Prescription Review/General Flashcards

1
Q

if patient has haemoptysis- STOP?

A
aspirin
prophylactic enoxaparin (LMWH)
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2
Q

if ↑ K+?

A

ACEi (contributes to renal failure)

IV fluids containing KCl (alternative started)

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3
Q

if penicillin allergic… STOP?

A

co-amoxiclav
(contains amoxicillin, a type of penicillin)

Tazocin
(contains piperacillin)

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4
Q

approach to prescription review

A

PReSCRIBER

  • patient details (3)
  • reaction (allergy + reaction)
  • signature (A. Bell)
  • CIs for each drug
  • route
  • IV fluid need
  • blood clot prophylaxis need
  • antiEmetic
  • pain Relief
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5
Q

If patient is V?

A

if lasting a short time no need to change

if extended V, give via non-oral route (IV, IM, SC) and check if dose is different

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6
Q

should a patient that is NBM still receive their oral medication?

A

yes! including prior to surgery

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7
Q

what to write when prescribing oral solution morphine?

A

MORPHINE SULPHATE (10MG/5ML) - write the strength and the dose (5mg is usual to start)

if PRN, say frequency 4 hrly with indication for pain

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8
Q

if prescribing fluids for someone with ↑Na+ and ↑K+?

A

5% dextrose!

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