This case was kindly devised by Dr Janice O'Connell, stroke physician and senior lecturer at City Hospitals Sunderland
A 73 year old woman is admitted to the stroke unit with sudden onset of right sided weakness and dysarthria. She has a previous history of ischaemic heart disease, paroxysmal atrial fibrillation, osteoarthritis and type 2 diabetes.
Her CT scan shows a left basal ganglia haemorrhage.
She passes her dysphagia screen and her admission blood tests are normal. NEWS score is 0 and her BM is 10. You are the FY1 doctor on the stroke unit and the nurses ask you to prescribe her routine oral medication.
Bisoprolol 5mg od
Ramipril 2.5mg od
Metformin 500 mg bd
Rivoroxaban 20mg od
Paracetamol 1g as required for pain
Please complete a drug Kardex for this patient
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.