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27th February 2024
A 72-year-old woman is admitted to SHDU post-surgery after a left hemicolectomy.
A 72-year-old woman is admitted to SHDU post-surgery after a left hemicolectomy. 2 days post-op, she develops high temperature, tachycardia and tachypnoea. Her blood test result shows high WCC and CRP. Intra-abdominal sepsis is suspected and the patient is started on amoxicillin, metronidazole and gentamicin. Following this, the patient develops sudden reduced urine output. Her medications are as follows:
| DATE | DRUG NAME | DOSE | ROUTE | FREQUENCY | Prescriber’s Signature |
| 10/1/21 | METRONIDAZOLE | 500MG | IV | THRICE DAILY | DR |
| 10/1/21 | GENTAMICIN | 300MG | IV | ONCE DAILY | DR |
| 10/1/21 | AMOXICLLIN | 500MG | ORAL | THRICE DAILY | DR |
| 10/1/21 | IBUPROFEN | 500MG | ORAL | PRN | DR |
| 10/1/21 | PARACETAMOL | 500MG | ORAL | PRN | DR |
| 10/1/21 | DALTEPARIN | 5000 U | SC | ONCE DAILY | DR |
Select the single most likely drug that has caused her AKI.
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