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Table 2 Examples of 'Real-Life' Clinical Scenarios

From: An interprofessional approach to improving paediatric medication safety

Summary of Clinical Scenario Drug Questions for students Resources Required
18 month old admitted to hospital following simple febrile illness.
Red ears and throat and probable viral upper respiratory tract infection.
Ibuprofen
or
Paracetamol
1. What is first line antipyretic agent?
2. Calculate dose, complete Drug Kardex and prepare for administration.
3. When nurses try to administer drug, child screams and spits it out immediately. What should be done next?
• BNFC
• Medicine (syrup, suppository, tablet)
• Drug Kardex
• Discharge proforma
• Oral syringe
7 year old with chronic asthma who is admitted with a severe acute attack.
Child regularly uses inhalers and oral medication.
Child responds poorly to treatment with oxygen, 'back-to-back' nebulisers and steroids.
Intravenous Aminophylline 1. What dose should be prescribed?
2. What other information is needed?
3. Write a script for intravenous aminophylline infusion.
4. What monitoring is required?
5. Make up an intravenous aminophylline infusion.
• Intravenous Aminophylline ampoules (2)
• Large 20-30 ml syringe & needles
• NaCl 0.9% 500 ml or 5% dextrose & fluid pump & associated giving set
• Filter needle
• 'Sharps box'