05 Rational Drug Use

Question 1

Irrational drug use practices examples

Answer 1

Poor selection (inappropriate dosage/use)
Over prescription
Non-compliance (lack of education, failure to comply, over use)
Industry-related causes (lack of access)

Question 2

Primordial levels of prevention

Answer 2

Hospitals
Drug Regulatory Mechanisms
Drug Supply Chain Interventions

Question 3

Levels of Prevention

Answer 3

Primordial: whole population vis public health policay
Primary: whole population, selected groups, healthy individuals
Secondary: selected individuals with high risk patients
Tertiary: patients

Question 4

Drug selection process

Answer 4

1. Define the diagnosis (prioritize problem list)
2. Specify therapeutic objectives
3. Consider drug groups
4. Choosing a P-drug and treat (ESSC)
5. Give informations, instructions, warnings (timing and expected onset, duration, adr)
6. Monitor and evaluate

Question 5

ESSC

Answer 5

Efficacy: mechanism of action, pharmacokinetic and pharmacodynamic properties
Safety: TIs, ADRs, toxicity
Suitability: contraindications, route of administration, frequency of administration
Cost: compliance

Question 6

Contents of prescription

Answer 6

Header
Patient information (age and weight)
Superscription
Inscription (name of drug, dosage form, amt, route)
Subscription (instructions to the pharmacist, # to dispense, refills)
Transcription/signatura (instructions for the patient
Prescriber information

Question 7

Common conversions

Answer 7

1 tsp = 5 mL
1 tbsp = 15 mL
20 drops = 1 mL
1 kg = 2.2 lbs

Question 8

Common abb

Answer 8

OD = once a day
BID = twice a day
TID = thrice a day
QID = four times a day
AC = before meals
PC = after meals
Stat
HS = at bedtime