1. Name: RAFAEL, DUNE VIENIS KAREN N.Year & Section: BS-Pharmacy 4A Group No.: _____________________Date Started: November 09, 2009 Date Submitted: ______________ Exercise No. 3 THE MEDICATION SHEET AND CARDS Objectives: To create a medication sheet and card, To fill the medication sheet and card correctly, and To understand the importance of medication sheet and card. Data Output: The output of this exercise is printed in separate paper after the conclusion. Answers to Questions: Give the respective use of the following medication cards: Note: My answers are based on the Davao Regional Hospital 9DRH protocols. Whole yellow card – bid/q 12 hr medications Yellow card w/ one slit – for IV medications Whole pink card – for tid medications Pink card w/ one slit – for oral medications Pink card w/ two slits – for IVTT medications Whole green card – for q 4 hr medications Whole orange card – for qid medications Whole blue card – for q 6 hr medications How are discontinued drugs labeled in medication sheets? Discontinued drugs are labeled by putting a “D/C” mark using red ink pen and putting a long horizontal line on the entire column. The date, time, signature and name of the pharmacist who discontinued the medication should be written. For drugs or medications that are changed, what are the necessary corrections to be done? At the end of the column, a “changed” mark is written and the entire column is crossed out by a long horizontal line using a red ink pen. The date, time, signature and name of the pharmacist on duty should be written. What are the necessary comments on medications that are hold? Comments such as “on hold” or “hold” are necessary on medications that are hold. For medications that have been completed, what are the necessary comments/remarks? The entire column should be crossed out using a red ink pen and “completed” should be written on its end (to the right). The date, time and signature of the pharmacist should be written legibly. If medications have precautions, how is this entry made? Precautions should be written under the “comment section” of the sheet if provided. The medication card facilitates drug medication and therefore should include what information? Medication card should include the hospital information, name of patient, age, sex, address, date, attending physician’s name, ward name/location/number, bed number, name and amount of drug ordered including its dosage, frequency, route of administration, the name and signature of the pharmacist who prepared the medication/s and the medicating nurse.. Conclusion: Medication sheet and card are important instruments in order to keep the pharmacist, physician and nurses in track with the medications of the patient. These instruments are vital in order to properly document the events of medication and serves as a guide in order to track medication errors. Filling up medication sheets and cards should follow the hospital’s protocols. ST. LUKE’S HOSPITAL Father Selga Street, Davao City PATIENT DRUG PROFILE Patient Name: Thomas AnzaloneAddress: 2098 West Central Avenue Age: 31Height: 5’11”Weight: 185 lbsSex: Male Attending Physician: Kris Jezreel N. Noveno, MDWard: 65-RBed No.: 0057 Diagnosis: Acute Schizophrenic episode Date Admitted: August 14, 2009Date Discharged: August 18, 2009 Drug DescriptionDosageRoute of AdministrationFrequency/TimeDate OrderedDietHaloperidol5-10 mgIntramuscularq 4 hoursAugust 14, 2009Regular dietRisperidone2 mgOralb.i.d.August 17, 2009IV FluidsDiscontinued Medication8/17: D/C HaloperidolPRN / STAT MedicationsDrug HistoryAllergies8/14: Haloperidol 5 mg IM STAT.8/14: Haloperidol 5-10 mg IM PRN agitation.Smoker 2 ppd for 10 yearsOutpatient medications include fluphenazine.PenicillinAdverse Reactions8/14: Dry mouth, constipation, tardive dyskinesiaDiagnostic ImpressionsAcute schizophrenic episode8/14: BP: 130/74; HCT: 39%BUN: 11; Hgb: 12.5 g/dL; Cr: 1.08/14: Na: 140; K: 4; Cl: 95; CO: 25 ST. LUKE’S HOSPITAL Father Selga Street, Davao City MEDICATION SHEET Patient Name: Thomas AnzaloneAddress: 2098 West Central Avenue Age: 31Height: 5’11”Weight: 185 lbsSex: Male Attending Physician: Kris Jezreel N. Noveno, MDWard: 65-RBed No.: 0057 Date Admitted: August 14, 2009Date Discharged: August 18, 2009 Diagnosis: Acute Schizophrenic episode CLASSIFICATIONNAME OF DRUGDOSAGE, ROUTE OF ADMIN. & FREQUENCYTIME/DATE ORDERED8/148/158/168/178/18ParenteralHaloperidol5-10 mg; IM; q 4 hrs8/14/096-10-26-10-2-6-10-26-10-2-6-10-26-10-2-6-10-26-10-2- D/COralRisperidone2 mg; bid8/17/09---6 - 66–D/CTreatmentNoneNoneNone-----STAT/PRNHaloperidol 5 mg; IM; STAT8/14/0910:30 am---D/cHaloperidol 5-10 mg; IM; PRN agitation8/14/09----D/C St. Luke’s HospitalFather Selga Street, Davao City Name: Thomas Anzalone Ward: 65-R Age & Sex: 31, Male Bed No.: 0057 Date: 17-Aug-2009 A.P.: Noveno, MD.Risperidone2 mg IM b.i.d.Prepared By:Dune Rafael, RPhSheila N. Noveno, RNPharmacist on DutyMedicating NurseSt. Luke’s HospitalFather Selga Street, Davao City Name: Thomas Anzalone Ward: 65-R Age & Sex: 31, Male Bed No.: 0057 Date: ______________ A.P.: Noveno, MD.Haloperidol7.5 mg IM PRN agitationPrepared By:Dune Rafael, RPhSheila N. Noveno, RNPharmacist on DutyMedicating Nurse St. Luke’s HospitalFather Selga Street, Davao City Name: Thomas Anzalone Ward: 65-R Age & Sex: 31, Male Bed No.: 0057 Date: 14-Aug-2009 A.P.: Noveno, MD.Haloperidol7.5 mg IM q 4 hrs.Prepared By:Dune Rafael, RPhSheila N. Noveno, RNPharmacist on DutyMedicating NurseSt. Luke’s HospitalFather Selga Street, Davao City Name: Thomas Anzalone Ward: 65-R Age & Sex: 31, Male Bed No.: 0057 Date: 14-Aug-2009 A.P.: Noveno, MD.Haloperidol5 mg IM STATPrepared By:Dune Rafael, RPhSheila N. Noveno, RNPharmacist on DutyMedicating Nurse