Considering the clinical issue of patient

Assignment Help Biology

Reference no: EM13934645

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

Reference no: EM13934645

Questions Cloud

Determine the cost of the following job : Determine the cost of the following job (number 253) using each of the four overhead allocation rates.Job 253

About the annual return : You want to be a millionaire when you retire in 40 years. How much do you have to save each month if you can earn an 11.4 percent annual return? How much do you have to save each month if you wait 10 years before you begin your deposits?

Create a form application : Create a form that has a text area that will hold Mission Title and Adjusted Total Box Office Profit data.

What is the highest rate you can afford : You want to borrow $99,000 from your local bank to buy a new sailboat. You can afford to make monthly payments of $2,150, but no more. Assuming monthly compounding, what is the highest rate you can afford on a 54-month APR loan?

Considering the clinical issue of patient : 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.

Establish and maintain payroll system prepared manually : Establish and Maintain Payroll system prepared on a computer programme and prepared manually. How much Holiday leave would you tell her she has?

Write an algorithm in structured english : Write a program in Python that will ask for the number of ticket sold for each type of tickets one by one. That is, it will first ask "Please enter the number of Platinum tickets sold". Once the user enters the number of Platinum tickets sold it w..

Choice of two investment accounts : You have your choice of two investment accounts. Investment A is a 14-year annuity that features end-of-month $2,000 payments and has an interest rate of 8.5 percent compounded monthly. Investment B is a 8.0 percent continuously compounded lump sum i..

How policies have changed the legal landscape in the us : You have just graduated from College with a degree in the Criminal Justice program and acquired your dream career working with the National Criminal Justice Reference Service (NCJRS).Address how 2 of the following databases, technology tools, and p..

User Account

All Pages