An 84-year-old woman is admitted to the emergency department with worsening confusion and delirium.
| DATE | DRUG NAME | DOSE | ROUTE | FREQUENCY | Prescriber’s Signature |
| 10/1/21 | PARACETAMOL | 500MG | ORAL | PRN | DR |
| 10/1/21 | INDAPAMIDE | 2.5MG | ORAL | ONCE DAILY | DR |
| 10/1/21 | AMLODIPINE | 10MG | ORAL | ONCE DAILY | DR |
| 10/1/21 | FERROUS SULPHATE | 200MG | ORAL | ONCE DAILY | DR |
| 10/1/21 | RAMIPRIL | 5MG | ORAL | ONCE DAILY | DR |
| 10/1/21 | CHOLECALCIFEROL | 400UNITS | ORAL | ONCE DAILY | DR |
An 84-year-old woman is admitted to the emergency department with worsening confusion and delirium. The history is hard to take however her daughter states that she has been complaining of difficulty urinating over the past few days. Blood results reveal a raised creatinine of 354umol/l and urea of 14.2umol/l. Baseline bloods reveal her creatinine is normally 78umol/l. She has a past medical history of hypertension, iron deficiency anaemia, and vitamin D deficiency. Her regular medications are listed above.
What regular medication(s) should be stopped in this patient?
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