Prescribing

Question 1

What is the PReSCRIBER mnemonic?

Answer 1

PReSCRIBER:

• Patient details (minimum 3 identifiers)
• Reaction (i.e. allergy plus the reaction)
• Sign
• Contraindications
• Route
• IV fluids required?
• Blood clot prophylaxis
• Emesis (is an antiemetic required?)
• Relief, i.e. pain relief

Question 2

What is the main contraindication to prescribing antiplatelets and anticoagulation?

Answer 2

These drugs should not be given to patients who are bleeding, suspected of bleeding or at risk of bleeding

Question 3

Can anticoagulation be given following a:

• Haemorrhagic stroke?
• Ischaemic stroke?

Answer 3

• Haemorrhagic: NO! This is a contraindication

- Ischaemic: yes, but you must wait 2 weeks (because of the risk of haemorrhagic transformation)

Question 4

What are the contraindications/cautions of NSAIDs?

Answer 4

• Stomach ulcer
• Renal impairment
• Asthma