This terrestriаl biоme is chаrаcterized by having an average rainfall оf between 30-50 cm (12-20 inches) per year, and frequent fires that limit cоlonization of trees.
Infоrmаtiоn / pоtentiаl problems you cаn identify from the profile alone (before speaking to the patient): NOTE: This is not all-inclusive. You may have come up with other information in addition to what is listed below. The patient likely has high blood pressure based on the prescription for and dose of amlodipine This patient has a pulmonary condition based on the Spiriva Respimat prescription Most likely COPD since it is a LAMA inhaler. If we learn the patient has asthma, this would be a med-related problem since LAMAs are not used first line in asthma A LAMA alone as maintenance alone could be appropriate for COPD patients The effectiveness of this therapy in controlling his symptoms as well as his inhaler technique should be assessed If we learn the patient has COPD, they are indicated for 1 dose of PPSV23. The patient is potentially non-adherent to his Spiriva Respimat based on the inconsistent fill history at his pharmacy The patient may have a history of a seizure disorder based on the prescription for and dose of levetiracetam The patient may have a history of tobacco use as seen by the distant Chantix prescription. Most likely no longer using Chantix as patient only picked up the starter pack and has not picked up anything else since then The patient is currently taking simvastatin and amlodipine. A drug-drug interaction exists between these two medications. Amlodipine increases levels of simvastatin, and the max dose of simvastatin should be 20 mg/day when used with amlodipine. The patient should be assessed for potential myalgia. As far as we can tell, the patient is adherent to all of his oral medications His dose of amlodipine was increased less than a month ago, which means his BP was likely uncontrolled at that time. It would be good to follow up on BP control today. He filled lisinopril for the first (and only) time in May 2024, then filled amlodipine a few days later. Since he has a lisinopril allergy listed on his profile, this reaction likely occurred when he started taking the lisinopril, and he was switched to amlodipine as an alternative therapy.