{"text":"' NHS Confidentiak Peracnal data abot:! a patient \nNHS Lanarkshire: University Hospital N H \nwww.nhslanarkshire,org.uk Monklands \nRenal Medicine ~ Monkscourt Avenue ; \n01698 752427 Airdrie ) , . \nDirect fine to secretaries ML\u00e96 0}S Lanarkshire \nDr R Macinnes ' Date Dictated: 27\/02{2026 \nKl}syth Medical Partnership RDafte Typed: 3\u201824{%\"{3026 \nt th Centl & O \n\/Iillrsc{ge] ;Zg;;\u2018mum y Health en e Letter Ref: CN\/AF \nKilsvth . Clinic Date: - 26\/02{2026 \nHS CHI Barcode: \n. * 12 \nConsultant: Dr Cfa{re Nolan \nDear Dr Macinnes \nPatientName: Patricia Hunt \nPatientdate of birth: 12\/09\/1982 \nPatientAddress: 22 Cuilmuir View, Croy, Glasgow, G65 9HH \nDiagnosis \n1. CKD G4 A3 (PCR 46 July 2025). \n2. Nephrocalcinosis. \n3. Non-steroidal anti-inflammatory overuse. \n4, Hypocitraturia. \n3. Renal tubular acidosis Type 1~ for genotyplng at next clinic. \n6. Anorexia, \n7. Iron deficiency anaemia. \n8. Recent inpatient stay for sepsis\/septic shock secondary to pyelonephritis and urinary obstruction \n9. Atrial Fibrillation \nActions from clinic \n1 Change of Sodium Bicarbonate dose of 2gms three times dally \n2. Increase Bisoprolol to 7.5mgs daily \n3. Patient does not wish to continue with Darbepoetin \n4. General nephrology foltow up 27\" of April at 13.15 hours \nI met with Ms Hunt at my general nephrology clinic on the 26\" of February. Her renal parameters are \nstable, Specifically, her potassium was 4.6 and bicarbonate 19 on the 9\" of February. \nShe has now been commenced up Bisoprolol 5mgs for treatment of atrial fibrillation. Her rate was 116 at \nclinic today and therefore | have asked her to increase her Bisoprolof to 7. .\u2019Smgs dally | have givenher a \n2 week supply of this with the expectation at your practice. \nPatricia has also informed me that she does not wish to continue with her Darbepoetin. She believes this - \ncaused her atrial fibrillation. | have copied this letter to the renal anaemia team so that they cancel her \nprescription. Many tharks. \nYours sincerely \nDr ClaireNolan \nConsultantNephrologistand Physician \nAuthorised on 10\/03\/2026 12:35:28 by Claire Nolan. \n(P) Renal Anaemia Nurses \nRenal unit \nUniversity Hospital Monklands \nMonkscourt Avenue 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