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
Mrs Burns, aged 50 years, comes into the pharmacy with a radiation burn that was left open for a week. Hydrocortisone 0.5% with lidocaine 5% ointment and a low-adherent pad was recommended at the time; however, her wound is now quite sore (6/10). Her general practitioner has referred her to see the Wound Care Pharmacist for further advice.
Wound size: 4 x 7 cm
Medical history: Recent radiation therapy for cancer (in remission). No allergies or medicines.
Introduction
Wound infection is a challenging part of wound care management, and systemic antibiotics are commonly prescribed as a treatment of choice for infection.1 However, inappropriate and widespread use of systemic and topical antibiotics are resulting in increased prevalence of methicillin-resistant Staphylococcus aureus (MRSA).1 Chronic wounds affect 2–5% of the population worldwide.2 Accurately identifying the signs and symptoms of wound infection and prompt treatment using evidence-based practice are critical to effective wound infection management,3 and prevention of wound complications and chronic wounds.
Learning objectivesAfter reading this article, pharmacists should be able to:
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