Candidate card · Medicine

You are the doctor

A patient unsure whether to restart medicines

Setting: A medical discharge discussion

The patient is recovering from dehydration with improving renal function. Two medicines remain temporarily withheld on the discharge list. Repeat blood tests are arranged 48 hours after discharge, with GP review before a restart decision.

Task

  • Explore the meaning the patient gives to withheld.
  • Explain temporary plan versus permanent stopping.
  • Address fear of harming recovery.
  • Check the sequence of blood test, review and decision.
Renal follow-up and medicine-review plan
  • Repeat blood test: 48 hours after discharge, already accepted by the GP practice.
  • The GP reviews the results and gives the patient the subsequent medicine instructions.
  • Two medicines identified as temporarily withheld on the revised list are not to be restarted independently; the candidate is not asked to name drugs or decide doses.
  • If the patient has not received review instructions by the next working day after the test, contact the GP practice using the number on the discharge card.
  • For inability to keep fluids down or marked deterioration, seek urgent advice through the supplied urgent contact route.
  • Daughter may help with reminders with permission; she is not asked to make the prescription decision.

Fictional scenario information supplied by the treating team; not medical guidance for real patients.