A 64 year-old man has been admitted to hospital with pneumonia. He has recently been discharged from hospital following a myocardial infarction. Whilst in hospital for that MI he underwent PCI with deployment of 3 drug eluting stents
His baseline observations are:
Pulse 120 (sinus rhythm), SpO2 96% on air, BP 105/75 (usual blood pressure 155/80)
U+E: U 14.4, creatinine 190, Na 128, K4.2, bicarb 24
FBC: Hb 12.4, WCC 16.4 (NPL 13.4), plts 344
John Smith, dob 24 June 1951, unit number 12345
Amlodipine 10 mg od
Paracetamol 1g qds
Ramipril 10 mg od
Bisoprolol 2.5 mg od
Aspirin 75 mg od
Clopidogrel 75 mg
Ibuprofen 400 mg qds
He has been prescribed appropriate antimicrobial already but his usual medications have not been prescribed by the admitting team.
You have been asked to prescribe his usual medication on the chart by the nursing staff on the admissions unit before the patient is transferred to the ward.
In order to get some prescribing resources out there we intend to publish a series of prescribing problems on the website. The problems will appear at least weekly with the "answers" appearing a couple of days later. We'll use the standard exam stationery available on the LSE, but also available below in case you haven't got access to the LSE.