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Ceptic Online - Medication Reconciliation (endless)


 
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Kip Olson
MRN
546481
DOB
11/2/1981
Age
45
Gender
Male
Ethnicity
White
Height
188 cm
Weight
67.4 kg
Creatinine
1.6 mg/dL
Patient Name: Kip Olson
 
DOB: 11/2/1981
 
Room: 488
Allergies: aspirin (severe rash, runny nose), 6 years ago Immunization History:
  • influenza: last season (2025)
  • covid-19: current season (2026)
  • tetanus: Td (2022)
Community Rx Info: Walgreens
 
Rx Insurance: Humana Pharmacy Solutions
Social History:
  • Alcohol: red wine (two 4 oz glass nightly)
  • Nicotine: chewing tobacco (6 can years)
  • Caffeine: one 8 oz cup of dark brewed coffee four times each day
  • Rec Drugs: none
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
Adapalene
0.1% Gel
TOP
QD
no
05-12-2026
0645
burning sensation
uses 2 doses/week
C
Felodipine
10 mg
PO
QD
no
05-12-2026
0830
headache
miss 1 dose/month
M
formulary substitution to amlodipine 10 mg, same SIG
Metoclopramide
10 mg
PO
TID AC
no
05-12-2026
1700
drowsiness
miss 4 doses/week
M
dose decrease of ~50% to 5 mg TID AC for CrCl 10-60
Ginko Biloba Extract
120 mg
PO
BID
no
05-12-2026
2250
occasional headache
miss 1 dose/month
H
non-formulary herbal, resume on discharge
Imodium Multi-Symptom Relief
2 mg/125 mg
PO
AFTER LOOSE STOOL
PRN diarrhea
04-22-2026
2250
none
uses 1 dose/month
H
non-daily OTC drug, resume on discharge
Additional Notes:    CrCl = 56 mL/min based on actual body weight of 67.4 kg (ABW/IBW = 82%) Action Key:
   C = Continue
*Must provide reason:
   D = Discontinue, H = Hold, M = Modify
Med history obtained by (sign and print): Date: 05-13-2026

Patient Name: Kip Olson
 
DOB: 11/2/1981
 
Room: 488
Allergies: aspirin (severe rash, runny nose), 6 years ago Immunization History:
  • influenza: last season (2025)
  • covid-19: current season (2026)
  • tetanus: Td (2022)
Community Rx Info: Walgreens
 
Rx Insurance: Humana Pharmacy Solutions
Social History:
  • Alcohol: red wine (two 4 oz glass nightly)
  • Nicotine: chewing tobacco (6 can years)
  • Caffeine: one 8 oz cup of dark brewed coffee four times each day
  • Rec Drugs: none
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
Adapalene
0.1% Gel
TOP
QD
no
05-12-2026
0645
burning sensation
uses 2 doses/week
Felodipine
10 mg
PO
QD
no
05-12-2026
0830
headache
miss 1 dose/month
Metoclopramide
10 mg
PO
TID AC
no
05-12-2026
1700
drowsiness
miss 4 doses/week
Ginko Biloba Extract
120 mg
PO
BID
no
05-12-2026
2250
occasional headache
miss 1 dose/month
Imodium Multi-Symptom Relief
2 mg/125 mg
PO
AFTER LOOSE STOOL
PRN diarrhea
04-22-2026
2250
none
uses 1 dose/month
Additional Notes: Action Key:
   C = Continue
*Must provide reason:
   D = Discontinue, H = Hold, M = Modify
Med history obtained by (sign and print): Date: 05-13-2026