Mr Jones, a 59-year-old man, was recently discharged from hospital following an admission for breathlessness and palpitations. His 12-lead electrocardiogram (ECG) confirmed fast atrial fibrillation, and a transthoracic echocardiogram showed a dilated left atrium and mitral stenosis. His past medical history includes hypertension treated with amlodipine 5 mg daily. He also currently takes aspirin 75 mg daily and simvastatin 40 mg daily.
He presents to your community pharmacy with new prescriptions for:
- metoprolol 50 mg twice daily
- warfarin 1 mg and 3 mg tablets as per international normalised ratio (INR)
- simvastatin 40 mg at night.
He asks you about the changes in his medication.
After successful completion of this CPD activity, pharmacists should be able to:
Competencies (2016) addressed: 1.1, 1.5, 3.1, 3.2, 3.5.
Accreditation code: CAP1811A
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