1st March 2024

A 72-year-old gentleman has had his annual check up at the GP.

A 72-year-old gentleman has had his annual check up at the GP. He has been feeling a bit more tired than usual, and if he does his own shopping can get out of breath. He has a past medical history of osteoarthritis in his right knee for which he takes ibuprofen and paracetamol. There is no family history of note. He has no allergies. 

His blood results are as follows: 

FBC: 89 g/l  (130-180g/l)

Haematocrit 0.2 /l (0.40-0.54/l)

MCV: 74 fl (80-100 fl)

Urea: 4.5mmol/l (2.5-7.8 mmol/l)

Creatinine: 91umol/l (59-104umol/l)

ALP: 60umol/l (30-130umol/l)

ALT: 40 iu/l (<41 iu/l)

AST: 32 iu/l (1-45 u/l)

Bilirubin: 17umol/l (<21umol/l)

Please prescribe an appropriate medication to help with his symptoms.