A 59-year-old with known diverticular disease has been admitted with sharp left iliac fossa pain, fever and signs of hypovolaemia. | Medibuddy
1st March 2024

A 59-year-old with known diverticular disease has been admitted with sharp left iliac fossa pain, fever and signs of hypovolaemia.

DATE DRUG NAME DOSE ROUTE FREQUENCY Prescriber’s signature
08/04/23 Paracetamol 1g Oral PRN DR
08/04/23 Salbutamol 200mcg Inhaled PRN DR
08/04/23 Tinzaparin 3500 units Subcutaneous injection Once daily DR
08/04/23 Cefalexin 250mg Oral TDS DR
08/04/23 Metronidazole 400mg Oral TDS DR
08/04/23 Carmellose sodium Eye drops PRN DR
08/04/23 Lansoprazole 30mg Oral Once daily DR

A 59-year-old with known diverticular disease has been admitted with sharp left iliac fossa pain, fever and signs of hypovolaemia. He has been prescribed intravenous fluids as well as the drugs that can be seen in the table above. His past medical history includes asthma and GORD. He reports that as a teenager he had a reaction to penicillin where shortly after taking the medication his “face and tongue puffed up”.

Select the one drug that should not be prescribed for this patient.

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