Introduction to Case Flashcards
what prescriptions do substance misuse patients use
FP10MDA prescriptions
what substances are included in substance misuse
- pills (ecstasy)
- smoked items (cannabis)
- injectables (heroin)
- prescription drug addiction- patients become dependant
- alcohol and nicotine are most common addictions
what is the alcohol limit per week
14 units
what are the 4 main impacts of substance misuse
- physical health- increases cardiovascular risk
- mental health and emotional wellbeing
- relationships and social functioning
- society as a whole
give examples of how alcohol misuse can damage health
- heart disease
- stroke
- depression and anxiety
- increases risk of cancer
give examples of how drug misuse can damage health
- poor vein health
- overdose and drug poisoning
- liver damage
- cardiovascular disease
- blood borne viruses
what is meant by dual diagnosis
refers to people with a severe mental illness, combined with misuse of substances
what is meant by misuse of substances
the use of legal or illicit drugs, including alcohol and medicine in a way that causes mental or physical damage
what is the role of the pharmacist in substance misuse
- know the law on controlled drugs
- appraising CD prescriptions for legality, clinical appropriateness and non pharmacological interventions
outline the legal requirements of a prescription
- written or printed legibly in indelible ink
- date of prescription issued- should be within 6 months
- signed by prescriber
- state address of prescriber
- state name and address of patient
- specify date of birth for children under 12
what is involved in the legal screening of FP10 prescriptions for Schedule 2 and 3 controlled drugs
- all of the legal screening of FP10 prescriptions for POM medicines
- but within 28 days of date of prescription issued - additional requirements
- form of the preparation, even if there is only 1 form of the drug
- strength of preparation
- total quantity in words and figures
- dose to be taken
- ‘for dental treatment only’ if issued by dentist
what is required in the legal screening of private prescriptions for Schedule 2 and 3 CDs
- all of the legal screening of FP10 prescriptions for schedule 2 and 3 CDs
- can only prescribe on FP10 pink form
- 6 digit prescriber identification number
what clinical checks must the pharmacist conduct
- patient characteristics
- patient type (child, older person, pregnant)
- co morbidities
- intolerances - medication regimen
- indication: appropriateness of therapy in line with symptoms and guidelines
- changes in therapy
- dose frequency strength
- formulation
-interactions
- monitoring requirements - administration
- route of administration (compatibility issues)
- adherence check
explain the process of handing out a prescribed medication
- accuracy checking medication in package
- check identity of patient
- counselling medication
- introduce yourself
- explain indication of medication and how it works
- how much to take and how to take
- any cautions or common and serious side effects
- interactions with other medications
- what to do if patient forgets to take dose
- storage information
- special monitoring requirements - ending
- summarise and verify patient understanding
- mention patient leaflet
- other questions/concerns of the patient
- given contacts the patient can use for additional support
what is involved in accuracy checking
- label and prescription
- all legal requirements of the label satisfied?
- drug total quantity, name, strength and formulation
- dose, frequency and directions
- patients title and name - product and prescription
- correct product, name, strength, formulation and quantity
- is the product on the prescription available
- is the medication inside original pack
- expiry date
- appropriate patient leaflet
- spoons and syringe for liquid medication - label and product
- is the label of the product changed?
