Where you are
FY2 in Medicine Department.Who the patient is
Mr. John Smith, aged 63, is a patient of rheumatoid arthritis. He had a fall with hip fracture. He is
admitted in hospital and is waiting for surgery. He is able to eat and drink.
EGFR is 60.Regular Medication
Methotrexate 7.5mg once weekly every Tuesday.
Folic acid 1mg daily except Tuesday.
Give morphine for his pain and antiemetic.Special Note
Penicillin allergy. Had rash.
Shortcut:
- PRN: Morphine: 5mg PO 4 hourly, Max 30mg, Indication pain
- PRN? Regular?: Cyclizine 50mg TDS
Explanation
Morphine in PRN 5mg PO 4 hourly., Maximum in 24 hours 30 mg, Indication pain
Cyclizine in regular 50 mg TDS, for anti emetic.
Methotrexate and Folic acid as told by the consultant.
About Methotrexate, we need to cross out the days Methotrexate is not given with a X. Its once weekly, in task you would be given the day patient takes methotrexate, apart from the day you would cross out every other day in this task. Similarly, when giving folic acid you would cross it on the day methotrexate is given with a X Dr if it is a daily regimen.
Note: Pain relief morphine is given in prn, and antiemetic cyclizine is given regular Dr.