Case studies 5~7 of ADR events

Ms Chao will explain 3 more examples in SOAP format in this video. Please observe each case and ponder why the plan, suggestion, and adjustment being given.

The fifth case

A 21-year-old female displayed allergic reactions after receiving ciprofloxacin 400 mg IV stat for her UTI. Urine culture grew E.coli. WBC count was 12000 (slightly high), C-Reactive Protein count was 5.32 (high), neutrophil count was 83.5%.

Below are some of the relevant information:

Ciprofloxacin related allergic reaction (skin rash) has an incidence rate of about 1%.

The TVGH pharmacists prescribed hydrocortisone 100 mg IV stat and shifted to Cefuroxime 1.5 g IV every 8 hours for the next 5 days.