Patient’s Data

Patient’s name: Mark Anderson

Age: 65-year old male

Past medical history

• COPD
• Hypertension
• Hypercholesterolaemia  

Drug history/Repeat template

• Salbutamol PRN
• Anoro Ellipta (Umeclidinium with vilanterol) one puff daily
• Amlodipine 10mg OD
• Ramipril 2.5mg OD
• Atorvastatin 20mg OD. 
• Allergic to penicillin  

Recent consultation

Seen by Ann Coleman (Nurse practitioner access role) 6 Months ago  

Presenting complaints: Reports cough, wheeze and SOB 

Examination findings: scattered wheeze ++ and left crackles. Vitals stable. 

Impression: treat as IECOPD

Plan: For Doxycycline and steroids. Worsening advice given. 

Booked urgent appointment to discuss issues