CPPE MUR section 4--someone please help

[pharma83]

Hi nicholas please can you help me wat answers ypu gave for cppe mur part 4. i have the same one and i got stuck.
thanks

[hktony]

Hi nicholas please can you help me wat answers ypu gave for cppe mur part 4. i have the same one and i got stuck.
thanks

atenolol and ramipril , no side effect , no issue , and then you will get passed forget about the lethergy.

[pharma83]

CPPE MUR section 4--someone please help

here is the scenario

60+year old man agreed to have a MUR.
Current medication:
bendroflumethiaizide 2.5mg tab od
atenolol 50mg tab od
ramipril 5mg cap od
simvastatin 40mg tab od

he felt lethargic, and put in down to the back pain (lumbago) he had. he takes OTC co-codamol effervescent for it.

upon questioning, he only takes his water tablet for blood pressure, bendroflumethiazide when not going out with friends.

he takes atenolol and ramipril in the morning for his blood pressure but ocassionally forget to take them.

he takes simvastatin in the morning to protect his heart and emphasizes it is important to remember taking this one.

he takes OTC co-codamol effervescent for lumbago, four to six tablets throughout the day and two at night.



I filled in the MUR form this way and I failed unfortunately..

[hktony]

nicholas has got all the answer right in the first post,
bendro 2.5, compliance issue, omit dose
atenolol, ramipril , are fine, no issue (i know the beta blocker will cause lethargy, but other answers are not correct)
simvastatin, no issue, better taken at nighttime
soluble cocodamol , dose ok, but need to tell him to use plain tablet, no soluble

so no action is taken to GP, and MUR is initiated by patient

[pharma83]

thanks a lot hope it will help me my next attempt is on staurday so will try either saturday or sunday, hope so will pass.
thanks again

[nicholass]

tony being helpful here. sometimes things are just meant to be simple.
how is your life?

[alyan81]

Hello,

Congratulations on your MUR accreditation. I just failed section four and I would to use your advice. I had a scenario on Asthma and compliance with inhalers. Also, the patient was using OTC Nurofen which made her asthma worse. When it came to filling in the fields in the last part of the form, I put yes to the question: does the patient use his medication as prescribed. I put yes to OTC Nurofen because I thought the patient is using it three times a day as per instructions on the packet. Would you put yes or no for this one? Did you have the same scenario on your second attempt by any chance? I don't know what I failed on exactly I'm only guessing :S

Thanks