Read the instructions associated with the form for adverse reactions. You will n

Read the instructions associated with the form for adverse reactions. You will note that the form indicates that the patient had an adverse reaction to a drug.
Your job is to review the health record document, determine, and report the adverse reaction. Pay close attention to what is required of D1 & D4. Put your name in textbox “G” as the reporter. DISCHARGE SUMMARY PATEL, SHERRY #0267852 DATE OF ADMISSION: 02/26/XX DATE OF DISCHARGE: 03/01/XX FINAL DIAGNOSES: 1. Left femoral neck fracture 2. Paroxysmal Atrial Fibrillation, converted to sinus rhythm 3. Urinary tract infection 4. Rash due to Bactrim 5. Mild Dementia 6. Hypertensive Heart Disease with hypercholestrolemia 7. History of Strokes (Cerebrovascular Accidents [CVA]) Justification of Admission This 77-year-old female presented to the ER after falling at her beach home. Upon examination, the patient complains of inability to walk and severe hip pain. Her past medical history reveals multiple strokes with dementia residuals and heart disease. X-rays revealed a femoral neck fracture. Patient current medications include Coumadin, Diovan, OsCal, Magnesium chloride, Megace, Levothroid, Remeron, and Lipitor. Hospital Course The patient was admitted and Dr. Black an Orthopedic surgeon was consulted. On the evening of 02/26, an open reduction and internal fixation repair was performed on the left hip. During the surgery there was a great deal of blood loss that was replaced with three units of packed cells. The patient transfused two units packed cells without incidence. Coumadin was placed on hold and the patient was placed on Lasix. Postoperatively the patient developed an atrial fibrillation which was controlled with Toprol, Digoxin, and Verapamil. Three days postoperatively, the patient begin to spike fevers of 101 ̊. Cultures were taken of the blood and urine. The patient developed a urinary tract infection growing over 100,000 colonies of E. Coli bacteria. The patient was started on Bactrim p.o. however the patient complained of a rash over her mid-abdomen. Calamine lotion was applied to the rash using cotton swabs. The medication was switched to Keflex. The patient is afebrile and currently receiving physical therapy. She will be transferred to Miami Dade College Rehab Center where she will continue her therapy. Discharge Medications The patient will be discharged to rehab with Lactulose 60 mg p.r.n. q.h.s., Darvocet 1 tablet q..6h p.r.n., Lovothroid 0.075 mg q.d., Lipitor 10 mg q.d., Remeron 15 md q.hs., OsCal 500+D 1 t.i.d., Coumadin 3 mg q.d., Diovan 160 mg q.d., Magnesium chloride 400-1 t.i.d., Neutra-Phos 1 tab q.i.d., Megace 100 mg q.i.d., Toprol 50-mg q.d. Mark J. Curry, MD__ Mark J. Curry, MD Attending Physician