1st April 2022

A 67-year-old woman with locally advanced pancreatic cancer is admitted for treatment

A 67-year-old woman with locally advanced pancreatic cancer is admitted for treatment of an acute kidney injury (AKI ) secondary to reduced oral intake. She has been struggling with nausea for several days and has barely eaten or drank during this time. She is started on IV fluids. The next day, she is found to have become acutely confused, asking where she is and having no recollection of the previous day’s events. Her drug history includes Creon, insulin, paracetamol, Zomorph, docusate and lactulose.

Which of these drugs are most likely to have contributed to the confusion?

Select the SINGLE most appropriate option from the list below. Select ONE option only.