Pharmacy skills Flashcards
Handling medication
What are the 3 legal Classification of
medicines with examples?
- General Sales List (GSL) - mediction you can find anywhere such as supermarkets (eg paracetamol)
- Pharmacy (P) - medications you can only find in a pharmacy (eg eyedrops)
- Prescription Only Medicines (POM) - A pharmacist can only supply POM if there’s a valid prescription issued by an appropriate prescriber
Terminologies associated with
pharmaceutical products
- Active ingredients
- Brand name
- Phamaceutical form
- Active ingredients
- name of the active component of the product
- = the main ingredient that causes the required pharmaecutic effect
- Brand name
- The name given by the drug company selling it
- The trade mark of the product
- Phamaceutical form
- The type of formulated product (tablet, capsule, liquid)
- Strength
- Total amount pr pack
- Route
- Strength
- The amount of drug in the pharmaceutical form
- pr weight including units
- Total amount pr pack
- The total amount of product as a number of units (eg 2 tablets) or as a volume / weight (eg 100ml / 5g) or as a single / multiple packs (eg 1 tube)
- Route
- The location at which the drug is administered (eg orally)
- Use(s) (indications)
- Expiry + batch no
Difference between expiry + use by date
- Use(s) (indications)
- The purpose for which the product has been licensed (eg to treat infection, to lower blood
pressure)
- Expiry + batch no
- expiry date assigned by manufacturer to indicate the shelf-life of the product under acceptable storage conditions
- batch no. is an identifier assigned by the manufacturer to reflect the production batch
Expires: expires at the end of the month indicated
Use by: expires at the beginning of the month indicated
Professionalism
The 9 standards of
pharmacy professionals
- Provide person-centred care
- Work in partnership with others
- Communicate effectively
- Maintain, develop and use their professional knowledge and skills
- Use professional judgement
- Behave in a professional manner
- Respect and maintain the person’s confidentiality and privacy
- Speak up when they have concerns or when things go wrong
- Demonstrate leadership
Medicines + errors
Uses of medicines
Medicines can be used to:
1.Treat disease
- Prolong life
- Save life
- Improve quality of life
2.Prevent disease
3.Alleviate symptoms
4.Diagnose disease
STEROIDS
- the good
➢Glucocorticoids e.g. prednisolone, dexamethasone
▪ Asthma, COPD (chronic obstructive pulmonary
disease)
▪ Shock, sepsis syndrome
▪ Eczema
▪ IBD (Inflammatory Bowel Disease)
➢Mineralocorticoids e.g. fludrocortisone
▪Conn’s disease
▪SIADH (Inappropriate secretion of anti-diuretic
hormone)
STEROIDS
- the bad
- Anabolic Steroids
- Abused in a number of power sports (rugby, baseball, athletics, American football, weightlifting, bodybuilding, wrestling)
- steroids:
➢ Improve strength by lean body mass
➢Decrease body fat
➢Prolong training by enhancing recovery time
➢Increasing aggressiveness
ANTIBIOTICS
- the Good
- the bad
The good:
➢Pneumonia
➢HIV
➢Sepsis
➢Surgical Prophylaxis
➢TB
The bad:
➢ Resistance
➢ MRSA
➢C. difficile
Some of the processes involved
in the use of medicines
- Procurement
- Transport
- Storage
- Prescribing
- Dispensing
- Collection
- Preparation
- Administration
- Monitoring
- Disposal
How do we manage medicines?
1.Following law
- Greater levels of control eg
▪ Abusable drugs
▪ Narcotics
▪ Cocaine
▪ Benzodiazepines
▪ Anabolic steroids
2.Using them appropriately
- Right medicine for patient
- Avoid errors when dispensing + supplying
- Best value for money
- Ensure patient takes properly – via counselling
- Non-adherence
- medicines waste
- Adverse Drug Reactions (ADRs)
- Avoiding making errors
Medication errors examples
- wrong / unclear dose or strength
- wrong frequency
- wrong drug/medicine
- wrong quantity
- mismatch between patient + medication
- wrong storage
- wrong formulation
- Patient allergic to treatment
- Adverse drug reaction
- Wrong / no verbal patient directions
- Wrong / no ptient information leaflet
Causes of non-adherence to medication
- Psychological factors such as depression causing them stress = don’t take medication
- Dementia = forget to take it
- Financial issues cannot afford medication
- Confusion about how to take medication
- Beliefs eg animal products, gelatine in vitamin D capsules
- fear about possible side effects