deal with the required compliance (Found) Pro Tip: A patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient's social history can also unveil the influence of their present illnesses in their social lives. Example Question: Why didn't nicotine replacement therapy work? • Finding: Reports her longest period without smoking was 10 years (Found) Pro Tip: A patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. Asking about a patient's social history can also unveil the influence of their present illnesses in their social lives. Example Question: What is the longest amount of time you quit smoking? • Finding: Asked about exercise • Finding: Denies exercise due to fatigue, exhaustion, exacerbated symptoms upon exertion (Found) Pro Tip: A patient's social history encompasses their family and support system, living situation, and daily behaviors such as diet, exercise, sexual activity, and substance use. These factors can influence their current health and wellness. • Finding: Asked about weight changes • Finding: Reports weight gain of 30 pounds in the last two years (Found) Pro Tip: Understanding a patient's health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require. Review of Systems (Available) Pro Tip: A patient's family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient's current complaint and how their family's health history might be influencing it. Example Question: Did your husband smoke? • Finding: Reports daughter is a "health nut" non-smoker (Available) Pro Tip: A patient's family medical history can indicate if the patient is at a higher risk for certain illnesses and disorders. Gathering this information can contextualize a patient's current complaint and how their family's health history might be influencing it. Example Question: Does your daughter smoke? Example Question: How much weight have you gained? • Finding: Asked about review of systems for HEENT • Finding: Reports vision is nearsighted (Available) Pro Tip: Understanding a patient's health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require. Example Question: Are you nearsighted? • Finding: Reports wearing glasses (Available) Pro Tip: Understanding a patient's health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require. Example Question: Do you wear glasses? • Finding: Asked about review of systems for integumentary • Finding: Reports yellowing of skin, nails, and teeth (Available) Pro Tip: Understanding a patient's health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require. Example Question: Have you noticed changes in your skin color? • Finding: Denies cyanosis (Available) Pro Tip: Understanding a patient's health involves a comprehensive overview of their physiological systems. This is necessary to understand what symptoms may indicate larger issues, and what treatments the patient may require. Example Question: Are your fingernails blue? • Finding: Asked about review of systems for genitourinary • Finding: Reports being postmenopausal (Available) what brings you here today I'm having so much trouble just trying to breathe. And I've had these terrible coughing fits. A few days ago, a bronchospasm. My health is going downhill fast . . . I know it has to do with my smoking habit. It's so hard to kick. I was hoping I could get something to help me. when did the symptoms started? I've had breathing problems for years now -- I was hospitalized for COPD distress two years ago -- but it's been worse for about four months. For about two weeks now I've been coughing up some nasty mucus, and ever since that awful coughing fit three days ago, I've had even more fatigue and difficulty breathing. I am so sorry to hear that. Thank you. how often do you visit the doctor? I'm having so much trouble just trying to breathe. And I've had these terrible coughing fits. A few days ago, a bronchospasm. My health is going downhill fast . . . I know it has to do with my smoking habit. It's so hard to kick. I was hoping I could get something to help me. Question 11:20 AM CDT Question 11:20 AM CDT Empathize 11:22 AM CDT Question 11:43 AM CDT do you drink water? Water's mostly what I drink. are you depresses? My body is such a wreck that it makes me pretty miserable. This COPD makes me -- I'm just so anxious and really need to get better. have you ever thought about doing something to yourself? I've never thought that way. It's the opposite -- I want to start living a longer, healthier life. Quitting smoking, first of all. that is great to hear. I will help you I appreciate it, darling. Model Statement: "I'm sorry to hear that you are experiencing anxiety over your current health conditions. Not being able to Question 11:44 AM CDT Question 11:45 AM CDT Question 11:45 AM CDT Empathize 11:46 AM CDT 2 Life Tragedy Not Followed Up 4 Smoking Cessation Followed Up breathe is a scary condition. With the right therapy, and if you quit smoking, you'll begin