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. (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

Order a similar paper and get 15% discount. Use the coupon code GILB

Dr. Padma Myers
Dr. Padma Myers
98% Success Rate
Read More
“Hello, I deliver nursing papers on time following instructions from the client. My primary goal is customer satisfaction. Welcome for plagiarism free papers”
Stern Frea
Stern Frea
98% Success Rate
Read More
Hi! I am an English Language and Literature graduate; I have written many academic essays, including argumentative essays, research papers, and literary analysis.
Dr. Ishid Elsa
Dr. Ishid Elsa
98% Success Rate
Read More
"Hi, count on me to deliver quality papers that meet your expectations. I write well researched papers in the fields of nursing and medicine".
Dr. Paul P. Klug
Dr. Paul P. Klug
99% Success Rate
Read More
"A top writer with proven reliability and experience. I have a 99% success rate, overall rating of 10. Hire me for quality custom written nursing papers. Thank you"

How Our Essay Writing Service Works

Tell Us Your Requirements

Fill out order details and instructions, then upload any files or additional materials if needed. Then, confirm your order by clicking “Place an Order.”

Make your payment

Your payment is processed by a secure system. We accept Mastercard, Visa, Amex, and Discover. We don’t share any informati.on with third parties

The Writing Process

You can communicate with your writer. Clarify or track order with our customer support team. Upload all the necessary files for the writer to use.

Download your paper

Check your paper on your client profile. If it meets your requirements, approve and download. If any changes are needed, request a revision to be done.

Recent Questions

Stay In Touch!

Leave your email and get discount promo codes and the best essay samples from our writers!