PPhantomAI

Mrs. N.C

PID-20144

31 yrs · Female · 74 kg · 162 cm · Antenatal Ward

Diagnosis
Term pregnancy (39 weeks), elective repeat Caesarean section
Vitals
BP122/78 mmHgNormalBlood PressureReference90–120 / 60–80 mmHgActual122/78 mmHg
HR84 bpmNormalHeart RateReference60–100 bpmActual84 bpm
RR16/minNormalRespiratory RateReference12–20 breaths/minActual16/min
TEMP36.9°CNormalTemperatureReference36.1–37.2°CActual36.9°C
SPO298%NormalOxygen SaturationReference≥ 95%Actual98%
Labs
Serum Creatinine0.7 mg/dLNormalSerum CreatinineReference0.5–1.3 mg/dLActual0.7 mg/dL
Creatinine Clearance98 mL/minNormalCreatinine ClearanceReference≥ 50 mL/min (normal/mild impairment)Actual98 mL/min
eGFR>90 mL/min/1.73m²NormaleGFRReference≥ 60 mL/min/1.73m²Actual>90 mL/min/1.73m²
Liver FunctionWithin normal limitsNormalLiver FunctionReferenceWithin normal limitsActualWithin normal limits
Blood Glucose5.4 mmol/LNormalBlood GlucoseReference4.0–7.8 mmol/LActual5.4 mmol/L
Allergies & Status
No known drug allergies (NKDA)
Pregnant — 39 weeks gestation
Clinical Notes
Booked for elective repeat Caesarean section given previous CS. Pre-operative prophylactic antibiotic prescribed, pending theatre.

Current Medications

  • Ferrous Sulfate 200mg once daily
  • Antenatal multivitamin once daily

New Prescriptions — Pending Dispense

Ceftriaxone 1g
IV, Single pre-operative dose
Unit: 60 Central: 210 Auto-Reorder Triggered
Spinal Anaesthesia Set 1 setConsumable
For theatre
Sterile Gauze Packs 6 packsConsumable
For theatre
Recommended Additions

These aren't on the prescription, but this chart implies they'll be needed to actually administer it.

Syringes & Needles (appropriate size)

Needed to draw up and administer: Ceftriaxone (IV).

IV Cannula (appropriate gauge)

IV access is needed to give: Ceftriaxone.

Water for Injection (diluent)

Ceftriaxone is supplied as a powder and must be reconstituted before it can be given.

Duplicate Prescription Check

No duplicate or overlapping therapy detected.

Dose Accuracy Check

Ceftriaxone 1g — Within the typical adult range of 250-2000mg per dose.

Interaction Cross-Check

Every unique pair across current medications and new prescriptions — not just new-vs-current.

Ferrous + AntenatalLow
Ferrous + CeftriaxoneNew RxLow
Antenatal + CeftriaxoneNew RxLow

Renal Function & Dosing

98NormalCreatinine ClearanceReference≥ 50 mL/min (normal/mild impairment)Actual98mL/min
Cockcroft-Gault recalculation: 136 mL/min
Normal / Mild Impairment

No medications on this chart require renal dose banding from the reference table.

Pharmacovigilance — Relevant to This Patient

5 recent reports · Ceftriaxone

Five reports involving Ceftriaxone within 48 hours show an escalating allergic-reaction pattern — from mild rash to facial swelling to breathing difficulty. This clustering, especially the severity escalation, is statistically unlikely to be coincidental and warrants urgent clinical review of this batch/patient population.

Ceftriaxone — Rash2 days ago
Ceftriaxone — Rash2 days ago
Ceftriaxone — Facial swelling1 day ago
Ceftriaxone — Rash18 hours ago
Ceftriaxone — Difficulty breathing6 hours ago
Ceftriaxone — Rash2 hours ago

Acid-Base Disturbance Profile

Low
pH
7.42NormalpHReference7.35–7.45Actual7.42
pCO₂
32 mmHgLowpCO₂Reference35–45 mmHgActual32 mmHg
HCO₃⁻
24 mEq/LNormalHCO₃⁻Reference22–26 mEq/LActual24 mEq/L
Lactate
1 mmol/LNormalLactateReference< 2 mmol/LActual1 mmol/L
NormalNone Needed

This blood gas falls within normal limits.

→ Within the expected range for late pregnancy.

How This Affects the Treatment Plan — Suggested Interventions

No acid-base disturbance detected — no dosing or monitoring implications from this profile.

Theatre

Elective Caesarean Section
Request TR-503 · Status: Issued

Unit vs Central Stock — This Patient's Medications

AMC, ROL, and months-of-stock (MOS) at both the unit and central store, with a recommendation for each.

Ferrous
Unit StockAdequate
560
Stock
293
AMC
1.9
MOS

Stock within normal range (~1.9 months of stock) — no action needed.

Central StoreAdequate
2600
Stock
1900
AMC
1.4
MOS

Stock within normal range (~1.4 months of stock) — no action needed.

Antenatal
Unit StockAdequate
300
Stock
197
AMC
1.5
MOS

Stock within normal range (~1.5 months of stock) — no action needed.

Central StoreAdequate
1350
Stock
1180
AMC
1.1
MOS

Stock within normal range (~1.1 months of stock) — no action needed.

Ceftriaxone
Unit StockBelow Reorder Level
60
Stock
95
AMC
0.6
MOS

Order 190 units to reach max stock level before it runs out (~0.6 months of stock remain).

Central StoreBelow Reorder Level
210
Stock
480
AMC
0.4
MOS

Order 990 units to reach max stock level before it runs out (~0.4 months of stock remain).

Send Requisition to Bulk Store