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Reply to a letter written by a local prescriber by considering the clinical issue of patient and using an academic writing (UK style). Use BNF, SPCs on medicines.org.uk, national guidance and medical journals as reference. (at least 2 pages) Dear Pharmacist, Can you help me treat my patient, Ms. RH, who is 78 years old. She came to clinic for relief of a chest infection yesterday but has subsequently informed me that she is going out of the area for some time. I am currently treating her atrial fibrillation with Warfarin, however, she does not wish to continue on this treatment due to the monitoring constraints. She has had erratic INRs over the last few months so is being monitored on a weekly basis. Last INR reading was taken yesterday and was 3.2 (target of 2.5). She also suffers from stage 3 CKD, she has had a stroke in the past and has mild hypertension and No Known Drug Allergies. Current medicines: Zocor 40mg on Warfarin od as per INR Lansoprazole 30mg om Amlodipine 10mg om Ramipril 7.5mg om Ferrous sulphate 200mg TDS Sodium Bicarbonate 500mg TDS Augmentin 625mg TDS 1/52 Clarithromycin 500mg bd 1/52 I am looking for your advice regarding which anticoagulant would be most appropriate for this patient and when is safest to initiate treatment. Dr Matt
A 22-year-old Honduran woman presents to an urgent care center complaining of a rash and joint pains in the wrists and knees for 2 days. Her rash was preceded by 3 days with a fever, malaise, headache, mild conjunctivitis, mild cough, and lymphade..
In the motility test, why is it essential that the reduced TTC be insoluble? Why is there less concern about the solubility of the oxidized form of TTC?
Emily noticed that her house plants were wilting badly. Most likely what cell structures had contracted?
What is occurring in the digestive system of a person who suffers from constipation?
what would be the resulting mRNA and peptide sequence?
At 4:00 p.m a closed flask of sterile broth is inoculated with 10,000 cells. The lag phase lasts 1 hour. At 9:00 p.pm the culture enters stationary phase with a population of 65 million cells. At what time is the population half maximal? ( SHOW YO..
Suppose that you are given a mixture of proteins that you examine by standard 2-D electrophoresis, with the following results for isoelectric points and apparent molecular weights.
What is the cellular tropism of HIV and does it change during the course of an infection? Which cellular receptors confer the preference for infection of certain cell-types?
Describe the role of water as a component of digestivejuices.
This hereditary X-linked recessive disease characterized by progressive muscular weakness is .
Explain how quiet exhalation is accomplished, and compare this to forced exhalation. Which spriometry measurements indicate quiet and forced exhalation?
Examine of the bases of a sample of nucleic acid yielded these percentages: A= 20%, G= 30%, C= 20%, T= 30 percent. Explain why is the sample single stranded DNA.
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