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5th March 2024
An 83-year-old woman presents to the emergency department with abdominal pain and oliguria over the past 12 hours.
An 83-year-old woman presents to the emergency department with abdominal pain and oliguria over the past 12 hours. Bloods are sent away which reveal a raised creatinine of 430umol/l and a urea of 14.5umol/l with baseline creatinine being found to be 78umol/l on previous blood tests. A diagnosis of AKI is confirmed. She has a past-medical-history of hypertension, type-2 diabetes and gout and has recently been started on a new medication in the past 2 weeks. Her drug chart is listed below.
| DATE | DRUG NAME | DOSE | ROUTE | FREQUENCY | Prescriber’s Signature |
| 10/1/21 | PARACETAMOL | 500MG | ORAL | PRN | DR |
| 10/1/21 | METFORMIN | 1G | ORAL | TWICE DAILY | DR |
| 10/1/21 | AMLODIPINE | 5MG | ORAL | ONCE DAILY | DR |
| 10/1/21 | ALLOPURINOL | 100MG | ORAL | ONCE DAILY | DR |
| 10/1/21 | RAMIPRIL | 10MG | ORAL | ONCE DAILY | DR |
| 10/1/21 | GLICAZIDE | 80MG | ORAL | ONCE DAILY | DR |
Which of these medication(s) should be stopped due to this patient’s AKI?
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