Medication Reconciliation Practice Test
•15 QuestionsA 76-year-old male (weight 75 kg) comes to the pharmacy for medication synchronization. He was recently switched from brand-name levothyroxine to a generic and also started a new supplement. Current regimen: levothyroxine 125 mcg once daily in the morning, calcium carbonate 500 mg elemental calcium twice daily, ferrous sulfate 325 mg once daily, omeprazole 20 mg once daily, and a new OTC psyllium fiber supplement daily. Labs from last month: thyroid-stimulating hormone (TSH) 6.8 mIU/L (elevated; reference 0.4–4.0), serum creatinine 1.0 mg/dL, alanine aminotransferase 20 U/L. Medical history: hypothyroidism, gastroesophageal reflux disease. Allergies: none. Which action should the pharmacist take to optimize this patient's medication regimen?
A 76-year-old male (weight 75 kg) comes to the pharmacy for medication synchronization. He was recently switched from brand-name levothyroxine to a generic and also started a new supplement. Current regimen: levothyroxine 125 mcg once daily in the morning, calcium carbonate 500 mg elemental calcium twice daily, ferrous sulfate 325 mg once daily, omeprazole 20 mg once daily, and a new OTC psyllium fiber supplement daily. Labs from last month: thyroid-stimulating hormone (TSH) 6.8 mIU/L (elevated; reference 0.4–4.0), serum creatinine 1.0 mg/dL, alanine aminotransferase 20 U/L. Medical history: hypothyroidism, gastroesophageal reflux disease. Allergies: none. Which action should the pharmacist take to optimize this patient's medication regimen?