Providing information Flashcards
What does the Providing Information section of the Prescribing Safety Assessment (PSA) test?
Tests your ability to counsel patients, explain drug regimens, discuss side effects, and provide safe prescribing advice.
What does the ‘WIPE’ approach stand for in patient counselling?
- What is the medication for?*
- Instructions on how to take it (dose, frequency, route, duration)*
- Possible side effects & what to do if they occur*
- Essential safety advice (e.g., driving restrictions, alcohol interactions)*
Fill in the blank: When counselling a patient about a new medication, you should always explain its _______.
[purpose]
What is the patient explanation for Amlodipine 5-10mg OD?
“Take once daily. May cause ankle swelling or headaches. Avoid grapefruit juice.”
What medication is used for Type 2 Diabetes and how should it be taken?
Metformin 500mg OD (titrate up). “Take with food to reduce stomach upset. Can cause diarrhoea but usually settles.”
What is the safety advice for Salbutamol (blue inhaler) PRN?
“Use when breathless. If using more than 3 times a week, let your doctor know.”
True or False: Sertraline takes 4-6 weeks to work and may cause nausea or drowsiness.
True
What should patients know about Codeine 30mg QDS PRN?
“Can cause drowsiness and constipation. Avoid driving if affected.”
What is the advice regarding the use of Amoxicillin 500mg TDS for 7 days?
“Complete the full course, even if you feel better. May cause diarrhoea.”
What should always be checked before prescribing medications during pregnancy?
Always check the BNF.
Fill in the blank: Paracetamol is _______ in pregnancy.
[safe]
What medications should be avoided in pregnancy for hypertension?
- ACE inhibitors*
- ARBs*
Which medication is safe for epilepsy during pregnancy?
- Lamotrigine*
- Levetiracetam*
True or False: Most antibiotics are safe during breastfeeding.
True
What should be monitored for patients on Warfarin?
INR
What is the monitoring requirement frequency for Methotrexate?
Every 2 weeks for 6 weeks, then every 3 months.
Fill in the blank: Lithium levels, U&Es, and TFTs should be monitored every _______ months.
[3]
What should be included in a discharge summary?
- Patient details & reason for admission*
- Diagnosis & relevant history*
- Medications on discharge (including any changes)*
- Follow-up requirements*
What is an example of a follow-up requirement in a discharge summary for pneumonia?
GP review in 2 weeks, safety-net for worsening symptoms.
What lifestyle advice is given for hypertension?
Reduce salt, increase exercise.
What is the advice for a patient in the Yellow Zone of an Asthma Action Plan?
Use reliever more often, contact GP if needed.
What should you always do to confirm patient understanding?
“Can you repeat that back to me?”
Fill in the blank: Safety-netting advice should include instructions on what to do if symptoms _______.
[worsen]
