Of the different аquаtic biоmes, which оne describes the аrea where оcean meets land?
Effectiveness Infоrmаtiоn tо consider when looking for "Effectiveness" MRPs in аny pаtient (generally speaking): What are the goals of therapy? Are the goals being met? Is there any information I need to gather form the patient or EMR (if applicable) to identify whether goals are being met? Questions to ask this patient to identify possible "Effectiveness" MRPs: NOTE: This is not all-inclusive. You may have come up with other information in addition to what is listed below. Do you check your blood pressure at home? If yes, what have your readings been? Is your PCP regularly monitoring your cholesterol readings? If yes, do you know when these were last checked and what they were? Do you have any history of a heart attack or stroke? (note: this is relevant since if the answer is yes, the statin dose may be too low) Are you experiencing shortness of breath relating to your lung condition? Have you had any hospitalizations within the past year related to your lung condition? You recently finished a course of an antibiotic (sulfamethoxazole-trimethoprim, or Bactrim DS). What was this for, and have your symptoms resolved? Has the phentermine been effective in helping you achieve weight loss?
Indicаtiоn Infоrmаtiоn to consider when looking for "Indicаtion" MRPs in any patient (generally speaking): Is every indication appropriately treated (when applicable?) Are there any medications that do not have an indication? Are all of the medications the most appropriate selection based on indication? Are any vaccines indicated today? Questions to ask this patient to identify possible "Indication" MRPs: NOTE: This is not all-inclusive. You may have come up with other information in addition to what is listed below. What medical conditions do you have? What was Bactrim prescribed for? Do you have COPD or asthma?
KEY The fоllоwing pаtient prоfile will be importаnt for the remаinder of this exercise. Please read it carefully before proceeding. (This is the same information from Part 1, for reference) Imagine that you are meeting with the patient below today (8/18/2024) for a Comprehensive Medication Review (CMR): Setting: Community Pharmacy Patient: Joanna Mayer DOB: 4/19/1969 (55 years old) Allergies: Penicillin antibiotics (rash) Immunization History Date(s) Administered Zoster (Shingrix) 4/23/22, 6/30/22 Influenza (Fluzone Quadrivalent) 10/13/22, 10/8/23, 8/18/24 Tdap (Boostrix) 6/30/19 COVID-19 (Pfizer Vaccine) 4/28/21, 5/28/21, 12/15/21, 6/1/22, 6/5/23, 8/4/24 Pneumococcal (Pneumovax 23) 9/17/17 PCV20 (Prevnar20) 8/11/24 Hepatitis B 8/1/23, 9/2/23, 2/5/24 Medication Profile (from past one year): Medication Date Filled Directions Quant Refill Left Prescriber Lisinopril 40 mg tablet 8/18/24 (filled today, ready for pickup) Take 1 tablet by mouth once daily 90 1 S. Cameron Rosuvastatin 10 mg tablet 8/18/24 (filled today, ready for pickup) Take 1 tablet by mouth once daily 90 1 S. Cameron Phentermine 15 mg capsule 8/18/24 (filled today, ready for pickup) Take 1 tablet by mouth once daily before breakfast 30 2 A. Rodgers Serevent Diskus 50 mcg 8/18/24 (filled today, ready for pickup) Inhale 1 puff by mouth every 12 hours 3 inhalers 1 S. Cameron Bactrim DS 800/160 mg tablet 8/11/24 Take 1 tablet by mouth twice daily 14 0 T. Harris Albuterol HFA 90 mcg/act 8/1/24 Inhale 2 puffs by mouth every 4-6 hours as needed for shortness of breath 8.5 g 1 S. Cameron Phentermine 15 mg capsule 7/16/24 Take 1 tablet by mouth once daily before breakfast 30 0 N. Miller Phentermine 15 mg capsule 6/15/24 Take 1 tablet by mouth once daily before breakfast 30 1 N. Miller Albuterol HFA 90 mcg/act 6/2/24 Inhale 2 puffs by mouth every 4-6 hours as needed for shortness of breath 8.5 g 2 S. Cameron Lisinopril 40 mg tablet 5/20/24 Take 1 tablet by mouth once daily 90 2 S. Cameron Rosuvastatin 10 mg tablet 5/20/24 Take 1 tablet by mouth once daily 90 2 S. Cameron Serevent Diskus 50 mcg 5/20/24 Inhale 1 puff by mouth every 12 hours 3 inhalers 2 S. Cameron Phentermine 15 mg capsule 5/15/24 Take 1 tablet by mouth once daily before breakfast 30 2 N. Miller Lisinopril 40 mg tablet 2/20/24 Take 1 tablet by mouth once daily 90 3 S. Cameron Rosuvastatin 10 mg tablet 2/20/24 Take 1 tablet by mouth once daily 90 3 S. Cameron Serevent Diskus 50 mcg 2/20/24 Inhale 1 puff by mouth every 12 hours 3 inhalers 3 S. Cameron Albuterol HFA 90 mcg/act 2/20/24 Inhale 2 puffs by mouth every 4-6 hours as needed for shortness of breath 8.5 g 3 S. Cameron Lisinopril 40 mg tablet 11/20/23 Take 1 tablet by mouth once daily 90 0 S. Cameron Rosuvastatin 10 mg tablet 11/20/23 Take 1 tablet by mouth once daily 90 0 S. Cameron Serevent Diskus 50 mcg 11/20/23 Inhale 1 puff by mouth every 12 hours 3 inhalers 0 S. Cameron