[No. 11] Inquiry Problem <Neurology: Parkinson's Disease Edition>

Question 11

Neurology, 45-year-old female, height 140 cm, weight 40 kg

Present illness
Admitted for Parkinson's disease, almost unable to be active. Currently has a nasogastric tube. Recently, wearing-off has occurred frequently. Admitted this time for medication adjustment. Recently, bowel movements have been infrequent, so a laxative was added for bowel management.
*This hospital uses the simple suspension method.

Prescription
Rp1. Dopacold Tablet L100, 3 tablets, 3 times a day, after each meal, 7-day supply
Rp2. Istradefylline Tablet 20 mg, 1 tablet, once a day, after breakfast, 7-day supply
Rp3. Magnesium Oxide Tablet 250 mg, 3 tablets, 3 times a day, after each meal, 7-day supply

Now, what would you do for an inquiry?
This time it is closer to a suggestion. It is not an inquiry, but a warning to the nurse is also okay.
It is difficult today, but please do your best 😊

The hint is to check if there is a problem with the simple suspension.

Prescription
Rp1.Dopacold Tablet L100 3 tablets, 3 times a day, after each meal, 7-day supply
Rp2. Istradefylline Tablet 20 mg, 1 tablet, once a day, after breakfast, 7-day supply
Rp3.Magnesium Oxide Tablet 250 mg 3 tablets, 3 times a day, after each meal, 7-day supply

Today is here. You might wonder which one, but both together are a no-go.
I will start with an explanation of simple suspension. When a patient cannot take medication orally, there are cases where it is administered via a tube. The method used at that time is simple suspension; simply put, it is a method of dissolving tablets or capsules in hot water and administering them through the tube.

Now, the problem here is that if Dopacold and Magnesium Oxide are suspended together, they turn black and the effectiveness decreases. This is not good. Therefore, the timing or type of laxative should be changed, or the nurse should be warned to dissolve them separately.

See you again! Please check back tomorrow.
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