141 and what their patient file looks like
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summary: This is what I imagine everyone's favorite pharmacist as well as medics see when they look at 141's medical file.
Based on this pharmacist and 141 interactions
pairing: Task Force 141 x pharmacist!Reader
warnings: medical/pharmacy terminology, medical inaccuracies, swearing, depiction of wounds, mention of substance use disorder and abuse
Terms
PMH - Past medical history - the total sum of a patient's health status prior to the presenting problem
FH - Family history - contributing family history, generally parents and siblings
SH - Social history - contributing social behavior and routine
a/n: not canon at all! this is just a reference for me
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Price
PMH
Height: 1.88 m (6' 2'')
Weight: 93 kg (205 lbs)
Blood type: O+
Extensive physical injuries
21+ stab wounds - 2 required antibiotics for recurrent infection
9x bullet wound - 5x in the extremities, 4x in the chest (no perforation of vital organs), healed without complication
5x abrasion collar - 1 near right eyebrow became infected following medical eval and stitches
3x diagnosed concussion
Aspirin-sensitivity
Previously evaluated for tinnitus and hearing loss
FH
Father - deceased at 76 from liver disease - 50 pack years, mycardial infarction (x2)
Mother - deceased at 84 due to chronic heart failure (CHF) -Glaucoma, asthma, CHF
Sister - Sports induced asthma, hypothyroidism
Negative family history of diabetes, hypertension, and cancer
SH
Smokes - 30 pack years
Drinks regularly - 4-5 hard liquor each weekend; 1 glass of whiskey occasionally
Physically active - Enjoys recreational activities such as hiking, swimming, and biking
Has 1 dog, currently under the care of pt's younger sister
History of monogynous long term relationships, currently single
Medication list + indications
Amoxicillin/Clavulanic acid 625mg - Infection
Morphine 15mg + Ketamine 3mg - IV - Pain
Paracetamol 750mg - Pain
Buproprion SR 150mg - Smoking cessation - not-taking est 2004
Allergies
Aspirin allergy - Reaction: hives and asthma - ONLY PRESCRIBE PARACETAMOL
No environmental, food, or animal allergies
Notes
Patient has denied smoking cessation options
Soap
PMH
Height: 1.88 m (6' 2'')
Weight: 91 kg (200 lbs)
Blood type: O+
7x stab wound - 6 required antibiotics for recurrent infection, 2 MRSA resistant
2x bullet wound - 2x in lower extremities, healed with no complication
6x abrasion collar
2x broken collar bone - healed, with no complication
Lactose sensitivity - Recurrent IBS if ingested
Chipped first left molar following opening a beer with teeth
FH
Father deceased at 68 due to heart failure - Type 2 Diabetes Mellitus, high cholesterol
Mother - Stage I HTN (hypertension)
Sister #1 - Postpartum depression, generalized anxiety disorder
Sister #2 - Elevated cholesterol/triglycerides
Brother - No known chronic health issues
Positive family history of diabetes and hypertension, but no cancer
SH
Drinks regularly and heavily - 8-12 beers and 2-3 glasses of hard liquor each weekend; 1 glass of scotch occasionally
Smokes socially - 5 pack years
Physically active
Close relationship with family, has 4 dogs at home under the care of pt's mothers
Avid fan of The Glasgow Football Club
Medication list + indications
Clindamycin 300mg with ciprofloxacin 400mg - Infection
Amoxicillin/Clauvanic acid 625mg - Infection
Vancomycin 18mg/kg - MRSA resistant infection
Paracetamol 500mg - Pain
Morphine 15mg IV - Pain
Doxycycline 100mg - Acne discontinued in 2004
Allergies
Insect stings - Observed anaphylaxis to childhood bee sting
Notes
Patient demonstrates medication non-adherence, counsel ESPECIALLY with antibiotics
Scored 6 on Alcohol use disorders identification test for consumption (AUDIT C)
Gaz
PMH
Height: 1.86 m (6' 1'')
Weight: 93 kg (205 lbs)
Blood type: B-
3x stab wound - healed, no complications
1x broken collar bone
2x broken femur
Diagnosed concussion - evaluated in Oct. '19
FH
Father - Type 1 Diabetes, high cholesterol
Mother - Vitiligo, Stage 3 breast cancer
Positive family history of maternal cancer and diabetes, but no hypertension
SH
Social drinker - 3-4 beers each weekend
Does not smoke
Physically active - Enjoys morning and evening runs
Enjoys spicy food and tries to introduce into diet
