A 70-year-old man came to a pharmacy with a prescription of the following medications:

• Frusemide 40 mg B.D.
• Lisinopril 20 mg daily
• Spironolactone 25 mg daily
• Carvedilol 6.25 mg B.D.

a) What is the most likely diagnosis for his medical condition? (2 marks)

b) What is the purpose of frusemide? (2 marks)

c) What is a common side-effect of lisinopril of which the patient should be aware? (2 marks)

d) What is a common side-effect of spironolactone of which this patient should be aware? What symptoms of this side-effect might the patient notice? (3 marks)

e) What type of drug is carvedilol? (2 marks)

f) Which TWO measurements can the patient take at home for the purpose of safety monitoring? What abnormality should the patient watch out for in each of these measurements? (4 marks)

g) Which blood test should the patient have periodically? (3 marks)

h) The patient showed a newspaper cutting mentioning a new drug called Entresto (sacubitril/valsartan). What type of drug is it? (2 marks)