A 68-year-old man presents to the Emergency Department with a 4-day history of productive cough, fever and pleuritic chest pain. He has hypertension and stable COPD. He has no known drug allergies. On examination he is alert, RR 24, SpO2 92% on air, HR 96, BP 118/72, temperature 38.4°C. Chest X-ray confirms right lower lobe consolidation. Bloods: urea 8.2 mmol/L, creatinine 96 µmol/L, CRP 184 mg/L, WCC 14.2 x10^9/L. His CURB-65 score is 2.
DH. Amlodipine 5 mg OD; Tiotropium 18 mcg inhaled OD; Salbutamol 100 mcg PRN; Clarithromycin 500mg BD;
Allergies. NKDA