When on leave, enjoys attending concerts and music festivals
Medication list + indications
Piriteze 10mg - Allergic rhinitis
Fluticasone Propionate - 93 mcg/actuation - Allergic rhinitis
Paracetamol 500mg - Pain
Allergies
Seasonal - Pollen and pet dander
β-Lactam allergy - Reaction: anaphylaxis evaluated in '19
Notes
Organ donor
Ghost
PMH
Height: Weight: 1.93 m (6' 4'')
WeighT: 100 kg (220 lbs)
Blood type: AB-
Extensive cuts and scarring to entire body
4+ stab wounds - healed, no complications
Gun shot to lower abdomen - healed, no complications, evaluated in Nov. '22
13+ collar abrasion
2x broken nose
Childhood injury of broken tibia and large toe
Psych eval - History of depression and post traumatic stress disorder, childhood history indicates emotional and physical abuse
FH
Father - status unknown Diagnosed alcohol use disorder
Brother - deceased, cause of death non-contributory - Substance use disorder
Mother - deceased, cause of death non-contributory - Hypertension, thrombophilia (blood clotting disorder)
Positive family history of hypertension, but no diabetes or cancer
SH
Social drinker - 3-4 glasses of hard liquor each weekend
Smokes socially - 10 pack years
Physically active - Enjoys nightly walks
Psych eval - Other squad members act as his emotional support
Expressed interest in cats and tattoo art (FLAGGED: Further input and comments from other medical professionals would be appreciated)
Medication list + indications
Paracetamol 1000mg - Pain
Amoxicillin/Clavulanic acid 625mg - Infection
Morphine 20mg + Ketamine 4.5mg IV - Pain
Mafenide acetate 5% topical - Antimicrobial, burn wounds
Fluoxetine 20mg twice daily - Depression - not taking est 2001
Allergies
NKDA - No known drug allergies
No environmental, food, or animal allergies
Psych recommends evaluation of a pet, such as cat, for pt while on leave
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Drugs!
Masterlist
Everyone loves drugs, right? And boy are there some juicy ones in surgery. There are more, especially of emergency drugs, but these are some common ones
Anaesthetic drugs
Propofol - the main sleepy juice. It looks like milk, hence the name 'milk of amnesia' (also called jackson juice because it's what killed MJ)
Ketamine - horse tranquiliser. But also used for humans! Very fast acting, and gives good pain relief too (you only need a small amount)
Isoflurane, sevoflurane - anaesthetic gases (bye desflurane, you've polluted the atmosphere for too long)
Atracurium, rocuronium - reversible muscle relaxants, they take a few minutes to fully kick in
Neostigmine, sugammadex - muscle relaxant reversal, sugammadex (nicknamed sugar) is more powerful
Suxamethonium - nonreversible muscle relaxant. It wears off after 2-6 minutes unless you have a rare genetic condition. Also works really quickly (30 seconds)
Lidocaine, bupivacaine - local anaesthetic, injected into the area you want to numb, or used in a spinal anaesthetic
Benzodiazepines (midazolam, diazepam etc.) - sedatives, not enough to fully conk you out, but will make you a bit sleepy and more relaxed
Pain relief
Paracetamol (tylenol) - mild pain relief, can be given through IV for better results
Morphine - the simplest opioid, usually IV or given orally (apparently tastes a bit like liquorice?)
Fentanyl and alfentanyl - much stronger pain relief, used rarely except during induction of anaesthesia
Antibiotics
Not always given, used more in orthopaedics or where there's a risk of infection. The type given is usually up to the anaesthetist's preference unless there's an existing infection that's been cultured
Common ones: amoxicillin, vancomycin, gentamicin, clindamycin, flucloxacillin, doxycycline
Emergency drugs
Tranexamic acid - sometimes given at the start if there's a risk of bleeding. Helps to prevent blood loss
Atropine - increases heart rate
Glycopyrronium - increases heart rate, also reduces saliva production
Ephedrine - increases blood pressure
Metaraminol - increases blood pressure
Adrenaline - increases heart rate and blood pressure, used for cardiac arrests and anaphylaxis
Intralipid - treats local anaesthetic toxicity
Dantrolene - treats malignant hyperthermia (a life threatening condition where the body temperature raises really high)
Adenosine, amiodarone - treats arrhythmias
Digoxin - slows heart rate
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