to feel better soon." Description: Ms. O'Connor reports details of her difficult life, including the loss of her husband. what is your family history? My parents died from smoking their whole lives. It was a different time . . . my father had a heart attack at 42. My mother edged him out, but she eventually got pneumonia. what do you do on daily basis? (Clarified to: What do you eat in an average day?) Model Statement: "I'm sorry that you lost your husband and your other family members. That sounds like it must have been very difficult for you." Question 11:26 AM CDT Question 11:26 AM CDT 3 Pneumonia and Flu Vaccines Not Encountered Description: Ms. O'Connor reports that she has not had a recent flu or pneumococcal vaccine. Model Statement: "At your age, and with your health conditions, it's vital that you get an annual flu shot, and that you receive a pneumococcal vaccine every ten years. These two infections could have terrible effects on your health because your respiratory system is already compromised." Description: Ms. O'Connor reports that she has relapsed into smoking and would like assistance quitting. have you have any issues with your tongue? (Clarified to: Do you struggle with weight?) I've gained 30 pounds these past two years. (Clarified to: if I struggle with weight) i am sorry to hear that That's very kind. Model Statement: "When your COPD symptoms have been alleviated it is important that you try to eat well and get some light exercise. Not exercising can exacerbate your symptoms, and some exercise will help you breathe easier and build lung capacity." Question 11:39 AM CDT Empathize 11:39 AM CDT 6 Oxygen Therapy Followed Up Description: Ms. O'Connor expresses that she would like oxygen therapy but is unable to use it while smoking. have you ever had bronchitis? I've been diagnosed with COPD. It's chronic bronchitis. Hard as heck to breathe. I know my smoking habit makes it worse, too. I've thought about oxygen, but since I smoke, I'd blow myself up. Question 11:40 AM CDT Comments If your instructor provides individual feedback on this assignment, it will appear here. i am sorry to hear that Thanks. Model Statement: "Oxygen therapy could help alleviate some of your symptoms of breathlessness and fatigue. Unfortunately, you cannot use oxygen therapy if you smoke. It's too dangerous. Once you quit smoking, you can seek this treatment." Empathize 11:40 AM CDT © Shadow Health® 2012 - 2020 (800) 860-3241 | Help Desk | • • 2. Recommendation and Monitoring 1. Assessment The patient presents with COPD exacerbation Model Note Debbie O’Connor is a 55-year-old White woman who has been previously diagnosed with Group B COPD, but whose symptoms indicate she should be upgraded to Group C COPD. She is currently a smoker and smokes 3 - 5 cigarettes a day. She experienced a bronchospasm three days ago and has had increased fatigue and difficulty breathing since then. She has expressed a desire to quit smoking, which is vitally important in order to improve her condition. • 1. Assessment 2. Recommendation and Monitoring Take his medications daily Model Note I prescribed Ms. O’Connor a tiotropium dry powder inhaler, a long-acting muscarinic antagonist, for her COPD, a short-acting albuterol / ipratropium combination treatment for her COPD exacerbation symptoms, and varenicline as a smoking cessation aid. Ms. O’Connor needs to schedule a follow-up appointment in the next six weeks in order to evaluate her new COPD therapy and smoking cessation aid. I recommended that she Medication Selection Score: 22 out of 27 points This activity represents how well you were able to synthesize subjective data, objective data, guidelines, interactions, and contraindications to select the most effective medications(s) for the patient's problems begin checking her spirometry reading daily and keeping a log of her pulmonary function readings. First Try Second Try Third Try Totals Combined total points 22 out of 27 points Total points per column + 20 points + 2 points COPD Medication(s) Selected glycopyrrolate / formoterol indacaterol / glycopyrrolate salmeterol Points Earned + 2 points + 2 points 0 Rationale A medication you have selected is not the best choice for Ms. O'Connor’s COPD symptoms. You have two more attempts, so try again. You have prescribed Ms. O'Connor a You have selected a medication that is not the best therapeutic choice for Ms. O'Connor’s COPD symptoms. Choose a drug that meets current standards for a patient A tiotropium dry powder inhaler is the best treatment for Ms. O'Connor’s COPD symptoms. It effectively treats Class C COPD symptoms and adheres to Model Statement: Hi, Ms. O'Connor. We're going to be going over how to safely take your medications. tiotropium dry powder inhaler 6 out of 7 Model Plan hello miss debbie, I will educate you on some medications Statement 6/5/2020 4:54:42 PM Sure thing, honey. • (1 point) The tiotropium