Mep Flashcards

1
Q

How long does the prescriber need to provide a prescription after requesting emergency supply

A

Within 72 hrs

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2
Q

What can’t be prescribed emergency supply, max days of supply for exception

A

cd schedule 2,3, except phenobarbital (cd3) for max 5 days

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3
Q

How long are prescriptions valid for?

A

Schedule 1,2,3,4 valid for 28 days

Schedule 5 and Normal prescriptions valid for 6 months

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4
Q

Are repeatable

Prescriptions private prescriptions

A

Yes

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5
Q

If a prescription has repeat 2 times, how many times can it be dispensed

A

3 times (dispense prescription then repeat as normal)

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6
Q

What to do if number not stated on repeatable Prescription

A

Repeat once (so dispense twice) unless prescription is oral contraceptive so repeated 5 (FIVE) times (dispensed 6 times in total) n.b period 5 days long- contraceptive repeated 5 times

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7
Q

What prescriptions are repeatable, which ones aren’t

A

Schedule 2 and 3 not repeatable, schedule 4 and 5 are repeatable

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8
Q

When to dispense repeats

A

First dispensing done in 6 months then no legal time limit for rest. For schedule 4 cd, first dispensing in 28 days then no time limit for others

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9
Q

What cds can be given via emergency supply and what’s the max days

A

Phenobarbital is the only schedule 3 given as emergency supply

CD schedule 4 and 5 can be given as emergency supply, max 5 days treatment

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10
Q

What are the 2 benzodiazepines that are schedule 3

A

Midazolam
And
Temazepam

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11
Q

What is the term PO used for

A

Sometimes used by manufacturers for aaGSL

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12
Q

Which prescribers can’t prescribe CDs

A

EEA/Swiss doctors/dentists

Optometrist independent prescribers (not for parenteral
As well)

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13
Q

Legal limit on aspirin and paracetamol

A

No more than 100 non-effervescent

No limit on effervescent tablets

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14
Q

Legal limit on codeine/ dihydrocodeine

A

No more than 32 dose units (incl. effervescent ones)

Warning ‘can cause addiction, for 3 days use only’ must be present

Co-dydramol OTC- Dinydrocodeine 7.46mg

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15
Q

Which emergency hormonal contraceptive can be given to under 16

A

Only Ulipristal

Levornogestrel only licensed for 16 and over

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16
Q

Which emergency hormonal contraceptive can be given to under 16

A

Only Ulipristal

Levornogestrel only licensed for 16 and over

17
Q

Is sex under 16 an offence

A

Yes, but may be consensual. Sex under 16 of similar age will not be prosecuted by law

18
Q

At what age is sex illegal and therefore needs to be reported

A

Children under 13 are too young to consent to sexual activity, must report to social services unless exceptional circumstances documented

19
Q

Can you supply EHC to a representative

A

Yes, if satisfied a genuine request + treatment is clinically appropriate

If rep can’t supply enough info to determine appropriateness/genuinity… call patient to determine

20
Q

What 2 prescriptions are valid for 6 months

A

Normal POM prescriptions

Schedule 5 CDs

21
Q

What 3 prescriptions are valid for 28 days

A

Schedule 2, 3, 4 CDs

22
Q

Which 2 meds are under the PGD (patient group direction)

A

Morphine and diamorphine

22
Q

What’s a PGD

A

Patient group direction allows for supply + administration of morphine and diamorphine under PGD for immediate necessary treatment of sick/ injured person

22
Q

Who can you not give emergency supply to

A

Animals can not have emergency supply

23
Q

What are the exceptions to the length of emergency supply treatment

A

If it’s in a pack that can’t be broken e.g inhaler, cream… give smallest pack

If it’s a contraceptive… give the full treatment cycle e.g. 28 day cycle

24
Q

Who can supply signed order for salbutamol or adrenaline for school

A

Only principal/ head teacher

25
Q

4 main requirements for signed written order

A

NAME of school

Reason why salbutamol or adrenaline NEEDED + TOTAL quantity required

SIGNED by Principal or Headteacher… ideally written on appropriately headed paper but not legal requirement