Encounter @3

Ph: Buenas noches.                                                 Good evening.

Pt: Buenas noches.                                                      Good evening.

Ph: ¿Tiene recetas?                                                  Do you have prescriptions?

Pt: Sí, muchas.                                                            Yes, many.

Ph: ¿Ha tenido recetas aquí antes?                       Have you had prescriptions here before?

Pt: Creo que sí.                                                            I believe so.

Ph: A ver.                                                                   Let's see. (looking for pt in the computer)

     Sí, de vez en cuando.                                           Yes, every now and then.

     ¿Cuál farmacia usa usted primero?                     Which pharmacy do you usually use?

Pt: WalMart.                                                                 WalMart.

Ph: ¿Está tomando estos medicamentos actualmente?   Are you taking these medications now?

Pt: Sí, pero uno es nuevo.                                             Yes, but one is new.

Ph: ¿Cuál?                                                                    Which?

Pt: Yo no sé. I don't know.

Ph: Voy a prepararlos y luego                                  I'm going to fill the prescriptions and later

     voy a explicarlos.                                                 I will explain them.

Pt. Está bien. O.K.

Ph: Tome asiento, si quiere.                                    Take a seat if you want.

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Counseling points:

Pt will not be familiar with different generics used.

Pt does not know enough about what they are taking.

Pt needs counseling on each medication and usage.

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Pt's regimen:




Glucophage XR 500mg BID #60 2 refills       Glucotrol XR 10mg daily #30 2 refills

Lisinopril 10mg daily #30 2 refills                 Aspirin EC 81mg daily bottle of 100

Pravastatin 20mg i at bedtime #30 2 refills    Zyrtec 10mg daily #30 2 refills

Albuterol 0.083% soln for nebulizer one amp every 4 hours as needed. 1 box 2 refills

Lotrisone cream Apply twice daily for two weeks one refill

Nasonex one spray into each nostril daily #1 2 refills

Levaquin 500mg #7 one daily for infection no refills

Mebendazole 100mg one now and repeat in one week.




Counseling vocabulary and phrases:

Tome

Aplique al área afectada diario

Use el contenido de una ampolleta en la máquina

Inhale un espray

al acostarse

Use una inhalación

para respirar mejor

Mastique y trague

para la diabetes

con el desayuno

para proteger los riñones y para la presión alta

con la cena

para los hongos

si lo necesita

para la infección

luego

para prevenir ataque de corazón