Case scenarios
Gavin, 45, is admitted to your hospital for elective surgery on his anterior cruciate ligament (ACL) after rupturing it playing soccer. He is otherwise fit and well, apart from mild hypertension, for which he takes irbesartan with hydrochlorothiazide 150/25 mg daily. Routine blood tests taken at the time of surgery (12 hours ago now) reveal a serum potassium of 3.1 mmol/L (mild hypokalaemia).
Grace, 75, is admitted to hospital with rapid atrial fibrillation (heart rate is 130 bpm), signs of confusion and an infective exacerbation of COPD. She has a history of stage 1 (mild) chronic kidney disease, pulmonary hypertension and subsequent right-sided heart failure secondary to COPD. She takes furosemide 40 mg twice daily, irbesartan 150 mg daily and an indacaterol 110 mcg plus glycopyrronium 50 mcg inhaler, 1 dose daily. A blood test on admission reveals a serum potassium of 3.3 mmol/L (mild hypokalaemia).
Learning ObjectivesAfter reading this article, pharmacists should be able to:
Competency standards (2016) addressed: 1.1, 1.3, 1.4, 1.5, 3.1, 3.2, 3.3, 3.5 Accreditation number: CAP2407AMKW Accreditation expiry: 30/06/2027 |
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This CPD activity is sponsored by Reckitt. All content is the true, accurate and independent opinion of the speakers and the views expressed are entirely their own.[/caption]
Sources: Australasian College of Pharmacy. Management of reflux: a guideline for pharmacists. Queensland Health. Queensland Community Pharmacy Gastro-oesophageal Reflux and Gastro-oesophageal Reflux Disease – Clinical Practice Guideline. NSW Health. NSW Pharmacist Practice Standards for gastro-oesophageal reflux and gastro-oesophageal reflux disease.[/caption]

Dr Ming S Soh PhD, BPharm (Hons)[/caption]






DR Amy Page (she/her) PhD, MClinPharm, GradDipBiostat, GCertHProfEd, GAICD, GStat, FSHPA, FPS is a consultant pharmacist, biostatistician, and the director of the Centre for Optimisation of Medicines at UWA’s School of Allied Health.[/caption]

Hui Wen Quek (she/her) BPharm(Hons), GradCertAppPharmPrac is a pharmacist and PhD candidate at the University of Western Australia (UWA).[/caption]



