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Directions/Script for Standardized Family Member

Mr. Paul Bartlett is a 66-year-old man who is presenting to the ED with Chest Pain/Shortness of Breath.

Volunteer

You are playing the role of Mrs. Bartlett (Paul’s wife). You are NOT a medical professional, but you do have a decent understating about Paul’s medications—names, when to take, and what each one is generally used for.

Past Medical History/Corresponding Medications

  1. COPD (“lung disease”/breathing problems)

    1. Albuterol 1 puff by mouth every 4 hours AS NEEDED for shortness of breath (SOB)

      (He has been having to use this every day off/on for a while due to recent SOB.)

    2. Spiriva 18 mcg inhale 1 capsule inhaled once daily

    3. Budesonide/Formoterol 160/4.5 inhale 1 puff by mouth twice daily (This was recently started by PCP, he has been needing an “extra puff,” so sometimes using 3 times daily.)

  2. Diabetes (“high sugar levels”)

    1. Metformin 1000 mg by mouth twice daily

    2. Nesina 25 mg by mouth once daily (This was prescribed at his last visit but there was some type of insurance problem, has not been taking yet. *important info*)

  3. Coronary Artery Disease (CAD) (“heart disease,” heart stent placed 2007)

    1. Aspirin “EC” 81 mg by mouth once daily

    2. Atorvastatin 40 mg by mouth once daily

  4. Hypertension (“high blood pressure”) (some below meds also for CAD)

    1. Metoprolol tartrate 12.5 mg by mouth twice daily

    2. Lisinopril 40 mg by mouth once daily

    3. Amlodipine 10 mg by mouth once daily

Mr. Bartlett does NOT take anything OTC/herbal/vitamins (other than OTC aspirin as listed above).

(They probably don’t need to ask about allergies/social hx, but if they do you have it below:)

  • Allergies: Penicillin (rash)

  • Social History: quit smoking 5 years ago (was a heavy smoker), occasional alcohol (2–3 drinks per week)

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