MedReconcile

Tyler Johnson

MRN-62943817 years old • Male

active

12

Active Medications

6

Conditions

1

Allergies

7

Care Team

Patient Information

Date of Birth2007-09-22
Weight52 kg
Height168 cm
BMI18.4

Allergies

  • Sulfa drugs (Stevens-Johnson syndrome)

Emergency Contacts

Lisa Johnson

Mother

(555) 456-7890

Michael Johnson

Father

(555) 567-8901

Appointments

Last Visit2024-12-15
Next Visit2025-03-15

Conditions (6)

Cystic Fibrosis

ICD-10: E84.0 • Diagnosed: 2007-10-15

Delta F508 homozygous mutation, diagnosed via newborn screening

Chronic Pseudomonas aeruginosa colonization

ICD-10: B96.5 • Diagnosed: 2015-03-20

Pancreatic Insufficiency

ICD-10: K86.81 • Diagnosed: 2007-11-10

CF-Related Diabetes (CFRD)

ICD-10: E13.9 • Diagnosed: 2022-06-15

Malnutrition

ICD-10: E46 • Diagnosed: 2023-01-10

Chronic Hypoxemia

ICD-10: J96.11 • Diagnosed: 2023-08-22

Active Medications (12)

Tobramycin Inhalation Solution (TOBI)

300 mg/5 mLTwice daily (28 days on, 28 days off)

Nebulizer

Instructions: Nebulize for 15-20 minutes. Use LAST after other nebulizer treatments. Do bronchodilator first.
On cycle - Day 14 of 28
Prescribed: 2015-04-01Dr. Jennifer Martinez, Pediatric Pulmonology

Albuterol Sulfate

2.5 mg/3 mLThree times daily

Nebulizer

Instructions: Nebulize before chest PT and hypertonic saline. Takes 5-10 minutes.
Prescribed: 2008-05-15Dr. Jennifer Martinez, Pediatric Pulmonology

Hypertonic Saline 7%

4 mLThree times daily

Nebulizer

Instructions: Nebulize AFTER albuterol, BEFORE chest PT. Takes 10-15 minutes.
Prescribed: 2012-09-10Dr. Jennifer Martinez, Pediatric Pulmonology

Elexacaftor/Tezacaftor/Ivacaftor (Trikafta)

2 tablets (morning), 1 tablet (evening)Twice daily

Oral

Instructions: Take morning dose (2 orange tablets) with fat-containing food. Take evening dose (1 light blue tablet) 12 hours later with fat-containing food.

Monitor liver function quarterly

Prescribed: 2020-03-15Dr. Jennifer Martinez, Pediatric Pulmonology

Pancrelipase (Creon)

24,000 unitsWith all meals and snacks

Oral

Instructions: Take 3-4 capsules with meals, 1-2 with snacks. Swallow whole or open and mix beads with applesauce (do not chew).
Prescribed: 2007-11-15Dr. Robert Chang, Pediatric Gastroenterology

Insulin Aspart (Novolog)

Variable per sliding scaleWith meals and correction doses

Subcutaneous injection

Instructions: Carb ratio 1:15, correction factor 1:50. Check blood sugar before meals and at bedtime.
Prescribed: 2022-06-20Dr. Sarah Mitchell, Endocrinology

Azithromycin

500 mgThree times per week (M/W/F)

Oral

Instructions: Take on Monday, Wednesday, and Friday
Prescribed: 2016-07-12Dr. Jennifer Martinez, Pediatric Pulmonology

Vitamin ADEK (CF-specific multivitamin)

2 softgelsOnce daily

Oral

Instructions: Take with largest meal of the day for better absorption
Prescribed: 2008-01-10Dr. Robert Chang, Pediatric Gastroenterology

Ursodiol (Actigall)

300 mgTwice daily

Oral

Instructions: Take morning and evening
Prescribed: 2019-04-05Dr. Robert Chang, Pediatric Gastroenterology

Omeprazole

20 mgOnce daily

Oral

Instructions: Take 30 minutes before breakfast
Prescribed: 2021-02-18Dr. Robert Chang, Pediatric Gastroenterology

Polyethylene Glycol 3350 (Miralax)

17 gOnce daily as needed

Oral

PRN
Instructions: Mix in 8 oz of liquid. Use for constipation.
Prescribed: 2020-11-03Dr. Robert Chang, Pediatric Gastroenterology

Ibuprofen

600 mgTwice daily

Oral

Instructions: Take with food. High-dose ibuprofen for CF.
Prescribed: 2018-08-20Dr. Jennifer Martinez, Pediatric Pulmonology

Care Team (7)

Dr. Jennifer Martinez

Pediatric Pulmonology (CF Director)

(555) 789-4560

Primary CF physician

Dr. Robert Chang

Pediatric Gastroenterology

(555) 890-5671

Dr. Sarah Mitchell

Endocrinology

(555) 901-6782

Manages CF-related diabetes

Jessica Taylor, RD

Registered Dietitian (CF Specialist)

(555) 012-7893

Mark Stevens, RT

Respiratory Therapist

(555) 123-8904

Amanda Wilson, LCSW

Social Worker (CF Team)

(555) 234-9015

Dr. Thomas Rivera

Pediatrics (Primary Care)

(555) 345-0126

Clinical Notes

Compliance

Generally good adherence to treatment regimen. Occasional missed evening treatments on weekends. Working with team on strategies for maintaining routine.

Exercise

Encouraged to exercise 30+ minutes daily. Plays recreational basketball 2x/week.

Mental Health

Seeing therapist monthly for anxiety related to CF progression and future planning. Currently stable on no psychiatric medications.

Transition Planning

Patient approaching 18th birthday. Will transition to adult CF center at age 18. Currently working with social worker on transition planning.