A 13-year-old boy presents to the emergency department with acute onset abdominal epigastric pain which he rates as 9/10 on the pain scale. | Medibuddy
5th March 2024

A 13-year-old boy presents to the emergency department with acute onset abdominal epigastric pain which he rates as 9/10 on the pain scale.

A 13-year-old boy presents to the emergency department with acute onset abdominal epigastric pain which he rates as 9/10 on the pain scale. He has vomited 3 times since waking up and is feeling increasingly nauseous. In the history he explains that he has never felt like this before. He has a past-medical history of iron deficiency anaemia, epilepsy, and asthma. Bloods are sent away and reveal an amylase of 1200u/l. His regular medications are listed below.

DATE DRUG NAME DOSE ROUTE FREQUENCY Prescriber’s Signature
10/1/21 PARACETAMOL 500MG ORAL PRN DR
10/1/21 SALBUTAMOL 100MICROGRAMS INHALED ONCE DAILY DR
10/1/21 SODIUM VALPROATE 300MG ORAL TWICE DAILY DR
10/1/21 BECLOMETASONE 100MICROGRAMS INHALED TWICE DAILY DR
10/1/21 FERROUS SULPHATE 200MG ORAL ONCE DAILY  DR
10/1/21 IPRATROPIUM BROMIDE 20MICROGRAMS INHALED THREE TIMES DAILY DR

Which of his regular medications should be stopped?

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