Patient’s Data​

Patient’s name:  Fred Alberta

Age: 42-year-old male

Past medical history

• Nil

Drug and Allergy History 

• Nil 

Recent notes/consultation

Seen by Michael Barns (Nurse Practitioner) 5 weeks ago

Presenting Complaint: Persistent dry cough lasting 3 weeks

Examination findings: Chest is clear on auscultation

Oxygen saturation: 98% on room air

Respiratory rate: 18 breaths per minute

Blood pressure: 145/90 mmHg

Impression: likely chest infection

Plan: PO amoxicillin 500mg TDS for 5 days. Safety netting and worsening advice given.

Patient booked appointment to discuss ongoing concerns