A1+-+Case+Study+4

=Case Study Four=

Mrs MU is a 70-year-old patient who had been managing well at home but recently has had a fall when out shopping and sustained a Colles' fracture. On admission to hospital it was noted that she was becoming increasingly confused and disorientated and was shown to be in rapid atrial fibrillation.


 * **Hx** || **Date** ||
 * HTN || 1996 ||
 * dyslipidaemia || 1997 ||
 * OA || 1997 ||
 * osteoporosis || 1999 ||
 * depression || 2002 ||
 * stress incontinence || 2002 ||
 * Colles' fracture || 2009 ||
 * AF || 2009 ||
 * **medications before admission** || **Dose** ||
 * Talohexal citalopram || 20 mg m ||
 * Tritace ramipril || 10 mg m ||
 * Zocor //simvastatin// || 40 mg n ||
 * Celebrex //celecoxib// || 100 mg bd ||
 * Fosamax //alendronate// || 70 mg weekly ||
 * Panamax //paracetamol// || 1 g q4h prn (maximum of 4 g/day) ||
 * Vitamin D || 1000 IU m ||
 * **medications upon discharge** || **Dose** ||
 * Talohexal //citalopram// || 20 mg m ||
 * Tritace //ramipril// || 10 mg m ||
 * Zocor //simvastatin// || 40 mg n ||
 * Actonel Combi D //risedronate + cholecalciferol// || As directed ||
 * Panamax //paracetamol// || 1 g tds (maximum of 4 g/day) ||
 * Tramal //tramadol// || 50 mg tds ||
 * Nexium //esomeprazole// || 40 mg m ||
 * Coumadin warfarin || Adjusted according to INR ||
 * Frusemide || 40 mg m ||
 * Lanoxin PG //digoxin// || 125 mcg m ||
 * Frusemide || 40 mg m ||
 * Lanoxin PG //digoxin// || 125 mcg m ||

Problems

 * Current symptoms:**


 * Test results:**


 * Current Medications:**


 * Other problems:**

What to do

 * **Drug Related Problem** || **Current Treatment** || **Comments** ||
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