Instructions
1) Print out the blank drug chart (Prescribing Section, Drug of the Week, Blackboard)
2) Fill the drug chart using the information below.
3) Counter check your answer against mine (next page).
Name: Jacob Knowles
Hospital No: A 2468 NHS No: B1357
Ward B27 Consultant: Dr B Iver
Sex: Male
DOB: 23/08/1943
Allergies: Trimethoprim Reaction: Rash
He is know to have COPD, and has come in unwell, slightly confused and short of breath. His observations are Pulse 83, BP 90/60, RR 30 Sats: 91% (Air) T 38.3. On examination, there is an area of reduced air entry over the right lower lobe, and he is producing green sputum. You suspect he has exacerbation of COPD secondary to a chest infection.
You prescribe 28% Oxygen with a Venturi mask. You decide he has severe community acquired pneumonia. According to hospital policy, this would be treat with IV co-amoxiclav 1.2g tds and IV clarithromycin 500mg bd for 10-14 days. You prescribe prn salbutamol nebs 5mg (maximum 4 times a day) and his regular medications:-
Aspirin 75mg od po
Simvastatin 40 mg eve po
Ramipril 2.5mg od po (You decide to hold his Ramipril for now as his BP is low)
Tiotropium 18 microgram od inh
Symbicort 400/12 Turbohaler 1 puff bd inh
Insulin Glargine 10 units on s/c
Warfarin 2 mg od po (Last INR 2 days ago 2.6)
INR usually stable at above dose (2.3-2.7) Target dose: 2.5 Duration: 6 months (Previous DVT)
Paracetamol 1g prn (max qds) po
Have a look at the filled drug chart in the next page. Are your answers similar?