Prescribing Scenarios at a Glance (eBook)

Emma Baker is Professor of Clinical Pharmacology, St. George's, University of London, and Consultant Physician, St. George's Healthcare NHS Trust, London Daniel Burrage is Academic Clinical Fellow, St. George's, University of London, and Specialty Registrar (ST3) in Clinical Pharmacology, General Medicine and Stroke Medicine, St. George's Healthcare NHS Trust, London Dagan Lonsdale is Academic Clinical Fellow, St. George's, University of London, and Specialty Registrar (ST3) in Clinical Pharmacology, General Medicine and Intensive Care Medicine, St. George's Healthcare NHS Trust, London Andrew Hitchings is Clinical Research Fellow, St. George's, University of London, and Specialty Registrar (ST7) in Clinical Pharmacology, General Medicine and Intensive Care Medicine, St. George's Healthcare NHS Trust, London

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