Arcade

Ward Rounds

Hospital clinical pharmacy decisions

Choose a case (4)

Septic shock on the ward

65 y M, 24 h post-op, T 39.4°C, BP 88/52, HR 124, lactate 4.2, urine output low.

VTE prophylaxis assessment

72 y F, admitted with pneumonia and reduced mobility. Renal function: CrCl 38 mL/min.

Renal dose adjustment

Patient on vancomycin for MRSA bacteraemia; CrCl drops from 90 to 28 mL/min after AKI.

IV to oral switch

Patient on day 3 of IV ceftriaxone for community-acquired pneumonia. Afebrile, eating/drinking, BP stable.