Medication Administration — Part 2
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Osman, Faadumo
BP returned at 142/88. Lab results are now available. For each held medication decide: Give, Hold, or Call provider to clarify. Use the CMP tab before deciding.
Furosemide
Loop diuretic — 40 mg IV daily
Acts on the loop of Henle to promote excretion of sodium, water, and potassium. Indicated for HTN and fluid management.
Held — BP and K+ unknown
Lisinopril
ACE inhibitor — 10 mg PO daily
Blocks conversion of angiotensin I to angiotensin II. Reduces BP and has renal-protective effects in CKD. Reduces potassium excretion — may raise K+.
Held — BP unknown, CKD, acute sepsis
Amlodipine
Calcium channel blocker — 5 mg PO daily
Relaxes vascular smooth muscle by blocking calcium channels. Long half-life (~35 hours). Does not affect potassium excretion or renal tubular function.
Held — BP unknown, hemodynamic caution in sepsis
Ceftriaxone
Third-generation cephalosporin — 1g IV daily
Broad-spectrum antibiotic with activity against gram-negative organisms including common UTI pathogens. Approximately 50% renally cleared, 50% biliarily eliminated.
Held — CKD present, dose clarification requested from provider
Comprehensive metabolic panel — resulted this shift. Cross-reference with your medication decisions on the MAR tab.
| Test | Result | Reference range |
|---|---|---|
| Sodium (Na+) | 138 mEq/L | 136–145 |
| Potassium (K+) | 5.6 mEq/LH | 3.5–5.0 |
| Chloride (Cl-) | 102 mEq/L | 98–107 |
| Bicarbonate (HCO3-) | 20 mEq/LL | 22–29 |
| BUN | 42 mg/dLH | 7–20 |
| Creatinine | 2.1 mg/dLH | 0.5–1.1 (F) |
| eGFR | 24 mL/minL | > 60 |
| Glucose | 108 mg/dL | 70–99 |
| Calcium (Ca2+) | 8.6 mg/dLL | 8.5–10.2 |
| Magnesium (Mg2+) | 1.8 mEq/L | 1.7–2.2 |
Highlighted rows are most relevant to your medication decisions. K+ 5.6 is above safe range — consider what this means for each held medication. Creatinine 2.1 with eGFR 24 is Stage 4 CKD and will affect dosing decisions.
Urinalysis
Not yet collected
The urine specimen has not been collected yet. Complete the UA branch to collect the specimen, then enter the card number from your UA cup card to unlock these results.
Medications reconciled.
Furosemide and Amlodipine given. Provider call initiated for Lisinopril. Take the phone card — you have Dr. Shushma's direct line.
Take card #20
20