Prescribing Issues and Drug Information Flashcards
What are the steps in rational prescribing (7)
- Make a specific diagnosis
- Consider pathophysiologic implications of diagnosis
- Select a specific therapeutic objective
- Select a drug
- Determine dosing regimen
- Monitor drug action/end point
- Plan a program of education
PDR
physician desk reference - paid for by pharmaceutical manufacturers
Facts and Comparisons
Lexicomp and F/C provide drug info online giving unbiased content. Comprehensive drug and disease database.
AHFS Drug Information
FDA approved and non-labeled uses of drugs. Extensive dosage and usage section. EBM in it.
Drug Topics Red Book
Good resource for dosage forms, package sizes, wholesale price, manufacturers contact info.
Index Medicus
Comprehensive index of medical scientific journal articles. No longer in publication (7million manuscripts)
Handbook of nonprescription drugs
Non prescription drug reference, i.e. supplements, foods, preventitive measures
Micromedex
Collection of drug references, Includes PDR, DRUGDEX, DISEASED
What is the RX of the prescription
Recipe: name of drug and dose
What is the SIG of the prescription
Instructions fot the patient usage. Writing to the pharmacist who will translate to the patient
What is the dispensing info of the prescription
How many tablets or how much total volume should be prescribed out to patient
Dispensing (def)
To prepare and distribute medications
What are drug therapy problems
- Need for additional drug therapy
- Unnecessary drug therapy
- Wrong drug
- Adverse drug reaction
- Dose too high
- Compliance
What are things that fall in the “need for additional drug therapy”
Pt has a new medical condition, or more drugs are needed for existing condition
What are things that fall in “unnecessary drug therapy”
No indication, Toxic level drug, pt taking a drug to treat an adverse reaction of another drug
