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Prescribing for the elderly Clinical scenario

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A previously well 78‐year‐old woman is admitted with confusion and urinary frequency. She has a past medical history of myocardial infarction and osteoarthritis. She takes enalapril, Simvastatin, aspirin, ibuprofen and omeprazole regularly. On examination, she appears dehydrated and confused but otherwise there is nothing unusual. Blood results showed a raised white cell count, c‐reactive protein, urea and creatinine (eGFR = 30). You are asked to complete her prescription chart taking into account the current clinical situation and to prescribe nitrofurantoin to treat the urinary tract infection.

Clinical Pharmacology and Therapeutics

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