Ramipril
Starting ramipril in a 64-year-old with hypertension and CKD 3a.
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Medication Management
Monitoring Lab
Baseline, effectiveness, safety, follow-up: every medication start writes a monitoring plan, and every plan then has to be read. Distractors here are plausible on purpose.
What would you monitor?
Vancomycin
IV vancomycin, day 1, for MRSA bacteremia. Stable renal function.
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Warfarin
Stable warfarin patient starts a 7-day course of clarithromycin.
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Sertraline
Sertraline started in a 79-year-old, week 2, daughter reports she is 'more tired and wobbly'.
Select everything that applies, then check.
Read the trend
Reading the decongestion
HFrEF patient two weeks after loop increase and SGLT2 initiation.
| Measure | Day 0 | Day 7 | Day 14 |
|---|---|---|---|
| Weight (kg) | 89.0 | 86.4 | 85.2 |
| Creatinine (µmol/L) | 96 | 108 | 104 |
| Potassium (mmol/L) | 4.3 | 4.0 | 3.9 |
| Dyspnea (patient-rated) | At rest | On stairs | On hills |
Is this therapy working, and is it safe?
The level that crept
Bipolar disorder, stable lithium for years; started daily OTC ibuprofen three weeks ago for a shoulder.
| Measure | 3 months ago | Day 0 | Day 10 |
|---|---|---|---|
| Lithium (mmol/L) | 0.71 | 0.74 | 1.21 |
| Creatinine (µmol/L) | 82 | 84 | 101 |
| Tremor | None | None | New, fine |
What is the correct read?