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Ceptic Online - Medication Reconciliation (endless)


 
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Jonah Robbins
MRN
830171
DOB
7/7/1955
Age
70
Gender
Male
Ethnicity
Alaska Native
Height
154.9 cm
Weight
80 kg
Creatinine
1.6 mg/dL
Patient Name: Jonah Robbins
 
DOB: 7/7/1955
 
Room: 741
Allergies: nitrofurantoin (severe rash, angioedema), 3 years ago Immunization History:
  • influenza: current season (2025)
  • covid-19: current season (2025)
  • tetanus: uknown
  • pneumococcal: PCV20 (2020)
  • shingles: uknown
Community Rx Info: Walgreens
 
Rx Insurance: OptumRx
Social History:
  • Alcohol: none
  • Nicotine: none
  • Caffeine: one 12 oz can of energy drink (Celsius) three times each day
  • Rec Drugs: 2 joint of marijuana once a day
Complete Medication History Prior to Admission
Med Reconciliation
Medication
Name
Strength
Route
Frequency
PRN?
Last Dose
(date/time)
Adverse
Effects
Adherence
Action
*Reason
for D,H,M
Zafirlukast
20 mg
PO
BID
no
12-15-2025
2030
none
miss 1 dose/week
M
formulary substitution to montelukast 10 mg PO QD
Escitalopram
5 mg
PO
QD
no
12-16-2025
0730
insomnia 1-2 days/week
miss 1 dose/month
C
Bupropion
300 mg XL
PO
QD
no
12-15-2025
2300
weight loss
miss 2 doses/month
M
dose decrease to 150 mg QD for CrCl 15-60
Nature Made
Vitamin C
1,000 mg
PO
QD
no
12-16-2025
0730
none
miss 1 dose/week
H
non-formulary supplment, resume on discharge
Sudafed
30 mg
PO
Q6H
PRN sinus congestion
12-08-2025
0730
occasional agitation
uses 4 doses/month
H
non-daily OTC drug, resume on discharge
Additional Notes:    CrCl = 39 mL/min based on adjusted body weight of 63.4 kg (ABW/IBW = 153%) Action Key:
   C = Continue
*Must provide reason:
   D = Discontinue, H = Hold, M = Modify
Med history obtained by (sign and print): Date: 12-16-2025

Patient Name: Jonah Robbins
 
DOB: 7/7/1955
 
Room: 741
Allergies: nitrofurantoin (severe rash, angioedema), 3 years ago Immunization History:
  • influenza: current season (2025)
  • covid-19: current season (2025)
  • tetanus: uknown
  • pneumococcal: PCV20 (2020)
  • shingles: uknown
Community Rx Info: Walgreens
 
Rx Insurance: OptumRx
Social History:
  • Alcohol: none
  • Nicotine: none
  • Caffeine: one 12 oz can of energy drink (Celsius) three times each day
  • Rec Drugs: 2 joint of marijuana once a day
Complete Medication History Prior to Admission
Med Reconciliation
Medication
Name
Strength
Route
Frequency
PRN?
Last Dose
(date/time)
Adverse
Effects
Adherence
Action
*Reason
for D,H,M
Zafirlukast
20 mg
PO
BID
no
12-15-2025
2030
none
miss 1 dose/week
Escitalopram
5 mg
PO
QD
no
12-16-2025
0730
insomnia 1-2 days/week
miss 1 dose/month
Bupropion
300 mg XL
PO
QD
no
12-15-2025
2300
weight loss
miss 2 doses/month
Nature Made
Vitamin C
1,000 mg
PO
QD
no
12-16-2025
0730
none
miss 1 dose/week
Sudafed
30 mg
PO
Q6H
PRN sinus congestion
12-08-2025
0730
occasional agitation
uses 4 doses/month
Additional Notes: Action Key:
   C = Continue
*Must provide reason:
   D = Discontinue, H = Hold, M = Modify
Med history obtained by (sign and print): Date: 12-16-2025