On-call scenario 4: Questions
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Caller: Dr Rahul Kotecha, FY2 on Medicine, bleep 3344.
Patient: Amy Steer, aged 78 years.
Medicines: Co-beneldopa dispersible 25/100 QDS and ropinirole 2mg TDS. No other medicines and no allergies.
Clinical problem: Patient having their medicines through a nasogastric tube, but they keep trying to pull it out. Thinking of changing their Parkinson’s medicines to a rotigotine patch but need to know the dose conversion.
Now that you have more information about the patient, you ring off and start to look for an answer to this clinical problem.
Which information sources would you use?