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    PATIENT MEDICATION HISTORY INTERVIEW FORM Sre

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    Hari Eshwaran
    Vijaya, a 49-year-old female patient, is currently prescribed ranitidine, dicyclomine, lactobacilli, and ondansetron. She was previously prescribed enalapril. She reports that ranitidine helps reduce stomach burning and ondansetron helps reduce vomiting. However, she is experiencing abdominal pain which she attributes to ondansetron. In the past, enalapril caused dizziness. She relies on family members and consulting pharmacists to help manage her medication regimen and any side effects or issues.

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    PATIENT MEDICATION HISTORY INTERVIEW FORM Sre

    Uploaded by

    Hari Eshwaran
    44 views11 pages
    Vijaya, a 49-year-old female patient, is currently prescribed ranitidine, dicyclomine, lactobacilli, and ondansetron. She was previously prescribed enalapril. She reports that ranitidine helps reduce stomach burning and ondansetron helps reduce vomiting. However, she is experiencing abdominal pain which she attributes to ondansetron. In the past, enalapril caused dizziness. She relies on family members and consulting pharmacists to help manage her medication regimen and any side effects or issues.

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    Vijaya, a 49-year-old female patient, is currently prescribed ranitidine, dicyclomine, lactobacilli, and ondansetron. She was previously prescribed enalapril. She reports that ranitidine helps reduce stomach burning and ondansetron helps reduce vomiting. However, she is experiencing abdominal pain which she attributes to ondansetron. In the past, enalapril caused dizziness. She relies on family members and consulting pharmacists to help manage her medication regimen and any side effects or issues.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    Download as pptx, pdf, or txt
    44 views11 pages

    PATIENT MEDICATION HISTORY INTERVIEW FORM Sre

    Uploaded by

    Hari Eshwaran
    Vijaya, a 49-year-old female patient, is currently prescribed ranitidine, dicyclomine, lactobacilli, and ondansetron. She was previously prescribed enalapril. She reports that ranitidine helps reduce stomach burning and ondansetron helps reduce vomiting. However, she is experiencing abdominal pain which she attributes to ondansetron. In the past, enalapril caused dizziness. She relies on family members and consulting pharmacists to help manage her medication regimen and any side effects or issues.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 11

    PATIENT MEDICATION

    HISTORY INTERVIEW FORM

    BY :- SREYA SURESH
    16GT1T0023
    PHARM D 4TH YEAR
    SRI VENKATESWARA COLLEGE OF PHARMACY
    DEMOGRAPHIC DATA
    • Patient Name:- Vijaya
    • Age:- 49 years
    • Consultant:- Physicians
    • Admission date:- 20.11.19
    • Sex:- female
    • Body weight:- 65kg
    • Ward No :- II GMW
    • Interview date :- 21.11.19
    PRESCRIBED MEDICATION
    a) Record here what the patient says, nothing any anomalies with a
    current prescription.
    T . Rantidine -150mg
    T. Dicyclomine -40mg
    Cap. Lactobacilli
    T. Ondansetronb -4mg

    b) Other drugs prescribed previously


    T. Enalapril -2.5mg
    NON-PRESCRIBED MEDICATION
    a. Current being used
    ORS, Fruits
    b. Used previously
    there was no such previously used medications

    SOCIAL DRUGS
    • Smoking :- no
    • Alcohol :- no
    • Illicit drugs :- no
    RESPONSE TO DRUG THERAPY
    a. Do you the current medication is benefited to you ?
    • if yes, how?
    Yes , ranitidine decrease the stomach burning sensation

    • If no, why?
    ----
    b. Do you think your prescription medication benefited you?
    • If yes, which ones and how ?
    yes, ondansetron has helped in reducing vomiting

    • If no, why?
    ----
    DO ANY OF THE THINGS YOU BUY WITHOUT A
    PRESCRIPTION, HELPED YOU?
    • If yes, how and which ones?
    Yes, ORS helped in decreasing vomiting and dehydration

    SIDE EFFECTS
    A. Are you suffering any side effects now ?
    • If yes, what side effects ?
    Yes, abdominal pain
    • B. which of your medicines, do you think is causing the problem ?
    ondansetron
    • C. have you suffered any side effects and which medication?
    • If yes, what side effects and which medication ?
    yes, enalapril caused dizziness

    COMPLIANCE
    • How do you remember to take you medication?
    with the help of family member
    • What you do when miss a dose ?
    Consult a pharmacist
    WHAT MEDICINE WOULD YOU USUALLY TAKE
    FOR
    • Headache: ----
    • Ache/ pain and flu :- +++
    • Allergy: ----
    WHO WOULD YOU ASK MEDICINE FOR
    HEADACHE, ALLERGY, FLU, ETC
    • Pharmacist: +++++
    • Relative/ friends: ------
    • Nurse: ------
    • Doctor: ------
    • No one: ------
    ANY OTHER PROBLEM WITH DRUG THERAPY
    The other problems which are observed are as follows:-
    a) nausea
    b) cough
    COMMENTS
    • Follow up the prescribed medication regularly.

    RECOMMENDATION
    Consult pharmacist, incase of any other side effect .

    REPORT
    Patient medication history was conducted and reported.

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