End of Life Drug Card — Anticipatory Medications

PATIENT & CLINICAL CONTEXT

| Location: [Hospital] Diagnosis: Nephrotic syndrome (presumed minimal change disease) Prognosis: [Weeks—expected recovery with treatment, but EOL not appropriate] Recognised as dying: [REQUIRED — Dying phase NOT applicable; patient NOT at EOL] Preferred place of death: [REQUIRED] | Achievable: [REQUIRED] DNACPR: [REQUIRED] | ReSPECT/ACP: [REQUIRED] Palliative care involved: [No — refer only if appropriate]

MEDICATION REVIEW All regular medications reviewed: [REQUIRED — Not EOL context] Stopped (non-essential): [REQUIRED] Continued (comfort-essential): [REQUIRED] Route: [Oral appropriate — swallowing intact]

ANTICIPATORY MEDICATION PRESCRIPTION [EOL anticipatory drugs NOT indicated—patient NOT dying] [EOL medication prescription is NOT appropriate for this scenario.]

**[CRITICAL INPUT MISSING / Not an EOL patient:

• Patient weight: REQUIRED
• eGFR: Normal (provided)
• Opioid requirement: Not applicable — not indicated
• Clinical context: Not in the dying phase — EOL anticipatory medication is not appropriate for this patient]**

Review plan:

• Refer to paediatric nephrology team for further management.
• Immediate EOL anticipatory prescribing is NOT indicated in this child.
• If patient becomes EOL, REASSESS and complete tool with relevant data.

This card must be reviewed every 24h: not applicable — patient is NOT recognised as dying. If believed to be EOL, critical data REQUIRED to proceed.