Prescription Review Flashcards
When asked to identify prescribing errors, what are three main things to identify?
Check that the units of the drug is appropriate
Check that the frequency/timing of the drug is appropriate
Check that the route of the drug is appropriate
Which eight drugs are most commonly administered in mcg?
Digoxin
Fludrocortisone
Glyceryl Tinitrate Spray
Inhalers
Ipratropium Nebulisers
Levothyroxine
Naloxone
Tamsulosin
Which four drugs are most commonly administered in g?
Calcium Carbonate
Lithium
N-Acetylcysteine
Paracetamol
What does OD mean in terms of frequency/timing of prescriptions?
Once Daily
What does OM mean in terms of frequency/timing of prescriptions?
Once In The Morning
What does ON mean in terms of frequency/timing of prescriptions?
Once Nightly
What does BD mean in terms of frequency/timing of prescriptions?
Twice Daily
What does TDS mean in terms of frequency/timing of prescriptions?
Three Times Daily
What does QDS mean in terms of frequency/timing of prescriptions?
Four Times Daily
What does PRN mean in terms of frequency/timing of prescriptions?
As Required
Which two drug classes should be administered in the morning?
Diuretics
Steroids
Which four drug classes should be administered in the evening?
Long Acting Insulin (Levemir)
Night Sedation
Statins
Tricyclic Antidepressants (TCAs)
Which two drugs should be administered with meals?
Creon
Rapid Acting Insulin
Which five drugs should be administered weekly?
Alendronic Acid
Bisphosphonates
Folic Acid
Methotrexate
Patches
What does PO mean in terms of drug route administration?
Oral
What does PR mean in terms of drug route administration?
Per Rectum
Which three drugs are commonly administered PR?
Diazepam
Diclofenac
Laxatives
What does IV mean in terms of drug route administration?
Intravenous
What does IM mean in terms of drug route administration?
Intramuscular
Which three drugs are commonly administered IM?
Antipsychotics
Depot Contraceptive
Sedatives
What does SC mean in terms of drug route administration?
Subcutaneous
Which two drugs are commonly administered SC?
Insulin
Low Molecular Weight Heparin
What does inh mean in terms of drug route administration?
Inhaled
What does neb mean in terms of drug route administration?
Nebulised
What does SL mean in terms of drug route administration?
Sublingual
Which drug is commonly administered SL?
Glycerol Trinitrate
Which drug class dose should be doubled during intercurrent illness periods?
Steroids
Which drug class dose should be reduced during intercurrent illness periods?
Lithium
Which two drug classes should be stopped during intercurrent illness periods?
Oral Hypoglycaemic Drugs
Statins
Which five drug classes should be stopped when trying to conceive?
Antiepileptics
Antipsychotics
Isotretinoin
Methotrexate
Warfarin
Which four drugs should be stopped prior to surgery? How long prior should they be stopped?
CHOW
Clopidogrel & Other Antiplatelets = 7 Days
Hypoglycaemics
Oral Contraceptive Pill/Hormone Replacement Therapy = 4 Weeks
Warfarin = 5 Days
Which four drug classes should be stopped in those with impaired renal function?
DAMN
Diuretics
ACE Inhibitors/ARBs
Metformin
NSAIDs
Which two other drugs should be stopped in those with impaired renal function?
Allopurinol
Gentamicin
Which drug class should be stopped in those with impaired hepatic function?
Statins