Mrs Mary Jones is a 75- year-old who has recently been admitted into the Hospital after a fall. As the hospital pharmacist you have been asked to review her medications.

Mrs Mary Jones is a 75- year-old who has recently been admitted into the Hospital after a fall. As the hospital pharmacist you have been asked to review her
medications.

She tells you that she suffers from blood pressure reflux oesophagitis and occasionally requires pain relief for knee pain.
Her current medications are:
atenolol 50mg mane
enalapril 10mg mane
ranitidine 150mg bd
piroxicam 20mg prn for knee pain
On questioning and discussing her medications you learn that she is also taking a multivitamin and sometimes uses diclofenac which she buys from the local pharmacy. In
addition she sometimes forgets her antihypertensive medications. Mrs Jones weighs 63kg.
From the above information consider are there any potential issues that you can find present with Mrs Jones medications. If so what are they and what recommendations
would you present as part of the medication action plan for Mrs Jones. Referencing must be included within this answer

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