4. This patient was prescribed four different medications for treatment of her H. pylori infec- tion. Identify the drug functions/mechanisms. (Use table below.) Drug Metronidazole Tetracycline Bismuth subsalicylate Omeprazole Action 5. What are the possible drug-nutrient side effects from Mrs. Rodriguez's prescribed regi- men? (See table above.) Which drug-nutrient side effects are most pertinent to her current nutritional status?

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Question
UHU
UNIVERSITY HOSPITAL
BED #
1
DATE:
8/30
TIME:
1700
ADMISSION DATABASE
Yellow
PRIMARY PERSON TO CONTACT:
Name: Maria Rodriguez
DOB: 12/19
(age 38)
Physician: A. Gustaf, MD
☐ Green ☐White
Name: Emilio Santiago (brother)
TRIAGE STATUS (ER ONLY):
☐ Red
Initial Vital Signs
Home #: 555-212-7890
TEMP:
102
RESP:
32
SAO2:
HT (in):
WT (lb): 110
5'2"
UBW 145
B/P:
78/60
PULSE:
68
LAST TETANUS
5 years ago
LAST ATE
yesterday
LAST DRANK
water 1 hour ago
Work #: 555-213-4563
ORIENTATION TO UNIT: ☑Call light ☑Television/telephone
☑Bathroom ☑Visiting ☑ Smoking ☑Meals
☑Patient rights/responsibilities
CHIEF COMPLAINT/HX OF PRESENT ILLNESS
"I found out I had an ulcer 2 weeks ago. Last night I seemed to have
gotten worse. I have been vomiting, and I have diarrhea. My pain is
terrible. I think I have blood in my vomit and my diarrhea."
ALLERGIES: Meds, Food, IVP Dye, Seafood: Type of Reaction
Codeine causes nausea and vomiting.
PREVIOUS HOSPITALIZATIONS/SURGERIES
For delivery of her two daughters only
PERSONAL ARTICLES: (Check if retained/describe)
☐ Contacts ☐ R ☐ L
☑Jewelry: wedding band
☐ Other:
VALUABLES ENVELOPE:
Valuables instructions
☐ Dentures ☐ Upper ☐ Lower
INFORMATION OBTAINED FROM:
☑ Patient
☑Family
☐ Previous record
☐ Responsible party
Maria Rodriquez
Home Medications (including OTC)
Medication
bismuth subsalicylate
metronidazole
tetracycline
omeprazole
Signature
Codes: A Sent home
Dose
B=Sent to pharmacy
Frequency
Time of Last Dose
Code
C=Not brought in
Patient Understanding of Drug
525 mg
4 x daily
this AM
C
yes
250 mg
4 x daily
this AM
C
yes
500 mg
4 x daily
this AM
C
yes
20 mg
2 x daily
this AM
C
yes
Do you take all medications as prescribed?
☑ Yes
☐ No If no, why?
PATIENT/FAMILY HISTORY
☐ Cold in past two weeks
☐ Hay fever
☐ Emphysema/lung problems
TB disease/positive TB skin test
☐ Cancer
☐ Stroke/past paralysis
Heart attack
☐ Angina/chest pain
☐ Heart problems
RISK SCREENING
Have you had a blood transfusion?
☐ Yes
☑ No
☑ Yes ☐ No
☐ High blood pressure
☐ Arthritis
Claustrophobia
Circulation problems
Easy bleeding/bruising/anemia
Sickle cell disease
☐ Liver disease/jaundice
☐ Thyroid disease
☑ Diabetes Maternal grandmother
☐ Kidney/urinary problems
☑ Gastric/abdominal pain/heartburn Patient
Hearing problems
Glaucoma/eye problems
Back pain
☐ Seizures
☑ Other Father and grandfather had
ulcer disease
FOR WOMEN Ages 12-52
Do you smoke?
Is there any chance you could be pregnant?
☐ Yes
☑ No
If yes, how often?
If yes, how many pack(s)? 1.5/day for 15 years
Does anyone in your household smoke? ☑ Yes ☐ No
Do you drink alcohol? ☐ Yes
When was your last drink?
If yes, expected date (EDC):
Gravida/Para: 2/2
☑ No
ALL WOMEN
How much?
Do
you take any recreational drugs?
Yes
☑ No
Date of last Pap smear: Feb. of this year
Do you perform regular breast self-exams?
☑ Yes
☐ No
If yes, type:
Route:
ALL MEN
Frequency:
Date last used:
Do you perform regular testicular exams?
