Prescribing Scenarios at a Glance is an innovative resource which allows medical students and junior doctors to safely practice prescribing skills for themselves. Supporting those who wish to develop their prescribing knowledge, clinical reasoning and skills, this workbook features seventy five acute, on call and routine scenarios, in both primary and secondary care settings.The user can rehearse scenarios through a range of tasks, such as initiating a prescription, planning management or reviewing therapy.
Prescribing Scenarios at a Glance:
• Contains prescribing models, case studies and mock drug charts and prescription forms
• Features a pull-out workbook to complete outside the hospital
• Includes detailed explanations and answers to all case scenarios, including examples of correctly completed charts
• Refill prescribing sheets are available on the companion website at www.ataglanceseries.com/prescribingworkbook
An ideal companion to individual study and development of the vital skill set required of the medical student and foundation doctor, helping to instill confidence, avoid errors and pitfalls and encourage best practice It will also help candidates prepare for the Prescribing Skills Assessment.
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