79 Matching Annotations
  1. Aug 2018
    1. Monitoring The

      how often do you monitor. monitoring for LR?

    2. .

      is there a specific scoring system?

    3. 250

      how often do you monitor for this and what do you do if these values are not met?

    4. 6 His

      how often do you monitor for this and what do you do if these values are not met?

    5. ciprofloxacin

      I don't see how this sentence is relevant

    6. can

      delete

    7. 509

      round to 500 mL/hr or 250

    8. Acetaminophen

      what about the bactrim

    9. 1 He

      dont need this sentence

    1. Adverse Event Monitoring.

      remember to establish when you need to monitor and what to do if patient is experiencing AE

    2. Perform

      when?

    3. Therapeutic Monitoring

      remember to establish when you need to monitor and what to do if patient is not meeting therapeutic goals.

    4. luids helped

      fluids helped what?

    5. frequently

      how frequently

    6. ACG

      what does this stand for write it out to establish the abbreviation

    7. Althou

      move this sentence next to where you talk about mero

    8. issues going on

      sounds unprofessional

    9. days

      also consider adding potassium, and mag

    10. Discontinue

      good

    11. 106

      ? usually 140 or 180 in hospital setting

    1. Monitoring Some

      include what to do if they experience symptoms and when to monitor for them

    2. imipenem

      again, what if fever doesn't decrease? consider checking susceptibility

    3. decrease

      what if levels do not normalize? i

    4. decreased

      compared to what? NS? say specifically why you chose LR over NS

    5. po

      spell out

    6. IV

      may want to spell out intravenously and every 6 hours

    7. The

      probably don't need this sentece or you can say magnesium sulfate in 100 ml of NS in the previous sentence

    8. erum potassium

      serum potassium is not a medication. choose KCl or KPhos may want to write 40 meq kphos infused over 6 hours then recheck levels

    9. Tylenol

      dc bactrim? associated with pancreatitis

    10. 106

      may be low? usual inpatient goals are either 140 or 180

    11. electrolytes

      which electrolytes? hypomagnesia etc.

    1. epinephrine

      consider adding time periods to monitor for all. daily?

    2. hour

      Is that all, probably need to continue fluid replacement for longer than an hour to assure hydration

      consider adding KPhos

      Add thiamine for alch withdrawl

    3. Tylenol

      double check about tylenol and pancreatits?

    4. New

      may want to hit on duration. how long will he get AB? fluid? diazapam.

    5. ringer

      intravenously (could say at a rate of 500 mL/hr)

    6. Rationale

      great rationale

    7. reassess fluid

      consider adjusting fluid rate or switching to normal saline

    8. Discontinue Bactrim

      good

    9. infection

      bacterial infection and susceptibility of meropenem

    10. xpectatio

      consider saying normalize lab values (if you need more space). may want to include: expectations would be to effectively treat pancreatitis (etc) with minimal adverse effects. g

    1. on-Phar

      Great job overall!! :)

    2. St

      lowercase s, this sentence could also go in non-pharm

    3. isease

      great job here!

    4. iving. 2

      consider adding how it would help the people around her by not having to take care of her, she could remain independent

    1. at bedtime

      be more specific: take one tablet by mouth at bedtime

    2. forgetfulness

      create realistic expectations. this will not cure her, but prevent progression of disease

    3. Monito

      when do you monitor for all of these things? at follow up appointment? and what do you do if any of these SEs occurs? D/c med or switch to another maybe

    4. 50 ng/m

      when should this serum level be taken?

    5. AD

      write out: or establish the abbreviation. while some abbreviations are acceptable; just to be sure with your graders i would write everything out, or establish the abbreviation the first time you write the word in the plan

    6. nhibito

      if you are going to use ChEI for the remainder of the plan; put (ChEI) here to establish the abbreviation

    7. Therapy

      expect to take this for the rest of her life

    8. ADL

      spell out

    1. 65 years old

      overall great job!

    2. e

      consider adding more about what to expect as far as memory. clarify that it may not improve memory, but prevent it from deteriorating

    3. suboptimal

      define suboptimal response for the 4-6 w follow up?. is there as specific MMSE score, or are they just looking for a decline in score?

    4. po

      write by mouth

    5. prolong

      great job on this section!

    6. diphenhydramine

      antihistamine contraindicated with cholinesterase inhibitors

    1. ricep

      did you specifically what the brand name: consider donepezil (generic)

    2. diphenhydramin

      good

    3. ituation

      consider adding non pharm about word puzzles, and exercise

    4. MMSE score

      this is more therapeutic than AE

    5. cost efficien

      if you could find primary lit that says donepezil is safer (less AEs) or more effective that would strengthen your rationale

    6. .

      consider adding avoiding the need to outside help, staying independent

    1. .

      Great job! good luck with everything!

    2. Alzheimer

      add more about how this will help alleviate her specific symptoms or keep them from getting worse

    3. desirable effects

      What are the desirable effects? be specific. little to no decline is MMSE? no worsening of symptoms

    4. One

      consider adding why a cholinesterase inhibitor was chosen over namenda: one sentence explaining that they are first line

    5. 17.7%

      good rationale!

    6. (generic)

      Add formulation: one tablet

    7. time

      consider adding; help her stay independent, or prevent the need for a care facility, or care from family

    8. Diphenhydramine

      consider adding why antihistamines are not appropriate, especially in dementia, not just because BEERs

    9. Alleviating

      slowing?

    10. paying bills

      look at word agreement, exp: loses and paying add forgets to pay bills

    11. near misses

      explain more. what is a near miss?