☐ Yes
☐ No
Additional comments:
× Sophia MaMillan, t
Signature/Title
Transcribed Image Text:UHU UNIVERSITY HOSPITAL BED # 1 DATE: 8/30 TIME: 1700 ADMISSION DATABASE Yellow PRIMARY PERSON TO CONTACT: Name: Maria Rodriguez DOB: 12/19 (age 38) Physician: A. Gustaf, MD ☐ Green ☐White Name: Emilio Santiago (brother) TRIAGE STATUS (ER ONLY): ☐ Red Initial Vital Signs Home #: 555-212-7890 TEMP: 102 RESP: 32 SAO2: HT (in): WT (lb): 110 5'2" UBW 145 B/P: 78/60 PULSE: 68 LAST TETANUS 5 years ago LAST ATE yesterday LAST DRANK water 1 hour ago Work #: 555-213-4563 ORIENTATION TO UNIT: ☑Call light ☑Television/telephone ☑Bathroom ☑Visiting ☑ Smoking ☑Meals ☑Patient rights/responsibilities CHIEF COMPLAINT/HX OF PRESENT ILLNESS "I found out I had an ulcer 2 weeks ago. Last night I seemed to have gotten worse. I have been vomiting, and I have diarrhea. My pain is terrible. I think I have blood in my vomit and my diarrhea." ALLERGIES: Meds, Food, IVP Dye, Seafood: Type of Reaction Codeine causes nausea and vomiting. PREVIOUS HOSPITALIZATIONS/SURGERIES For delivery of her two daughters only PERSONAL ARTICLES: (Check if retained/describe) ☐ Contacts ☐ R ☐ L ☑Jewelry: wedding band ☐ Other: VALUABLES ENVELOPE: Valuables instructions ☐ Dentures ☐ Upper ☐ Lower INFORMATION OBTAINED FROM: ☑ Patient ☑Family ☐ Previous record ☐ Responsible party Maria Rodriquez Home Medications (including OTC) Medication bismuth subsalicylate metronidazole tetracycline omeprazole Signature Codes: A Sent home Dose B=Sent to pharmacy Frequency Time of Last Dose Code C=Not brought in Patient Understanding of Drug 525 mg 4 x daily this AM C yes 250 mg 4 x daily this AM C yes 500 mg 4 x daily this AM C yes 20 mg 2 x daily this AM C yes Do you take all medications as prescribed? ☑ Yes ☐ No If no, why? PATIENT/FAMILY HISTORY ☐ Cold in past two weeks ☐ Hay fever ☐ Emphysema/lung problems TB disease/positive TB skin test ☐ Cancer ☐ Stroke/past paralysis Heart attack ☐ Angina/chest pain ☐ Heart problems RISK SCREENING Have you had a blood transfusion? ☐ Yes ☑ No ☑ Yes ☐ No ☐ High blood pressure ☐ Arthritis Claustrophobia Circulation problems Easy bleeding/bruising/anemia Sickle cell disease ☐ Liver disease/jaundice ☐ Thyroid disease ☑ Diabetes Maternal grandmother ☐ Kidney/urinary problems ☑ Gastric/abdominal pain/heartburn Patient Hearing problems Glaucoma/eye problems Back pain ☐ Seizures ☑ Other Father and grandfather had ulcer disease FOR WOMEN Ages 12-52 Do you smoke? Is there any chance you could be pregnant? ☐ Yes ☑ No If yes, how often? If yes, how many pack(s)? 1.5/day for 15 years Does anyone in your household smoke? ☑ Yes ☐ No Do you drink alcohol? ☐ Yes When was your last drink? If yes, expected date (EDC): Gravida/Para: 2/2 ☑ No ALL WOMEN How much? Do you take any recreational drugs? Yes ☑ No Date of last Pap smear: Feb. of this year Do you perform regular breast self-exams? ☑ Yes ☐ No If yes, type: Route: ALL MEN Frequency: Date last used: Do you perform regular testicular exams? ☐ Yes ☐ No Additional comments: × Sophia MaMillan, t Signature/Title
4. This patient was prescribed four different medications for treatment of her H. pylori infec-
tion. Identify the drug functions/mechanisms. (Use table below.)
Drug
Metronidazole
Tetracycline
Bismuth subsalicylate
Omeprazole
Action
5. What are the possible drug-nutrient side effects from Mrs. Rodriguez's prescribed regi-
men? (See table above.) Which drug-nutrient side effects are most pertinent to her current
nutritional status?
Transcribed Image Text:4. This patient was prescribed four different medications for treatment of her H. pylori infec- tion. Identify the drug functions/mechanisms. (Use table below.) Drug Metronidazole Tetracycline Bismuth subsalicylate Omeprazole Action 5. What are the possible drug-nutrient side effects from Mrs. Rodriguez's prescribed regi- men? (See table above.) Which drug-nutrient side effects are most pertinent to her current nutritional status?
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