Lecture 18 - Clinical Pharmacology and Prescribing

Question 1

Rational prescribing?

Answer 1

selection of most appropriate therapeutic regimen for a specific patient

Question 2

Treatment goal?

Answer 2

identify key management issue - symptom control vs. disease modification

Question 3

Criteria for choosing medicine?

Answer 3

efficacy, safety, appropriateness

Question 4

Efficacy considerations?

Answer 4

supporting evidence, between individual variance

Question 5

Safety Considerations?

Answer 5

contraindications e.g. allergies, common adverse effects

Question 6

Appropriateness considerations?

Answer 6

affordability, compliance (twice daily)

Question 7

4 steps prior to writing a prescription/

Answer 7

make a diagnosis, make a therapeutic decision, choose a medicine, choose a dosing regime

Question 8

First part of script?

Answer 8

name of medicine, formulation, strength

Question 9

2nd and 3rd part of script?

Answer 9

instructions for patient and pharmacist respectively

Question 10

Indication for drug monitoring?

Answer 10

potentially serious event, narrow therapeutic index, effects correlate w blood concentration better than dose, deciding if symptom is adverse effect