[No. 16] Inquiry Problem <Plastic Surgery: Ptosis Edition>

Question 16

Plastic Surgery, 62-year-old female, height 150 cm, weight 55 kg

Present illness:
Admitted for ptosis, and the following oral medications were prescribed after surgery.

Lab values: WBC 8000, GOT: 30, GPT: 15, sCre: 0.75, CRP: 0.2, Na: 140, K: 3.8

Allergies: Hay fever, Cefazolin injection
Medical history: Pneumonia

Prescription
Rp1. Acetaminophen 200 mg, 3 tablets, 3 times a day, after each meal, for 3 days
Rp2. Cefcapene pivoxil tablets 100 mg, 3 tablets, 3 times a day, after each meal, for 3 days
Rp3. Gentamicin ointment 10 g, several times a day, as needed

Now, what would you do for an inquiry regarding this?

Hint: Let's focus on the allergies.

Answer

Allergies: Hay fever, Cefazolin injection
Medical history: Pneumonia

Prescription
Rp1. Acetaminophen 200 mg, 3 tablets, 3 times a day, after each meal, for 3 days
Rp2. Cefcapene pivoxil tablets 100 mg, 3 tablets, 3 times a day, after each meal, for 3 days
Rp3. Gentamicin ointment 10 g, several times a day, as needed

The answer is here. There is an allergy to Cefazolin. The fact that there was an allergic reaction when Cefazolin was used previously suggests a high possibility of causing an allergic reaction to cephalosporins.
Although the drug itself in this prescription is not identical to Cefazolin, it is in the same cephalosporin class.
Therefore, it is correct to suggest an antibiotic from a different class here.
By the way, Gentamicin ointment is also an ointment containing an antibiotic, but it is not a cephalosporin, so there is no problem.

Allergies are often overlooked because people think the medication is not a big deal. Let's be sure to check carefully.
See you next time!

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