resources to support therapeutic practice Flashcards

1
Q

what website do associate members have access to as a guidance for optometrist prescribers

A

the college of optometrists

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2
Q

name 5 sources of medicines information

A
  • british national formulary BNF - BNF for children - monthly index of medical specialities MIMS - summary of product characteristics SPC, available online as the electronic medicines compendium - optometrists formulary
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3
Q

how often is the BNF published

A

twice a year (bi-annually) every march and September

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4
Q

who is the BNF published by

A

jointly by the british medical association and the royal pharmaceutical society of great britain

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5
Q

what is the BNF designed for

A

as a rapid reference source (for busy hospital doctors) covering medicines that are generally prescribed in the UK

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6
Q

what 5 pieces information does the BNF contain for each drug

A
  • indications - cautions - contraindications - side effects - cost only the essential stuff as it has 1000’s of drugs to fit into that book
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7
Q

who can access the BNF for free

A

NHS healthcare professionals online

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8
Q

what is a disadvantage to the BNF

A

it only contains info on drugs that can be prescribed but doesn’t contain information on OTC drugs

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9
Q

why does the BNF supply information about the cost of the drug

A

it is important if the px isn’t paying for the drug themselves and is getting it through a free prescription via NHS, it is in the interest of the tax payer for doctors to be cost effective in their recommendation

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10
Q

what does the BNF for children BNFC provide

A

essential practice information to all healthcare professionals involved in the prescribing, dispensing, monitoring and administration of medicines to children

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11
Q

what does the BNFC (for children) encourage

A

the safe, effective and appropriate use of medicines for the management of childhood conditions

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12
Q

what is the problem with prescribing for children and how does the BNFC help with this

A

the drug is rarely tested on children, so the drug market needs to go on extensive series of clinical trials and will rarely recruit children on clinical trials, so they only have information on hoe adults respond to the drug the BNFC includes authoritative advice on licensed as well as unlicensed and “off-label” use of medicines for children from birth up to the age of 18 years

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13
Q

at what age is the dose of a drug for a child the same as for an adult

A

age 12 onwards

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14
Q

which organisation created the BNF app for NHS staff in England to gain access to

A

national institute for health and clinical excellence - NICE

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15
Q

how often and by who is the monthly index of medical specialities MIMS published

A

published monthly by Haymarket medical Ltd

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16
Q

what does the monthly index of medical specialities MIMS provide

A

up to date information about prescription medicines as well as a number of OTC preparations

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17
Q

what does an annual subscription with the monthly index of medical specialities MIMS provide

A

12 copies of MIMS per year plus accompanying CD-ROM and access to the eMIMS web site

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18
Q

what is the advantage of the monthly index of medical specialities MIMS over the BNF

A

it has information on OTC drugs, whereas the BNF doesn’t

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19
Q

what is the electronic medicines compendium

A

an online resource which provides the summary of product characteristics (SPC) and patient instruction leaflets (PIL) for the majority of medicines that are available in the UK

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20
Q

what 5 types of information does the summary of product characteristics SPC provide about a drug

A
  • indications - cautions - use in pregnancy/lactation - contraindications - formulation
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21
Q

who is the optometrists formulary available to

A

members of the college of optometrists

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22
Q

what does the optometrists formulary contain

A

information on all drugs available to optometrists

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23
Q

how often is the optometrists formulary released

A

every year

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24
Q

what can optometrists who are independent prescribers do

A

can theoretically prescribe anything from the BNF, there is no restriction on the drug that they can use. most of them working at the hospital can actively prescribe at A&E dept, in glaucoma dept and any other specialist clinics

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25
Q

what 2 things does the college of optometrists clinical guidelines provide

A
  • guidance to optometrists on the pharmacological and non-pharmacological management of eye disease - information on investigations and criteria for referral
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26
Q

how many college of optometrists clinical guidelines have been developed

A

58

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27
Q

how old must each college of optometrists clinical guideline be

A

less than 2 years old

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28
Q

where does the content from the college of optometrists clinical guidelines come from

A

evidence based (informed by current best research evidence) developed by a team comprising ophthalmologists and optometrists

29
Q

what process does the college of optometrists clinical guidelines go through before being published

A

it gets peer reviewed by a multidisciplinary group of optometrists and ophthalmologists

30
Q

what common format do all college of optometrists clinical guidelines CMGs conform to and why

A

the clinical presentation and management of each condition is described under the following headings: - aetiology - predisposing factors - symptoms - signs - differential diagnosis - management by optometrist - management category - possible management by ophthalmologist - evidence based this is written this way so people can look it up very quickly

31
Q

what does the management category in the college of optometrists clinical guidelines provide

A

referral guidance for optometrist therapeutic prescribers

32
Q

in the college of optometrists clinical guidelines, what two categories are conditions defined as

A

A) sight threatening or B) not normally sight threatening

33
Q

what 3 groups is conditions that are sight threatening sub divided up into in the college of optometrists clinical guidelines

A
  1. emergency referral to an ophthalmologist 2. first aid measures followed by emergency referral to an ophthalmologist (emergency = same day referrals) 3. urgent referral to an ophthalmologist (urgent = within a week)
34
Q

what 3 groups is conditions that are not normally sight threatening sub divided up into in the college of optometrists clinical guidelines

A
  1. possible prescription of drugs; routine referral 2. alleviation or palliation; no referral 3. management to resolution
35
Q

reversed

the college of optometrists

A

what website do associate members have access to as a guidance for optometrist prescribers

