Harold Bennett
High · 61Harry · 82M · DOB 2 Dec 1943 · MRN RN-33018
Parkinson's disease with three falls in four months. Anticholinergic burden from oxybutynin and PRN quetiapine is the main iatrogenic driver.
Allergies: Codeine (nausea)
For ward-based care · not for CPR · ReSPECT 2026-01
Oxybutynin — Beers, ACB, falls
Strong anticholinergic in MCI and Parkinson's. First deprescribing target.
PRN quetiapine
Antipsychotics increase stroke, fall and mortality risk in this phenotype.
Postural hypotension
32 mmHg systolic drop at 3 minutes on tamsulosin.
Clinical parameters
Sodium
134mmol/L
Ref 135–145
Vitamin D
46nmol/L
Ref >50
Haemoglobin
129g/L
Ref 130–170
Organ risk
Conditions
Parkinson's disease
Hoehn & Yahr 3
Recurrent falls
BPH
Mild cognitive impairment
Constipation
Care team
Dr Ruth Klein
Geriatric medicine
James Cole
Clinical pharmacist
Amira Khan
Parkinson's CNS
Next encounter
Parkinson's + pharmacy review
Mon 21 Sep · 09:40
Riverside · Room 2 · Dr Klein & J. Cole