Medication Reconciliation Accuracy

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Ceptic Online - Medication Reconciliation Accuracy

Listen to the interview and complete the medication reconciliation form.

Home Medication List: to be completed by pharmacy upon admission (10/20/25)

First Name: Rosa Last Name: Cruz Date of Birth: 06/24/1990	Allergies: NKDA, peanut and all tree nuts (anaphylaxis, 10-15 years ago)	Immunization History: Influenza: never <br>COVID-19: never <br>Tetanus: unknown <br>Pneumococcal: never <br>Shingles: never
Community Rx Info: Rx Insurance:	Social History: Nicotine: vapes for 1 hour 3x/week x2 years <br>Alcohol: 1 glass wine/week <br>Recreational Drugs: never
Additional Notes:

DRUG STRENGTH DF	DOSE ROUTE FREQ	PRN?	LAST DOSE (date/time)	ADVERSE EFFECTS	ADHERENCE	NOTES	MED REC ACTION	MED REC REASON
Desvenlafaxine 50 mg ER tablet	1 PO qPM w/supper	no	10/19/25 19:00	insomnia x6 months	misses 1 dose/week	takes for depression		consider changing to qAM dosing to avoid insomnia ADR and missing doses
Buspirone 5 mg tablet	1 PO TID	no	10/19/25 19:00	none	misses 1 dose/week	takes for anxiety
Zolpidem 12.5 mg ER tablet	1 PO HS	yes, sleep	10/18/25 23:00	none	none	takes for insomnia		formulary substitution to zolpidem IR 5 mg tablet, 1 PO HS PRN
Ibuprofen 200 mg gel cap	1 PO 3-4 x/month	yes, pain	10/15/25	none	none	takes PRN for headache or menstrual pain
Melatonin 5 mg tablet	1 PO 1 hr before HS	no	10/19/25 22:00	none	none	takes for insomnia x14 days		hold supplement until discharge
St. John's Wort 300 mg capsule	1 PO TID w/meals	no	10/19/25 19:00	stomach upset that has since resolved	none	takes for mood x3 months		interactions with desvenlafaxine & zolpidem

Helpful Links: Formulary Substitution List LexiDrugs							Action Key: C = Continue, D = Discontinue^, H = Hold^, M = Modify^* ^*must provide reason