Author: Fiona Mendes / Editor: Yasmin Sultan / Codes: ACCS LO 2, ELC4, GP9, NepC1, NepC2, NepC3, NepP1, NepP2, NeuC5, NeuP1, NeuP8, SLO3Published: 30/03/2022

A 62-year-old female with chest pain and shortness of breath was seen in your Emergency Department (ED), admitted to the cardiology ward and treated for acute coronary syndrome.

During her recent hospital admission, she was also treated for heart failure and given doxycycline for a lower respiratory tract infection.

Her past medical history includes diabetes, hypertension and a previous c-section.

Two weeks after her hospital discharge, she returns to your ED with worsening confusion and is drowsy. She has a significantly reduced oral intake and is not passing urine. Her initial blood tests results show a raised serum creatinine and hyperkalaemia.

Module Content