Medication History | Cardio History - MedSchool
Sign up to start your free trial of MedSchool Premium!Get Started
 
 
 
Cardio History
 

Medication History

 
 

Overview

    • Ask About

    • Any medications the patient is on
    • What pharmacy they get their medications from
    • Whether they use any dosing aids, such as a Webster pack
    • Sources of Medication Lists

    • It is often best to derive your list from at least two sources, especially when there is doubt.
    • The patient - sometimes patients present with a useful list of their medications
    • Collateral - from family or friends
    • Medication boxes - often patients present with their medications; ask if there are any missing
    • The patient's file - especially discharge summaries
    • Other hospitals - especially discharge summaries or transfer letters
    • The patient's GP
    • The patient's pharmacy

Medication History

    • Prescription

    • Form - e.g. tablets, capsules, eye drops, nasal spray or injections
    • Administration - e.g. oral, IM or IV
    • Dose - the strength of the medication and how much they take eg how many tablets
    • Frequency - how often they take the medication
    • Indication

    • Why the patient is taking the medication. This is often evident but sometimes not. Often the patient does not know themselves!
    • Prescriber

    • Who prescribed the medication initially, and who continues to prescribe it.
    • Timing

    • When they were started on the medication
    • If they are not on the medication indefinitely, how long they will take it for and whether they are on a weaning dose regimen.
    • Side Effects

    • Whether the medication is associated with any unwanted side effects.
Last updated on November 14th, 2017
 
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
 
 

Read More...

 Abbott AV. Diagnostic approach to palpitations. Am Fam Physician. 2005 Feb 15;71(4):743-50. Arthur W, Kaye GC. The pathophysiology of common causes of syncope. Postgraduate medical journal. 2000 Dec 1;76(902):750-3. Benditt DG. Neurally mediated syncopal syndromes: pathophysiological concepts and clinical evaluation. Pacing and clinical electrophysiology. 1997 Feb 1;20(2):572-84. Cayley J,William E. Chest pain--tools to improve your in-office evaluation. J Fam Pract. 2014;63:246.
Constant J. The diagnosis of nonanginal chest pain.  Keio J Med. 1990;39:187-192.
 Cotter L. History and Examination of the Cardiovascular System. Medicine. 2010; 38(7): 344-347. Eriksson B, Vuorisalo D, Sylven C. Diagnostic potential of chest pain characteristics in coronary care.  J Intern Med. 1994;235:473-478 Faselis C, Doumas M, Papademetriou V. Common secondary causes of resistant hypertension and rational for treatment. International journal of hypertension. 2011 Mar 2;2011.
Kass S. Pleurisy. Am Fam Physician. 2007;75:1357.
 Khot UN, Khot MB, Bajzer CT, Sapp SK, Ohman EM, Brener SJ, Ellis SG, Lincoff AM, Topol EJ. Prevalence of conventional risk factors in patients with coronary heart disease. Jama. 2003 Aug 20;290(7):898-904. Kim EJ, Kim BH, Seo HS, Lee YJ, Kim HH, Son HH, Choi MH. Cholesterol-induced non-alcoholic fatty liver disease and atherosclerosis aggravated by systemic inflammation. PloS one. 2014 Jun 5;9(6):e97841. Mak SM, Strickland N, Gopalan D. Complications of pulmonary hypertension: a pictorial review. The British journal of radiology. 2017 Feb;90(1070):20160745.
Miller TH, Kruse JE. Evaluation of syncope. Am Fam Physician. 2005 Oct 15;72(8):1492-500.
Mosterd A, Hoes AW. Clinical epidemiology of heart failure. Heart. 2007 Sep 1;93(9):1137-46.
 National Vascular Disease Prevention Alliance. Guidelines for the management of absolute cardiovascular disease risk. 2012.
Onusko E. Diagnosing secondary hypertension. American family physician. 2003 Jan;67(1):67-74.
 Payne RA. Cardiovascular Risk. British Journal of Clinical Pharmacology. 2012; 74(3): 396-410. Petersen P. Thromboembolic complications in atrial fibrillation. Stroke. 1990 Jan;21(1):4-13.
Schoenkerman A, Goldschlager N. Chest Pain: Does This Patient Have Cardiac Ischaemia? Consultant. 2013; 53(8): 556-560.
 Simonneau G, Gatzoulis MA, Adatia I, Celermajer D, Denton C, Ghofrani A, Sanchez MA, Kumar RK, Landzberg M, Machado RF, Olschewski H. Updated clinical classification of pulmonary hypertension. Journal of the American College of Cardiology. 2013 Dec 24;62(25 Supplement):D34-41. Susanto M. Dizziness: if not vertigo could it be cardiac disease?. Australian family physician. 2014 May;43(5):264. Swap CJ, Nagurney JT. Value and Limitations of Chest Pain History in the Evaluation of Patients With Suspected Acute Coronary Syndromes. JAMA. 2005;294:2623-2629. Vodnala D, Rubenfire M, Brook RD. Secondary causes of dyslipidemia. The American journal of cardiology. 2012 Sep 15;110(6):823-5. Wahls SA. Causes and evaluation of chronic dyspnea. American family physician. 2012 Jul 15;86(2). Watson RD, Gibbs CR, Lip GY. ABC of heart failure: clinical features and complications. BMJ: British Medical Journal. 2000 Jan 22;320(7229):236. Weber BE, Kapoor WN. Evaluation and outcomes of patients with palpitations. The American journal of medicine. 1996 Feb 29;100(2):138-48.
Wexler RK, Pleister A, Raman S. Outpatient approach to palpitations. heart disease. 2011 Jul 1;100:6.
 Yuan G, Al-Shali KZ, Hegele RA. Hypertriglyceridemia: its etiology, effects and treatment. Cmaj. 2007 Apr 10;176(8):1113-20. Zimetbaum P, Josephson ME. Evaluation of patients with palpitations. New England Journal of Medicine. 1998 May 7;338(19):1369-73.
Feedback