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 theaccompanying workbook.
Case Page
Section 1: The acute take Case Drug chart Answer
1 An 82-year-old woman who requires venous thromboembolismprophylaxis 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 3.141
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 5.145
6 A 45-year-old woman with status epilepticus 32 6.1 47
7 A 27-year-old woman with suspected bacterial meningitis 33 7.148
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 11.157
12 An 84-year-old man taking warfarin who has a headache 36 12.159
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 chartAnswer
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 17.184
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 19.188
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 24.197
25 A 65-year-old man with hypokalaemia 73 25.1 99
26 A 69-year-old woman being treated with gentamicin 73 26.1102
27 A 69-year-old man anticoagulated with warfarin 74 27.1104
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 7529.1 107
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 32.1114
33 A 47-year-old man who has developed an abnormal liver profile78 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 36.1123
Section 3: Routine inpatient review Case Drug chartAnswer
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 39.1138
40 A 23-year-old pregnant woman with pulmonary embolism 129 40.1140
41 A 31-year-old man with increased seizure frequency 130 41.1141
42 A 58-year-old man with diabetes mellitus treated with insulin130 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 46.1152
47 A 66-year-old man with palpitations 133 47.1 154
48 A 70-year-old man with ST-elevation acute coronary syndrome133 48.1 156
49 A 49-year-old woman with chronic liver disease complaining ofpain 134 49.1 158
50 An 89-year-old man approaching the end of life 134 50.1160
Appendix 1 Antibiotic guidelines 163
Appendix 2 Case summaries 164
Index 166