Thanks for posting your query.
You should consult with physician and treating orthopedic surgeon for start of aspirin
Aspirin increases the tendency of bleeding from operated site. If wound is healthy and almost recovered then you can start aspirin.
Regarding blood pressure, you should consult with physician and get his blood pressure. Telvas - Am can be given if his blood pressure is in higher range.
Tiotropium does not has as such any side effcets on fracture
bone and can be given safely.
Dr. Mayank Bhargava