Prescribing Scenarios at a Glance

Acknowledgements 7 Dedication 7 List of abbreviations 8 How to use your textbook 10 About the companion website 13 Introduction: Practical prescribing scenarios 14 Please note that the prepared drug charts can be found in the accompanying workbook. Case Page Section 1: The acute take Case Drug chart Answer 1 An 82-year-old woman who requires venous thromboembolism prophylaxis 30 1.1 38 2 A 104-year-old woman with respiratory failure 30 2.1 40 3 A 64-year-old man with severe acute abdominal pain 31 3.1 41 4 A 55-year-old woman with atrial fi brillation 31 4.1 43 5 A 32-year-old man with community-acquired pneumonia 32 5.1 45 6 A 45-year-old woman with status epilepticus 32 6.1 47 7 A 27-year-old woman with suspected bacterial meningitis 33 7.1 48 8 A 31-year-old woman with paracetamol overdose 34 8.1 50 9 A 59-year-old man with acute pulmonary oedema 35 9.1 52 10 A 24-year-old woman with acute asthma 35 10.1 54 11 A 57-year-old man who has suddenly deteriorated 36 11.1 57 12 An 84-year-old man taking warfarin who has a headache 36 12.1 59 13 A 66-year-old man with acute coronary syndrome 37 13.1 61 14 A 67-year-old man with an exacerbation of COPD 37 14.1 64 Section 2: On call in the hospital Case Drug chart Answer 15 A 91-year-old man with hypoglycaemia 68 15.1 82 16 A 60-year-old woman requesting night sedation 68 16.1 83 17 A 62-year-old man with suspected opioid toxicity 69 17.1 84 18 A 58-year-old man who has low blood pressure 69 18.1 86 19 A 44-year-old woman who is 'nil by mouth' 70 19.1 88 20 A 59-year-old man with circulatory compromise 70 20.1 90 21 A 15-month-old girl with gastroenteritis 71 21.1 93 22 A 5-year-old boy with a painful right arm 71 22.1 94 23 A 12-hour-old boy with signs of sepsis 72 23.1 96 24 A 60-year-old man who has developed a hot joint 72 24.1 97 25 A 65-year-old man with hypokalaemia 73 25.1 99 26 A 69-year-old woman being treated with gentamicin 73 26.1 102 27 A 69-year-old man anticoagulated with warfarin 74 27.1 104 28 A 28-year-old woman with nausea 74 28.1 105 29 A 29-year-old man who is in pain following an operation 75 29.1 107 30 A 49-year-old man due to undergo surgery 75 30.1 110 31 A 79-year-old woman with acute kidney injury 76 31.1 112 32 An 85-year-old woman with hospital-acquired pneumonia 77 32.1 114 33 A 47-year-old man who has developed an abnormal liver profile 78 33.1 116 34 An 83-year-old man who develops diarrhoea 79 34.1 118 35 An 88-year-old man with hyperkalaemia 80 35.1 121 36 A 69-year-old woman with acute alcohol withdrawal 81 36.1 123 Section 3: Routine inpatient review Case Drug chart Answer 37 A 69-year-old woman with constipation 128 37.1 135 38 A 71-year-old man who has developed a tremor 128 38.1 136 39 An 81-year-old woman at risk of fragility fractures 129 39.1 138 40 A 23-year-old pregnant woman with pulmonary embolism 129 40.1 140 41 A 31-year-old man with increased seizure frequency 130 41.1 141 42 A 58-year-old man with diabetes mellitus treated with insulin 130 42.1 143 43 A 53-year-old man who wants to stop smoking 131 43.1 146 44 A 90-year-old woman on numerous medications 131 44.1 148 45 A 54-year-old woman with a peptic ulcer 132 45.1 150 46 A 64-year-old woman with chronic kidney disease 132 46.1 152 47 A 66-year-old man with palpitations 133 47.1 154 48 A 70-year-old man with ST-elevation acute coronary syndrome 133 48.1 156 49 A 49-year-old woman with chronic liver disease complaining of pain 134 49.1 158 50 An 89-year-old man approaching the end of life 134 50.1 160 Appendix 1 Antibiotic guidelines 163 Appendix 2 Case summaries 164 Index 166