36
Q

reversed

  • british national formulary BNF - BNF for children - monthly index of medical specialities MIMS - summary of product characteristics SPC, available online as the electronic medicines compendium - optometrists formulary
A

name 5 sources of medicines information

37
Q

reversed

twice a year (bi-annually) every march and September

A

how often is the BNF published

38
Q

reversed

jointly by the british medical association and the royal pharmaceutical society of great britain

A

who is the BNF published by

39
Q

reversed

as a rapid reference source (for busy hospital doctors) covering medicines that are generally prescribed in the UK

A

what is the BNF designed for

40
Q

reversed

  • indications - cautions - contraindications - side effects - cost only the essential stuff as it has 1000’s of drugs to fit into that book
A

what 5 pieces information does the BNF contain for each drug

41
Q

reversed

NHS healthcare professionals online

A

who can access the BNF for free

42
Q

reversed

it only contains info on drugs that can be prescribed but doesn’t contain information on OTC drugs

A

what is a disadvantage to the BNF

43
Q

reversed

it is important if the px isn’t paying for the drug themselves and is getting it through a free prescription via NHS, it is in the interest of the tax payer for doctors to be cost effective in their recommendation

A

why does the BNF supply information about the cost of the drug

44
Q

reversed

essential practice information to all healthcare professionals involved in the prescribing, dispensing, monitoring and administration of medicines to children

A

what does the BNF for children BNFC provide

45
Q

reversed

the safe, effective and appropriate use of medicines for the management of childhood conditions

A

what does the BNFC (for children) encourage

46
Q

reversed

the drug is rarely tested on children, so the drug market needs to go on extensive series of clinical trials and will rarely recruit children on clinical trials, so they only have information on hoe adults respond to the drug the BNFC includes authoritative advice on licensed as well as unlicensed and “off-label” use of medicines for children from birth up to the age of 18 years

A

what is the problem with prescribing for children and how does the BNFC help with this

47
Q

reversed

age 12 onwards

A

at what age is the dose of a drug for a child the same as for an adult

48
Q

reversed

national institute for health and clinical excellence - NICE

A

which organisation created the BNF app for NHS staff in England to gain access to

49
Q

reversed

published monthly by Haymarket medical Ltd

A

how often and by who is the monthly index of medical specialities MIMS published

50
Q

reversed

up to date information about prescription medicines as well as a number of OTC preparations

A

what does the monthly index of medical specialities MIMS provide

51
Q

reversed

12 copies of MIMS per year plus accompanying CD-ROM and access to the eMIMS web site

A

what does an annual subscription with the monthly index of medical specialities MIMS provide

52
Q

reversed

it has information on OTC drugs, whereas the BNF doesn’t

A

what is the advantage of the monthly index of medical specialities MIMS over the BNF

53
Q

reversed

an online resource which provides the summary of product characteristics (SPC) and patient instruction leaflets (PIL) for the majority of medicines that are available in the UK

A

what is the electronic medicines compendium

54
Q

reversed

  • indications - cautions - use in pregnancy/lactation - contraindications - formulation
A

what 5 types of information does the summary of product characteristics SPC provide about a drug

55
Q

reversed

members of the college of optometrists

A

who is the optometrists formulary available to

56
Q

reversed

information on all drugs available to optometrists

A

what does the optometrists formulary contain

57
Q

reversed

every year

A

how often is the optometrists formulary released

58
Q

reversed

can theoretically prescribe anything from the BNF, there is no restriction on the drug that they can use. most of them working at the hospital can actively prescribe at A&E dept, in glaucoma dept and any other specialist clinics

A

what can optometrists who are independent prescribers do

59
Q

reversed

  • guidance to optometrists on the pharmacological and non-pharmacological management of eye disease - information on investigations and criteria for referral
A

what 2 things does the college of optometrists clinical guidelines provide

60
Q

reversed

58

A

how many college of optometrists clinical guidelines have been developed

61
Q

reversed

less than 2 years old

A

how old must each college of optometrists clinical guideline be

62
Q

reversed

evidence based (informed by current best research evidence) developed by a team comprising ophthalmologists and optometrists

A

where does the content from the college of optometrists clinical guidelines come from

63
Q

reversed

it gets peer reviewed by a multidisciplinary group of optometrists and ophthalmologists

A

what process does the college of optometrists clinical guidelines go through before being published

64
Q

reversed

the clinical presentation and management of each condition is described under the following headings: - aetiology - predisposing factors - symptoms - signs - differential diagnosis - management by optometrist - management category - possible management by ophthalmologist - evidence based this is written this way so people can look it up very quickly

A

what common format do all college of optometrists clinical guidelines CMGs conform to and why

65
Q

reversed

referral guidance for optometrist therapeutic prescribers

A

what does the management category in the college of optometrists clinical guidelines provide

66
Q

reversed

A) sight threatening or B) not normally sight threatening

A

in the college of optometrists clinical guidelines, what two categories are conditions defined as

67
Q

reversed

  1. emergency referral to an ophthalmologist 2. first aid measures followed by emergency referral to an ophthalmologist (emergency = same day referrals) 3. urgent referral to an ophthalmologist (urgent = within a week)
A

what 3 groups is conditions that are sight threatening sub divided up into in the college of optometrists clinical guidelines

68
Q

reversed

  1. possible prescription of drugs; routine referral 2. alleviation or palliation; no referral 3. management to resolution
A

what 3 groups is conditions that are not normally sight threatening sub divided up into in the college of optometrists clinical guidelines