Prescribing Scenarios at a Glance

Prescribing Scenarios at a Glance is an innovative resource which allows medical students and junior doctors to practise prescribing skills safely for themselves. Supporting those who wish to develop their prescribing knowledge and clinical reasoning, this workbook features 50 acute and on call scenarios in a hospital setting. Users will be able to practise skills such as initiating a prescription, planning management, reviewing therapy, and identifying adverse drug reactions and interactions. Prescribing Scenarios at a Glance : • Contains case scenarios, mock drug charts and model answers with discussion • Features prepared drug charts for each case that allow users to practise prescription writing • Includes detailed explanations and answers to all case scenarios, including examples of correctly completed charts • Includes access to refill drug charts for each scenario available on the companion website at www.ataglanceseries.com/prescribingscenarios , allowing users to rehearse each scenario as many times as they like An ideal companion for medical students, foundation doctors and non–medical prescribers as they develop their prescribing skills, this book will help to instil confidence, reduce errors, and encourage best practice. It will also be a valuable resource for candidates preparing for prescribing exams.

Acknowledgements Dedication Abbreviations Introduction Prescribing Scenarios Section 1 The acute take 01. An 82–year–old woman who requires venous thromboembolism prophylaxis 02. A 104–year–old woman with respiratory failure 03. A 64–year–old man with severe acute abdominal pain 04. An 84–year–old woman with atrial fibrillation 05. A 32–year–old man with community–acquired pneumonia 06. A 45–year–old woman with status epilepticus 07. A 27–year–old woman with suspected bacterial meningitis 08. A 31–year–old woman with paracetamol overdose 09. A 59–year–old man with acute pulmonary oedema 10. A 24–year–old woman with acute asthma 11. A 57–year–old man who has suddenly deteriorated 12. An 84–year–old man taking warfarin who has a headache 13. A 66–year–old man with acute coronary syndrome 14. A 67–year–old man with an exacerbation of COPD Section 2 On–call in the hospital 15. A 91–year–old man with hypoglycaemia 16. A 60–year–old woman requesting night sedation 17. A 62–year–old man with suspected opioid toxicity 18. A 58–year–old man who has low blood pressure 19. A 44–year–old woman who is ′nil by mouth′ 20. A 59–year–old man with circulatory compromise 21. A 15–month–old girl with gastroenteritis 22. A 5–year–old boy with a painful right arm 23. A 12–hour–old boy with signs of sepsis 24. A 60–year–old man who has developed a hot joint 25. A 65–year–old man with hypokalaemia 26. A 69–year–old woman being treated with gentamicin 27. A 69–year–old man anticoagulated with warfarin 28. A 28–year–old woman with nausea 29. A 29–year–old man who is in pain following an operation 30. A 49–year–old man due to undergo surgery 31. A 79–year–old woman with acute kidney injury 32. An 85–year–old woman with hospital–acquired pneumonia 33. A 65–year–old man with post–operative anaemia and chest pain 34. A 47–year–old man who has developed an abnormal liver profile 35. An 83–year–old man who develops diarrhoea 36. A 78–year–old man with hyperkalaemia 37. A 69–year–old woman with acute alcohol withdrawal Section 3 Routine inpatient review 38. A 69–year–old woman with constipation 39. A 64–year–old woman on immunosuppressive drugs 40. A 71–year–old man who has developed a tremor 41. An 81–year–old woman at risk of fragility fractures 42. A 23–year–old pregnant woman with pulmonary embolism 43. A 31–year–old man with increased seizure frequency 44. A 58–year–old man with diabetes mellitus treated with insulin 45. A 53–year–old man who wants to stop smoking 46. A 90–year–old woman on numerous medications 47. A 54–year–old woman with a peptic ulcer 48. A 54–year–old woman with chronic kidney disease 49. A 66–year–old man with palpitations 50. A 70–year–old man with ST–elevation acute coronary syndrome 51. A 63–year–old man with fever and rash (completing a Yellow Card) 52. A 49–year–old woman with chronic liver disease complaining of pain 53. An 89–year–old man approaching the end of life Section 4 Primary care 54. A 54–year–old man with high cholesterol 55. A 53–year–old woman with high blood pressure 56. A 77–year–old woman with chronic heart failure 57. A 19–year–old man with poorly–controlled asthma 58. A 79–year–old man with poorly–controlled COPD 59. A 23–year–old woman with cellulitis 60. A 73–year–old man with symptoms of prostatic enlargement 61. A 41–year–old woman with chronic back pain 62. A 43–year–old man who is depressed 63. A 9–year–old girl with eczema 64. A 60–year–old woman with hypothyroidism 65. A 37–year–old man with megaloblastic anaemia 66. An 80–year–old woman with iron deficiency anaemia 67. A 24–year–old woman with a urinary tract infection 68. A 23–year–old woman requesting the oral contraceptive pill 69. A 46–year–old woman with painful osteoarthritis 70. A 62–year–old man who required lengthy treatment with oral corticosteroids 71. A 59–year–old man with poorly–controlled type 2 diabetes mellitus 72. An 18–year–old woman with acne vulgaris 73. A 52–year–old woman with a sore eye 74. A 53–year–old man with chest tightness 75. A 29–year–old woman with epilepsy who wants to start a family