Medication history

Health surveillance on a regular basis covering skin inspections, enquiries/tests relating to respiratory function consider the need to screen out staff with medical histories of allergic reactions. 

Additional patient information should include a family history of seizures (if any) and recent drug therapy (all drag s currently being used). Depending on die type of seizure disorder, other information may be needed, such as a history of ahead injury or a thorough medical history. 

A patient receiving an antianxiety drug may be treated in the hospital or in an outpatient setting. Before starting therapy for the hospitalized patient, the nurse obtains a complete medical history, including mental status and anxiety level. In the case of mild anxiety, patients may (but sometimes may not) give a reliable history of their illness. 

The preadministration assessments of the outpatient are basically die same as diose for the hospitalized patient. The nurse obtains a complete medical history and a history of die symptoms of the depression from die patient, a family member, or die patient s hospital records. During die initial interview, die nurse observes die patient for symptoms of depression and die potential for suicide The initial physical assessment also should include the patient s vital signs and weight. 

Obtain medical history and exclude patients with specific contraindications (Table 19.1). 

FIGURE 4.5 A 72-year-old man with medical history remarkable for hypertension and dyslipidemia presented with posterior circulation infarct (a). CTA and posterior circulation angiography (left vertebral artery injection) performed demonstrated severe mid-basilar artery stenosis (b and c). Left vertebral artery injection demonstrated near-complete reversal of the stenosis after a drug-eluting balloon expandable stent (Cypher, Cordis Johnson Johnson) was deployed (d). 

DW, a 78-year-old Caucasian man, presents to the emergency room with complaints of a headache persisting over the last 3 days. Repeated blood pressure measurements average 200/11 0 mm Hg. He reports no other symptoms and physical examination and laboratory tests are unremarkable as is his past medical history with the exception of hypertension diagnosed in his early 60s. DW reports that he is struggling on a fixed retirement income with no prescription coverage and takes "what I can afford." Blood pressure medications are carvedilol 25 mg twice daily, amlodipine 10 mg once daily, torsemide (Demadex )... 

Conduct a medical history. Does the patient have any compelling indications Is the patient pregnant ... 

Conduct a medication history (prescription, over-the-counter, and dietary supplements) to determine conditions or causes of hypertension. Does the patient take any medications, supplements, herbal products, or foods that may elevate SBP or DBP Does the patient have drug allergies ... 

BE s Medical History, Physical Exam, and Diagnostic Tests PMH... 

A thorough medical history and physical exam are necessary to ascertain cardiovascular risk factors and to exclude non-ischemic... 

Patients with ischemic chest discomfort and suspected acute coronary syndrome are risk-stratified based upon a 12-lead electrocardiogram, past medical history, and results of the creatine kinase myocardial band and troponin tests. The diagnosis... 

Use of aspirin within the past 7 days Using the TIMI Risk Score One point is assigned for each of the seven medical history and... 

Evaluate the patient s medical record and medication history, and conduct a patient interview to assess for the presence of drug allergies, adverse drug reactions, and drug interactions. 

Patient Encounter, Part 2 Medical History, Physical Exam and Diagnostic... 

Perform a thorough medication history to determine whether the patient is receiving any prescription or non-prescription drugs that may cause or contribute to the development of an arrhythmia. 

Given that VTE can be debilitating or fatal, it is important to treat it quickly and aggressively.8 On the other hand, because major bleeding induced by antithrombotic drugs can be equally harmful, it is important to avoid treatment when the diagnosis is not reasonably certain. Assessment of the patient s status should focus on the search for risk factors in the patient s medical history... 

Assuming KK continues to take the prescription and over-the-counter medications listed in her medication history obtained during her hospitalization, should any of these medications be discontinued or changed If changed, what alternative therapy would you recommend ... 

GR is a 68-year-old African-American male who presents to the emergency department with dizziness and loss of speech that began 1 hour ago. His past medical history is significant for hypertension, diabetes mellitus, hypercholesterolemia, and benign prostatic hypertrophy (BPH). Social history is significant for smoking 1 pack per day for the last 38 years. Current medications include metoprolol 50 mg twice daily, insulin NPH 20 units twice daily, and simvastatin 20 mg daily. 

Obtain a thorough medical history focusing on disease states that may worsen the severity of asthma. 

Perform a brief medical history to determine the time of symptom onset, symptom severity, symptom severity in relation to previous exacerbations, current medications, previous emergency department visits or hospitalizations due to asthma, previous history of respiratory failure, and psychiatric or psychological disorders. 

Assess the patient s symptoms and history of exposure to risk factors. For new patients obtain a detailed medical history including ... 

Past medical history, especially history of respiratory conditions... 

Perform a thorough medication history (nonprescription, prescription, and natural drug products), food, and patient history to determine exacerbating factors. 

When designing a drug regimen for treatment of IBD, several factors should be considered, including the patient s symptoms, medical history, current medication use, drug allergies, and location and severity of disease. 

Patient Encounter 1, Part 2 The Medical History and Physical Examination... 

A 57-year-old African-American man presents to the clinic for follow-up management of UC. He has had left-sided disease for 3 years and has been maintained in remission on maximal doses of oral mesalamine and prednisone 35 mg orally once daily. His provider has attempted several times to taper the prednisone dose, but the patient experiences a reappearance of symptoms if the dose is lowered below this level. Medical history is also significant for hypertension and heart failure. He has no known drug allergies. 

Assess the patient s medical history for pertinent drug allergies, tobacco use, and current prescription and nonprescription drug therapies. Determine if any of the medications could exacerbate IBD. If applicable, inquire about adherence or recent changes to the patient s current IBD drug regimen. 

Once cirrhosis is diagnosed, disease progression is relentless, regardless of the initial insult to the liver. Determining the specific cause of cirrhosis requires examination of both physical presentation and past medical history. An accurate social history is particularly important because few factors in the physical and laboratory examination aid in determining disease etiology. Understanding the cause of a patient s cirrhosis is imperative because it can affect therapeutic options and treatment decisions. 

The drug of choice for chronic hepatitis B depends on the patient s past medical history, aminotransferase level, HBV DNA level, and most importantly, HBeAg status. 

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