capsules should be inhaled via your inhaler. Do not swallow them • (1 point) Only use the tiotropium capsules with the inhaler provided with them • (1 point) Inhale each capsule twice to get the full dose of the drug • (1 point) Contact your healthcare professional if you experience changes in vision or irritation or pain in your eyes • (1 point) Contact your healthcare professional if you experience difficult, painful, or unusually frequent urination • (1 point) Discontinue medication and contact your healthcare provider if you experience a bronchospasm shortly after administering the dose • (1 point) Keep the tiotropium capsules in their packaging until it is time to use them. Upon removing them from the packaging, use them immediately Topics priorized for patient teaching Education Items • (0.5 points) Take a missed dose as soon as possible • (0.5 points) If you suffer acute symptoms, use your rescue inhaler instead of this one • (1 point) The tiotropium capsules should be inhaled via your inhaler. Do not swallow them • (1 point) Only use the tiotropium capsules with the inhaler provided with them • (1 point) Inhale each capsule twice to get the full dose of the drug • (1 point) Contact your healthcare professional if you experience changes in vision or irritation or pain in your eyes • (1 point) Contact your healthcare professional if you experience difficult, painful, or unusually frequent urination Model Statement: This medication comes in capsules packaged with an inhaler. Only use the capsules with the inhaler. Do not eat them or try to consume them in any other way. Model Statement: If you realize you have missed a dose of this medication, take it as soon as you can. Don't wait until your next scheduled dose. Take a missed dose as soon as possible take the miss dose as soon as possible Statement 6/5/2020 4:54:56 PM Ok. I understand. If you suffer acute symptoms, use your rescue inhaler instead of this one if you have acute symptoms, you should use your rescue in haler I'll be sure to do just that. Statement 6/5/2020 4:55:17 PM Model Statement: This is a long-acting medication that does not provide immediate relief if you are suffering an exacerbation. If you do experience an exacerbation, make sure to use your rescue inhaler and not this one.The tiotropium capsules should be inhaled via your inhaler. Do not swallow them do not swallow the inhaler Statement 6/5/2020 4:55:29 PM I understand. Only use the tiotropium capsules with the inhaler provided with them Model Statement: Inhale the contents of each capsule twice to make sure you receive a full dose. Model Statement: Problems with your eyes, such as changes in vision, pain in your eyes, or irritated eyes, could mean you're experiencing a serious side effect. If any of these things happen to you, contact your healthcare provider right away. only us the capsules with e correct inhaler Okay. Statement 6/5/2020 4:55:48 PM Model Statement: This medication comes in capsules packaged with an inhaler. Do not try to use the capsules with an inhaler other than the one that came with them. Inhale each capsule twice to get the full dose of the drug inhale each capsule twice Statement 6/5/2020 4:56:06 PM Alright. Contact your healthcare professional if you experience changes in vision or irritation or pain in your eyes contact a professional for any questions Statement 6/5/2020 4:56:21 PM Oh, dear. I sure hope that doesn't happen to me. Contact your healthcare professional if you experience difficult, painful, or unusually frequent urination Model Statement: You might experience gastrointestinal issues while taking this medication. varenicline 4 out of 5 Model Plan • (1 point) Take missed doses as soon as possible • (1 point) Take after meals with a full glass of water • (1 point) Begin smoking cessation counseling • (1 point) Do not take extra doses • (1 point) Common side effects include GI problems Topics priorized for patient teaching Education Items • (1 point) Common side effects include GI problems • (0.5 points) Common side effects include insomnia • (0.5 points) Common side effects include a headache • (1 point) Discontinue medication and contact your healthcare provider if you experience signs of an allergic reaction • (1 point) Discontinue medication and contact your healthcare provider if you experience shortness of breath Common side effects include GI problems common side effect might be gi upset Statement 6/5/2020 4:57:37 PM Kicking the habit will be worth some stomach trouble. Common side effects include insomnia also you might have insomnia Statement 6/5/2020 4:57:49 PM Model Statement: Stop taking this medication and contact your healthcare provider if you have any signs of an allergic reaction, such as a rash or sores. Thanks for the warning. Model Statement: Insomnia can be a side effect of this medication. Common side effects include a headache you might experience