pt. admitted to hospital for SOB ,chest pain for 10 days,with N,V & sweating,25 yrs HT on tenormin?

[Sara]

pt. diagnosed as ubnstable angina,he adminstered:
aspirin tab 300mg 1by 1
plavix tab 75 mg 1 by 1
heparin vial 1cc+5cc per24 hr
tridil 5 microgram
metoprolol 25mg(stopped)
valsartan(diovan)tab 80mg 1 by 2
zocor tab 40mg 1 by 1
tinormin tab 50 mg 1 by 1
biscopan
angesid tab SL
in the 2nd day there was addition on the pabove treatment:isordil tab 10 mg twice daily & biscopan was removed
what's yr opinion about the treatment ? & what's the role of clinical pharmacist in this case?

[ptery]

the medications prescribed seem excessive and possibly overlapping in their purposes. The role of the pharmacist is to make sure there are no contraindications or synergistic effects between the medications. You should be checking in a good drug book to see if some of the meds shouldn't be prescribed with another one on the list.