The biggest safety concerns I noticed during the medication reconciliation was that my client should monitor their blood pressure closely and frequently throughout the day due to multiple medications that can lower their blood pressure. I also noticed that the client should be cautious of drowsiness because multiple medications they are on can cause them to be drowsy as a side effect. The client is also on acetaminophen for general inflammation and pain due to the aging process however the patient didn’t realize that that’s why they were feeling pain and on the medication. I believe the patient didn’t know this due to confusion and not necessarily the lack of education about the medication. The patient knew they were on the carbidopa-levodopa for their Parkinson’s disease which is important for them to know. The patient had an overall understanding of the medications and what they were for which is important because they should know what they are taking and why they are taking it especially because it can help them inform you if they think the medications are working or not. There weren’t any serious medication interactions that would be too concerning that the patient didn’t know about. However, the patient is taking both carbidopa-levodopa and quetiapine. Quetiapine decreases effects of levodopa through pharmacodynamic antagonism, so it is suggested that the patient uses an alternate drug or avoids using these two drugs together. The patient has only been taking these two medications together for about a month now however both drugs seem to be effective so far. Throughout the medication reconciliation all medications the client is taking make sense as to why they are taking them and the dosage and frequency they are taking them at. Overall, the patient appeared to be knowledgeable and understood why they were taking the medications they were prescribed.