some headaches Statement 6/5/2020 4:57:59 PM Well, fingers crossed I don't feel any of that. Model Statement: You might experience a headache while taking varenicline.Discontinue medication and contact your healthcare provider if you experience signs of an allergic reaction stop the medication in case of allergy Statement 6/5/2020 4:58:38 PM I'll keep an eye out for those side effects. Discontinue medication and contact your healthcare provider ifyou experience shortness of breath if you feel short of breath contact the doctor immediately Forewarned is forearmed, my Derrick always used to say. I'll quit the inhaler right away if anything like that happens. Statement 6/5/2020 4:58:18 PM Model Statement: If you experience shortness of breath after taking this medication, contact your healthcare provider immediately. Say Goodbye Comments If your instructor provides individual feedback on this assignment, it will appear here. Model Statement: Prescription Writing Score: 23 out of 30 Topics priorized for patient teaching Education Items • Educate the patient on anything else and say goodbye Educate the patient on anything else and say goodbye do you have any more questions for me? Ok. See you later. Statement 6/5/2020 4:58:49 PM © Shadow Health® 2012 - 2020 (800) 860-3241 | Help Desk | tiotropium dry powder inhaler 10 out of 10 Patient Information: 1 out of 1 point This section covers the information identifying the patient. Any incorrect answers here could result in the pharmacist not dispensing the medication to the patient, and therefore you will lose the point for this section. Field Student's Answer Is Correct? Feedback ipratropium bromide / albuterol mdi 3 out of 10 This section measures how well you put together a safe and effective dose for the patient's problems. Any incorrect answers here could lead to under or overdosing the patient, and therefore you will lose all of the points in this section. Safe and Effective Dosage: 0 out of 7 point lose the point for this section. Field Student's Answer Is Correct? Feedback Signature Olga L Viego ✓ Date 05/06/2020 ✓ Patient Information: 1 out of 1 point This section covers the information identifying the patient. Any incorrect answers here could result in the pharmacist not dispensing the medication to the patient, and therefore you will lose the point for this section. Field Student's Answer Is Correct? Feedback Patient Name Debbie O'Connor ✓ Date of Birth 10/05/1964 ✓ Field Student's Answer Is Correct? Feedback Medication Name ipratropium bromide / albuterol mdi ✓ Dosage 1 (one) actuation ✓ Strength 0.5 mg / 2.5 mg per 3 mL X Correct answer: 20 mcg / 100 mcg Frequency 4 (four) times daily as needed ✓ Duration 30 (thirty) days ✓ Additional Fields: 1 out of 1 point This section covers the rest of the remaining fields for an accurate prescription. Any incorrect answers here could lead to a legally invalid prescription, and therefore you will lose the point for this sections. Field Student's Answer Is Correct? Feedback Route inhaled ✓ Quantity 1 (one) canister, 120 (one hundred and twenty) metered doses ✓ Refills 3 (three) ✓ Additional Information Indication COPD Exacerbations ✓ Model Prescription The prescription you wrote is not a safe and effective dosage, but you chose the correct answers for the additional fields. Here is the preferred prescription: Field Best Answer Dosage 1 (one) actuation Strength 20 mcg / 100 mcg Frequency 4 (four) times daily as needed Duration 30 (thirty) days Route inhaled Quantity 1 (one) canister, 120 (one hundred and twenty) metered doses Refills 3 (three) Indication COPD Exacerbations Additional Fields: 1 out of 1 point This section covers the rest of the remaining fields for an accurate prescription. Any incorrect answers here could lead to a legally invalid prescription, and therefore you will lose the point for this sections. Field Student's Answer Is Correct? Feedback Route mouth ✓ Quantity 1 (one) starting package (one month supply) ✓ Refills 0 (zero) ✓ Indication Smoking Cessation ✓ Additional Information This section covers the additional information and generic substitution fields for the prescription. These are not graded by Shadow Health, but your instructor may choose to do so when inputting your grade. Field Student's Answer Dispense As Written? Required Additional Information take as directed Click to return to main page content. Comments If your instructor provides individual feedback on this assignment, it will appear here. Signature and Date: 1 out of 1 point This section covers the information identifying who wrote the prescription and when. Any errors in this section could result in the pharmacist not dispensing the medication to the patient, and therefore you will lose the point for this section. Field Student's Answer Is Correct? Feedback Signature Olga L Viego ✓ Date 05/06/2020 ✓ © Shadow Health® 2012 - 2020 (800) 860-3241 | Help Desk |