High Weighted Flashcards
10.2.1
What is EBM
Learn P values, Cl intervals, no effect
10.2.2
Selecting appropriate diagnostic or physiological testing techniques for use in clinical decision-making and to promote health
BP Respiratory measurement Diabetes Urinalysis (UTI) HIV Blood test BMI EYE examination Temperature
BNF Chapter 9
Lab data result (cracking the code); imaging test; endoscopy
10.2.2
Instruct patient in the safe and effective use of their medicine and devices
BNF - Patient and carer advice; techniques; Direction of administration; cautionary labels
SPC
RPS - Counselling people on the use of medicine
MEP 2.6
? MEP3.3
10.2.2
Appropriateness of prescribed medicine
Associated diseases?
Contra-indications
Interaction: Prescribed or purchased & food
License, off-licensed and unlicensed medicine + patient information
10.2.2
Provide, monitor and modify prescribed treatment to maximise health outcomes
Principle of medicine management; medicine optimisation and pharmaceutical care
Dosages and adjusting due to factors E.g. age, renal/hepatic impairment, co-morbidities
Mechanism of Action + ADME
Recognising adverse effect & managing (antidote)
Reasons for treatment failure
E.g. Interactions (CYP Enzymes); Poor compliance; incorrect use;
Discoloured urine
10.2.3
Use pharmaceutical calculation to verify the safety of doses and administration rate
CALCULATIONS
10.2.4
Identify and employ appropriate diagnostic skills
E.g. CHA2DS2-VASc QRisk ORBIT CRB65 SEPSIS ECG etc..
When conditions need referral
OTC
Therapeutics
Cardiovascular
Nervous system
Endocrine
Infection
High Risk Drug
Antibiotics Anticoagulant Antihypertensive Chemotherapy Insulin Anti diabetic Parental drugs Narrow therapeutic index NSAID Methotexate Opiates Valproate
Paediatric
Ibuprofen and Paracetamol Vaccines OTC Age restrictions Referral Calculations
