Adverse Drug Reaction Reporting
Consider each of the following suspected case scenarios. Should a yellow card be completed?
/Scenarios
/Answer
1 / Patient on lisinopril and develops tongue swelling.2 / A 11 year old patient receives a routine BCG vaccination and develops redness and swelling of the injection site
3 / Patient start on Apixaban and is found to be hypotensive seven days later.
4 / 78-year-old male patient in a urology ward has a transurethral catheter inserted post-op and is started on ciprofloxacin 500mg bd orally. Two days later penile necrosis is observed and the catheter is removed.
5 / A 30 year old female patient develops a rash after receiving two doses of amoxicillin
6 / Patient admitted to hospital with confusion and a fall. She is on bendroflumethiazide, temazepam, and paracetamol. Investigations identify hypokalaemia & hyponatraemia.
7 / 65-year-old female patient develops severe sunburn after spending time in the garden. She is taking doxycycline.
8 / A mother took paroxetine all through pregnancy and baby born at 38 weeks with no problems. Mother continued to breastfeed while on paroxetine until child 6 months old. Two days after breastfeeding discontinued the child became agitated, fed poorly and cried more than normal.
9 / Patient on warfarin and starts taking an herbal preparation containing glucosamine and chondroitin. One week later the patients INR increases to 5.
10 / 38-year-old female receiving paclitaxel for breast cancer. Fourteen days after receiving the treatment she is hospitalised with neutrophils of 0.01 (normal 2-7.5), temp 40 degrees Celsius and rigors. She is started on IV antibiotics.
11 / Patient bought a Chinese herb from a herbalist 2 weeks ago. She is admitted to hospital today with renal failure.
12 / Patient complains of a dry mouth and blurred vision after starting buscopan (hyoscine butylbromide).