Lecture 1 - Introduction to clinical pharmacy and prescribing

Question 1

explain the process of medicines reconciliation

Answer 1

medicines reconciliation is the process to assemble an accurate list of a patients current medication including OTC and complementary medicines.

it requires accurate and reliable sources, recognising any discrepancies and documenting changes, identification of error and past mecial history or drug use

Question 2

what is pharmaceutical care?

Answer 2

the responsible provision of drug therapy for the purposes of cheivign definite outcomes that improves patients quality of life. - cure of a disease, elimination or reduction of patients symptoms, stopping or slowing disease process, preventing a disease or symptoms

Question 3

what is the benefit of medicines reconciliation ?

Answer 3

• better communication and record keeping
• redcued waste of time/ effort and less duplication of work
• recued emdicaion error sadn adverse drug errors
• fewer medication related admissions
• fewer issed doses of high risk medicines

Question 4

what does the process of pharmaceutical care involve ?

Answer 4

pharmaceutical care involves the process through which a pharmacist cooperates with a patient and other professionals in designign, implementation and monitorin a therapeutic plan that will produce specific therapeutic outcomes for the patient.

this invovles identify potential and actual drug related problems, resolvign drug related problems and preventing drug related problems

Question 5

how to monitor outcomes?

Answer 5

signs, symptoms, side effects and sequelae (consequences)

Question 6

what Sia good protocol to use in ends rec

Answer 6

Group of medicines
U treated or unnecessary
I interactions
Side effects
E vidence

must check doses for all these as well

Question 7

what is the care palngn process ?

Answer 7

indication of drug - is it needed, is it new, etc

effectiveness - does it work effectively, is it treating the condition, is dose appropriate or too high

safety : adverse drugs reactions, interactions, side effects

adhzrcen : lack of adherence or complacent to the medication

Question 8

what information may you need form patient to assess them ?

Answer 8

name, age, weight, height
family background
work/ job / employment status
allergy
pregnancy/ lactation
social habits
health status - any PMH
any revise hospitalisations
surgeries
current symptoms
relevant lab data

Question 9

what are the 4 S to monitor outcomes

Answer 9

signs
symptoms
side effects
sequlate (consequences)