Table 1 – Types of vertigo (non-exhaustive list)[/caption]
Vomiting
In older people, dizziness significantly increases the risk of falls.7 Implementing appropriate interventions to address modifiable risk factors such as dizziness is of paramount importance. In cases of drug-induced dizziness, deprescribing can be considered if the medicine can be safely reduced, discontinued or substituted to prevent inappropriate prescribing cascades of potentially inappropriate medicines (PIM), especially in the context of older people.29
Case Scenario
The medical emergency team (MET) is called to review a 65-year-old man on the surgical ward. He is at day 4 following a Whipple’s procedure for pancreatic cancer. On arrival, he is noted to be hypotensive with a systolic blood pressure of 85 mmHg, bradycardic with a heart rate of 48 bpm, and hypoxic to 93% O2 on room air. The MET team initiates oxygen therapy, intravenous fluid bolus, and begin to investigate a cause for the deterioration.
Learning ObjectivesAfter reading this article, pharmacists should be able to:
Competency (2016) standards addressed: 1.1, 1.4, 1.5, 2.2, 3.1, 3.2, 3.5 |
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Introduction
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