A 7-year-old boy is admitted to the emergency department with symptoms of thirst, polyuria, and fatigue following a recent diarrhoeal illness.
A 7-year-old boy is admitted to the emergency department with symptoms of thirst, polyuria, and fatigue following a recent diarrhoeal illness.
PMH. T1DM, hay fever, eczema, vitamin D deficiency. DH. See below.
Investigations
BM 16.7
VBG – pH 7.18 (7.35 – 7.45), HCO3– 8 (22 – 26)
He is commenced on a fixed-rate insulin infusion.
| DATE | DRUG NAME | DOSE | ROUTE | FREQUENCY | PRESCRIBER’S SIGNATURE |
| 10/1/21 | COLECALCIFEROL 400 UNITS TABLETS | 400 UNITS | ORAL | ONCE DAILY | DR |
| 10/1/21 | CHLORPHENAMINE MALEATE | 2mg | ORAL | EVERY 4 – 6 HOURS AS REQUIRED | DR |
| 10/1/21 | LEVEMIR FLEXPEN 100 UNITS/ML SOLUTION FOR INJECTION | 5 UNITS | SUBCUTAENOUS | NOCTE | DR |
| 10/1/21 | HUMALOG 100 UNITS/ML SOLUTION FOR INJECTION (KWIKPEN) | VARIABLE | SUBCUTANEOUS | BEFORE MEALS | DR |
| 10/1/21 | DERMOL® 600 BATH EMOLLIENT | 15ml | TOPICAL | ONCE DAILY AS REQUIRED | DR |
Select ONE prescription that should be withheld.
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