ADR - Retrospective Flashcards
1
Q
What is a retrospective enquiry?
A
Suspected ADR has already occurred.
2
Q
Summary of ADR
A
- Has the patient had any previous history of ADR?
- When did the ADR start?
- Symptoms and management
- Tests undertaken to monitor ADR?
- Legality and reporting of the ADR
3
Q
Has the patient had any previous history of ADR?
A
- What is the current and previous medical history if relevant, including risk factors for the ADR?
- Is there a history of adverse drug reactions or allergies?
3
Q
When did the ADR start?
A
- What is the timing of the reaction in relation to start or dose increase of the suspected drug?
4
Q
Symptoms and management
A
- Obtain a full description of the signs and symptoms of the reaction; clarify reactions such as ‘rash’, ‘abnormal liver function tests (LFTs)’, ‘aching all over’.
- How has the patient been managed so far?
- Has the suspected drug been stopped?
- Did the suspected ADR resolve when the suspect drug was stopped?
5
Q
Tests undertaken to monitor ADR?
A
- What are the results of any relevant biochemical tests e.g. renal function tests, liver function tests, full blood count, biopsies, relevant ultrasound or screening tests.
6
Q
Legality and reporting of the ADR
A
- Is the enquirer involved in a legal case?
- Has the manufacturer been informed or a yellow card completed?
