Prescribing Flashcards
what are the principles of good prescribing?
-be clear about the reasons for prescribing
-take into account the patients medicatioin history before prescribing
-take into account other factors that might alter the benefits and risks of treatment
-take into account the patients ideas, concenrs and expectations
-select effective, safe and cost effective medicines individualised for the patient
-ahdere to national guidelines/ local formularies
-write unambiguous legal prescriptions using the correct doccumentation
-monitor the beneficial and adverse effects of meidicne
-communicate and document prescribing decision and the reasons for them
- prescribe within the limitations of your knowledge, skills and experience
what are the principles of good antibiotic prescribing?
the site of infection
the likely pathogen
severity of illness
drug interaction
host factors
allergies
likelyhood of antibiotic resistance
renal or hepatic toxicity
what are the safety warnings for quinolones?
– Quinolones may induce convulsions in patients with or without a history of convulsions, taking NSAIDs at the same time may induce them
– Tendon damage (including rupture) has been reported rarely in patients receiving quinolones.
– Tendon rupture may occur within 48 hours of starting treatment, cases have also been reported several months after stopping
* Contra-indicated in patients with a history of tendon disorders
* Patients over 60 more at risk
how do you take into account ICE?
- Consent (benefits vs risks) and (symptomatic
vs prognostic benefit) - Side effects (short and long term)
- Monitoring
- Follow up
- How to seek advice/review decisions
- RECORDS
- Other considerations
what are some common aminal- derived excipients found in medicines?
gelatin, shellac, cochineal, lactose, lanolin,mg sterage
what are some examples which contain procine/ bovine and alcohol substituents?
porcine- ceron 25000
pork- hypurin porcine 30/70
bovine- novoseven
alcohol- daktarin oral gel
ethanol- diazepam 5mg/ml solution
