Vsim for nursing Pharmacology Danielle Young Bear
Documentation Assignments
1. Document your initial assessment data of Danielle Young Bear, including
orientation, level of consciousness, pain assessment (including indicators of
chronic pain), and vital signs.
a. Heart rate (93 BPM), blood pressure (111/76 mm/Hg), respirations (21), pulse (93),
pain (6 out of 10), patient states they were experiencing dull, achy pain located on
the lower back, states it has been normal for her, Extraocular movement within
normal limits, pupils were 6 mm and reactive, normal elasticity of the skin, skin cool
but very sweaty.
2. In the nurses’ notes, document the medication reconciliation information for
Danielle Young Bear. Include all prescription medications, OTC medications,
herbal supplements, and dietary supplements. Note any drug–drug
interactions.
a. Patient states her prescription medication, she is taking cyclobenzaprine 5 mg x 3
daily, duloxetine 60 mg x 1 daily, tramadol 50 mg x 4-6 times daily, and hydrocodone 5
mg/ acetaminophen 325 mg x 4 daily
b. Patient states she takes OTC & herbal medication which are, NyQuil 3 tablespoons a
day for the cold and acetaminophen 500 mg x 4 daily, and sometimes 1 cup of
willow bark tea for the pain.
3. Document the information you provided to Danielle Young Bear regarding
adverse drug effects when combining medications.
a. I spoke to Danielle about the risk of taking too much acetaminophen and that it can be
and for her liver. I also explain to her that she should talk to a pharmacist when
looking for OTC medications to make sure they do not cross react with what she
is currently taking.
4. Document the total amount of acetaminophen Danielle Young Bear
ingested in the 24 hours before the scenario.
Documentation Assignments
1. Document your initial assessment data of Danielle Young Bear, including
orientation, level of consciousness, pain assessment (including indicators of
chronic pain), and vital signs.
a. Heart rate (93 BPM), blood pressure (111/76 mm/Hg), respirations (21), pulse (93),
pain (6 out of 10), patient states they were experiencing dull, achy pain located on
the lower back, states it has been normal for her, Extraocular movement within
normal limits, pupils were 6 mm and reactive, normal elasticity of the skin, skin cool
but very sweaty.
2. In the nurses’ notes, document the medication reconciliation information for
Danielle Young Bear. Include all prescription medications, OTC medications,
herbal supplements, and dietary supplements. Note any drug–drug
interactions.
a. Patient states her prescription medication, she is taking cyclobenzaprine 5 mg x 3
daily, duloxetine 60 mg x 1 daily, tramadol 50 mg x 4-6 times daily, and hydrocodone 5
mg/ acetaminophen 325 mg x 4 daily
b. Patient states she takes OTC & herbal medication which are, NyQuil 3 tablespoons a
day for the cold and acetaminophen 500 mg x 4 daily, and sometimes 1 cup of
willow bark tea for the pain.
3. Document the information you provided to Danielle Young Bear regarding
adverse drug effects when combining medications.
a. I spoke to Danielle about the risk of taking too much acetaminophen and that it can be
and for her liver. I also explain to her that she should talk to a pharmacist when
looking for OTC medications to make sure they do not cross react with what she
is currently taking.
4. Document the total amount of acetaminophen Danielle Young Bear
ingested in the 24 hours before the scenario.
