Case 14 devised by Dr Janice O’Connell, consultant physician at Sunderland Royal
An 84 year old man is admitted to hospital after falling at home. This is his first fall, but he complains that he often feels light-headed or dizzy. His temperature is 38.20C, pulse 96, BP 116/72 lying, 80/62 standing.
His usual medication is BENDROFLUMETHIAZIDE 2.5mg, AMLODIPINE 5mg, PERINDOPRIL 4mg, CO-CODAMOL as required. He has no known drug allergies.
Urine dipstick is positive for blood and protein.
The result of his MSSU is noted below:
Pus cells ++
Red cells ++
E. coli > 105 org/ml
The patient’s admission U+E are as follows:
His creatinine level was 145µmol/l in December 2014.
You are the FY1 on the admissions unit. Please complete an appropriate drug Kardex for this man.
In order to get some prescribing resources out there we intend to publish a series of prescribing problems on the website. The problems will appear at least weekly with the "answers" appearing a couple of days later. We'll use the standard exam stationery available on the LSE, but also available below in case you haven't got access to the LSE.