{"text":"CLINICAL INFORMATION \nP\u00e9ge 20f3 \nPresenting complaint \nMain presenting \nunsuccessfully. admit acutely with AKI : \nReason for referral \nCare type requested: Out Patient \nExpected outcome: Investigate \nPast medical history \nHigh and Medium Priority Pre-existing conditions \nDescription Laterality Modifier Extension \nEmphysema - New event - \nGastritis unspecified - New event - Mild. \nIron deficiency anaemias - New event \/ admitted. \nBody mass index less than 20 - - - \nTermination of pregnancy - - medical \nH\/O: depression - - and suicidal ideation \nDrug addiction - - CODEINE \nSchool problem - - extreme school avoidance \nCurrent medication (Active Repeat medication issued within the last 12 months) \nDrug name : BNF code Formulation- Dosage \nMirtazapifie 45mg tablets 88881020 tablet L TADLET ONCE A DAY AT \nEsomeprazole 40mg 1 BD AS PER . \ngastro-resistant capsules 98761020 capsule GASTROENTEROLOGIST \nRecent medication (Any medication issued within last 90 days not shown above) \nHistory of presenting complaint \/ examination findings \/ investigation results \nComplaint: low gfr \nReason for patient admitted with AKI 2 weeks ago, GFR 31, was discharged with GFR >60, GP asked to repeat in 2 \nReferral: weeks, repeat Monday showed gfr 40 with K+3.2. trled to contact previous consultant for advice \nDate Recorded \nCourse ) \nFreguency started Duration \ni 14-Sep- 3 \n2017 \n. 04-May- . \n2021 \nAdditional Clinical information \nDrug name BNF code Formulation Dosage Frequency S&l\ufb01g Duration \n' ' ' 2 TABLET(S) o \n. | Sando-K effervescent tablets '51478020 tablet THREE TIMES A } 14-Jul 3 \n(Alturix Ltd) . DAY \u2018 2022 \n\u2018 . 1 TO 2 PUFFS UP P \nSalbutamol 100micrograms\/dose _ 16-Jun- \nbreath actuated Inhaler CFC free 86841020 dose TO FOUR TIMES 2022 \n- [more] \nTrimethoprim 200mg tablets 66194020 tablet \u00a9 1TWICEADAY - o - \n. . \u2019 1 TABLET THREE 16-Jun- \nCychzun'e 50mg tablets 61665020 tablet TIMES DAILY - 2022 \ne 1 CAPSULE FOUR ) 11-May- \nFlucloxaciflin 500mg capsules 59409020 capsule TIMES A DAY 2022 \nClinical warnings ' Smoking status Alcohol consumption \nLifestyle risks Number per day Units per day \nExercise status: Enjoys light exercise \u00a9 {7 (not known) 0 (teetotaller) \n\ufb01}e:\/\/\/N\u2019:\/PCTI\/Docman7\/Data ,S1\/Do\u2019cument\/DMEDOC()1\/00003900\/017583835.HTM 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