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Home Medicines Review;

Assignment 2015
Patient Details
Mr Steven Malcolm
Date of Birth:
1 Snowy Road, Cooma
Referring GP:
Dr Mann
Patient Information from HMR Referral
Allergies or adverse reactions: sulphonamides and perindopril
Smoking: smokes 10-15 cigarettes daily
Alcohol: He drinks 1 to 2 glasses of wine a day and has the occasional low alcohol beer.
Patient History from HMR Referral
Medical History
• hypertension
• hyperlipidaemia
• type 2 diabetes
• asthma
• hypothyroidism
• open angle glaucoma
• osteoarthritis
• microalbuminuria
Reason for Referral
• Possible medication-related adverse effects
Current Medications from HMR Referral
Timolol eye drops 0.5%
One drop BE twice daily
Paracetamol 500mg
Two tablets four times daily when required
Pantoprazole 40mg
One tablet daily
Salbutamol MDI
2 puffs qid as needed for shortness of breath
Metformin 500mg
Two tablets three times a day
Gliclazide 60mg MR
One tablet twice daily
Pravastatin 20mg
One tablet daily
Thyroxine 50microgram
One tablet daily
Amlodipine 5mg
One tablet daily
Indapamide 2.5mg
One tablet daily
Temazepam 10mg
Take one tablet prn for sleep
Mylanta DS liquid
20ml prn
Relevant Test Results
Findings on the day of referral
• BP 150/90 mmHg, HbA1c 7.9%, fasting BSL 7 mmol/L, serum Creatinine 120micromol/L
Part One
1. What further questions, if any, would you like to ask the doctor, and the patient? Explain reasons for these questions.

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