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Acute diarrhoea red flags — GPhC CRA MCQ

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ModerateGI TherapeuticsAcute diarrhoea red flagsGPhC CRA

A 39-year-old woman asks for loperamide for diarrhoea. She returned from travel three days ago, has a temperature of 38.5C and reports blood and mucus in stools. She is thirsty and has passed little urine today. What is the most appropriate action?

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Correct answer: E — Refer for urgent medical assessment rather than supplying loperamide

Fever, blood or mucus in stool and dehydration features are red flags in diarrhoea. Loperamide may be inappropriate in suspected invasive infective diarrhoea. The pharmacist should prioritise urgent assessment and oral rehydration advice while arranging care.

Reference: NICE CKS; BNF