Prescription Writing Practice
50 prescribing scenarios marked by a deterministic safety engine: dose ranges, routes, frequencies, allergies, interactions and renal adjustment.
Log in to write a prescriptionAcute Gout in Chronic Kidney Disease: Choosing a Safe Anti-Inflammatory
Diagnosis: Acute gout of the first metatarsophalangeal joint (podagra)
Acute Otitis Media in a 4-Year-Old: Antibiotic and Analgesic Prescribing
Diagnosis: Acute otitis media
Acute Severe Asthma in a 24-Year-Old Woman
Diagnosis: Acute severe asthma
Addisonian Crisis in a Patient with Vomiting and Fever
Diagnosis: Addisonian crisis
Alcohol Withdrawal in a 48-Year-Old Man
Diagnosis: Alcohol withdrawal syndrome
Anaphylaxis to Intravenous Co-amoxiclav
Diagnosis: Anaphylaxis (adverse drug reaction to co-amoxiclav)
Atrial fibrillation with chronic kidney disease: anticoagulation
Diagnosis: Atrial fibrillation with chronic kidney disease stage 3b
Cellulitis in a penicillin-allergic patient with renal impairment
Diagnosis: Lower limb cellulitis
Community-acquired pneumonia in a penicillin-allergic patient taking warfarin
Diagnosis: Community-acquired pneumonia, CURB-65 score 1, for home treatment
Community-Acquired Pneumonia: Initial Prescribing
Diagnosis: Community-acquired pneumonia
Confirmed Proximal Deep Vein Thrombosis: Outpatient Anticoagulation
Diagnosis: Proximal deep vein thrombosis (left popliteal and femoral veins)
Constipation on Opioid Therapy: Prescribing a Laxative Regimen
Diagnosis: Constipation
Discharge Prescription after NSTEMI and Stenting
Diagnosis: Non-ST-elevation myocardial infarction (NSTEMI) with single drug-eluting stent to right coronary artery
First episode of Clostridioides difficile infection after co-amoxiclav
Diagnosis: Clostridioides difficile infection (first episode)
H. pylori positive dyspepsia in a patient on simvastatin
Diagnosis: Helicobacter pylori positive dyspepsia
Hyperkalaemia in an elderly patient with chronic heart failure and renal impairment
Diagnosis: Hyperkalaemia complicating chronic heart failure and chronic kidney disease
Hypertension in a 58-year-old woman with type 2 diabetes and albuminuria
Diagnosis: Hypertension with type 2 diabetes and albuminuria
Hypertension in a Black African Man: First-Line Therapy
Diagnosis: Stage 2 hypertension
Hypertension in pregnancy
Diagnosis: Hypertension in pregnancy
Hypokalaemia in Heart Failure on Furosemide: Oral Potassium Replacement
Diagnosis: Heart failure with reduced ejection fraction
Infective exacerbation of COPD with type 2 respiratory failure risk
Diagnosis: Infective exacerbation of COPD with type 2 respiratory failure risk
Iron Deficiency Anaemia in a Woman with Menorrhagia
Diagnosis: Iron deficiency anaemia
Lower UTI in an Elderly Woman on Warfarin with Renal Impairment
Diagnosis: Lower urinary tract infection
Migraine with aura in a 28-year-old woman on a combined oral contraceptive
Diagnosis: Migraine with aura
Moderate Depression in a 70-Year-Old Man with Recent Hip Fracture: Prescribing an Antidepressant
Diagnosis: Moderate depressive episode
Nausea in a Patient with Parkinson's Disease on Co-beneldopa
Diagnosis: Parkinson's disease
Newly Diagnosed Generalised Epilepsy in a Woman of Childbearing Potential
Diagnosis: Generalised epilepsy
Newly diagnosed heart failure with reduced ejection fraction: initiation of therapy
Diagnosis: Heart failure with reduced ejection fraction (HFrEF)
Newly diagnosed hypothyroidism in an elderly patient with ischaemic heart disease: treatment considerations
Diagnosis: Primary hypothyroidism
Newly Diagnosed Type 2 Diabetes: Initiating First-line Therapy
Diagnosis: Type 2 diabetes mellitus
Outpatient Management of Acute Pyelonephritis
Diagnosis: Acute pyelonephritis
Postoperative Pain After Laparotomy
Diagnosis: Postoperative pain after laparotomy
Prescribing Analgesia for Knee Osteoarthritis in an Older Woman on Aspirin
Diagnosis: Knee osteoarthritis
Prescribing for a 2-Year-Old with Fever and Pain
Diagnosis: Acute otitis media
Prescribing for acute uncomplicated cystitis
Diagnosis: Acute uncomplicated cystitis
Prescribing for Painful Diabetic Peripheral Neuropathy
Diagnosis: Painful diabetic peripheral neuropathy
Prescribing for Uncomplicated Cellulitis of the Lower Leg
Diagnosis: Uncomplicated cellulitis of the right lower leg
Pulmonary embolism in renal impairment
Diagnosis: Pulmonary embolism
Rate Control and Anticoagulation in Persistent Atrial Fibrillation with Asthma
Diagnosis: Persistent atrial fibrillation with fast ventricular rate
Recurrent Falls in an 86-Year-Old Woman Taking Multiple Antihypertensives
Diagnosis: Recurrent falls with orthostatic hypotension
Recurrent hypoglycaemia in an older patient with renal impairment
Diagnosis: Recurrent hypoglycaemia
Rheumatoid Arthritis: Initiating a DMARD
Diagnosis: Rheumatoid arthritis
Sick-Day Insulin Prescription for a 19-Year-Old with Type 1 Diabetes and Chest Infection
Diagnosis: Community-acquired pneumonia in type 1 diabetes mellitus
Smoking Cessation in a Patient with Epilepsy
Diagnosis: Nicotine dependence
Symptomatic UTI in a 30-Week Pregnancy
Diagnosis: Symptomatic urinary tract infection in pregnancy
Type 2 diabetes with renal impairment: prescribing an antidiabetic agent
Diagnosis: Type 2 diabetes mellitus with renal impairment
Type 2 diabetes with stage 3 chronic kidney disease
Diagnosis: Type 2 diabetes mellitus with stage 3 chronic kidney disease
Urate-lowering therapy after a second gout flare in a patient on azathioprine
Diagnosis: Recurrent gout
Urinary sepsis: empirical intravenous antibiotics including gentamicin in an obese patient with renal impairment
Diagnosis: Sepsis of urinary source
VTE Prophylaxis in a Bariatric Patient Undergoing Hip Replacement
Diagnosis: Osteoarthritis of right hip, awaiting total hip replacement
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