In our oncology patients it is very important to have a best possible medication history as their medications are constantly changing as their chemotherapy progresses.
EH is a new diagnosis acute lymphoblastic leukemia who was being discharged after her first cycle of induction. I conducted a BPMH, provided a medication calendar and discharge counselling for EH’s mother.
|Drug||Used for||Dose (mg)||Dose (mL)||Morning||Lunch||Evening||Bedtime|
(until Feb 8)
|Leukemia||2.5 mg||2.5 mL||X||X|
(only while on dexamethasone)
|Acid reflux/stomach irritation||45 mg||3 mL||X||X|
|Co-trimoxazole (Septra)||Prevention of lung infections||6 mL||X(sat & sun only)||X(sat & sun only)|
|Morphine||Pain||4 mg||4 mL||Every 4 hours as needed for pain|
|Pegalex||Constipation||17 g||Once daily as needed for constipation *take with at least 250 mL water with each dose*|
|Ondansetron||Nausea||4 mg||2 mL||Every 8 hours as needed for nausea or vomiting|
This was an enjoyable interaction with EH’s mom to ensure she was aware of all of EH’s medications especially given that this was a new diagnosis with a great deal of psychosocial burden.