Pharmaceutical care Flashcards
What is pharmaceutical care
Responsible provision of drug therapy for the purpose of achieving definite outcomes that improve a patients quality of life
What is responsible provision
pharmacists share responsibility for the consequences to the patients as its a legal responsibility to protect patients from harm
What constitutes harm to a patient
Overdose
Incorrectly dispensed item
Sub Optimal Therapy
Missing Red Flags
In pharmaceutical care what is definite outcomes
They are outcomes which are discussed between doctor patient and pharmacist so that an exact drug treatment can be produced to help
How do we ensure outcomes are achieved
documentation which is accessible to other healthcare providers
monitoring
How should outcomes be expressed
quality of life, blend the expectations between possibility and desirability.
State some examples of pharmaceutical care in community
screening prescriptions patient counselling responding to symptoms new medicines service promotion of healthy lifestyles
state some example of pharmaceutical care in hospital
drug history on admission medicines reconciliation pharmaceutical care plans screening discharge prescriptions patient counselling
What sort of things are checked during a prescription screening
legible contraindication route correctly written appropriateness interactions no ambiguities dose and frequency side effects cautions duration therapeutic monitoring
what do we need to monitor in regards to safety
renal function with nephrotoxic drugs
pulse with digoxin
respiratory rate with opioids
impact of drug interactions
what do we need to monitor in regards to therapeutic effect
pain control with analgesics
peak expiratory flow rate with bronchodilators
blood pressure with antihypertensives
What are the 5 main catagories in a care paln
presenting complaint/ diagnosis past medical surgical and mental health history social history allergy status family history
what are 6 examples of record keeping
writing on drug charts near miss log writing in medical notes/ discharge letter accountability, sign and date prescriber contacted prescriber not contacted
