AHIMA Professional Practice Experience Workbook

Exercise 32 Pharmacology Abstracting: IP Female 398275 Authentic Patient Cases

Part A Instructions: Access the VLab Authentic Patient Cases. • Review the patient record to locate documentation that would include medications ordered/given to the patient (e.g. Medication Administration Record (MAR), physician orders, anesthesia records, nursing notes, etc.) • Identify seven drugs (any route) given to the patient during the hospitalization; the first one has been completed for you. • Note: For some of the questions, you may need to look up information in references (e.g. Internet Search Engine, Journal of AHIMA articles, textbooks, etc.).Fill in the brand name (fill in common brand name(s) if not provided), generic name, dosage given to patient, and route(s) of administration used. BRAND NAME GENERIC NAME DOSAGE GIVEN TO PATIENT ROUTE(S) OF ADMIN Zantac Ranitidine 50 mg IV Part B Instructions: Choose 3 drugs (your instructor may specify which ones) from the list you compiled in Part A (your instructor may specify which ones): • Identify the system(s) of the body that the medication impacts. • Explain why you feel the medication was given or prescribed to the patient. Drug 1: Generic Name: Body system(s) impacted: I feel this medication was prescribed to the patient because: Drug 2: Generic Name: Body system(s) impacted: I feel this medication was prescribed to the patient because:

Drug 3: Generic Name: Body system(s) impacted: I feel this medication was prescribed to the patient because:

Copyright ©2020 by the American Health Information Management Association. All rights reserved.

Powered by