Revision public year 1 Flashcards
Dose for levonorgestrel
1500mcg
Dose for Ella one
30mg
Interactions with levonorgestrel
Pines (anti epileptics) Virs (anti retro viral) Rifampicin St. John wort Bosentan Modafinil Aprepitant Phenytoin Phenobarbital Rufinamide Topiramate Primadone
Ella one interactions
Cool with anti retro virals No other contraceptives Levonorgestrel Proton pump inhibitors - omeprazole St. John Wart Rifampicin Ketaconazole, Clarithromycin, famotidine
Community pharmacists
Essential services
Advanced services
Locally commissioned services
Hospital pharmacists contributions to PHE
Reduced risk of antimicrobial infection
Better mental health
Smoke free society
Hygiene
Health and lifestyle
Medicine optimisation
Hospital pharmacist
Medicine reconciliation
Clinical reviews
Discharge prescriptions
NHS health check - mechanism
Age 40 - 74
Data: BMI, cholesterol, blood pressure, blood glucose, age, gender, ethnicity, smoking status, physical activity level, family history
Most common vascular disease
Kidney disease
Heat attack
Stroke
Diabetes
Symptoms of heart attack/stroke
F - face drooping
A - arm weakness
S - speech difficulty
T - time
Chest pain
Sweating
Shortness of breath
Calculation for BMI
Weight/height2
<10% risk of vascular disease
Low risk
10% - 20% risk of vascular disease
Moderate risk
20% or >20% vascular disease risk
High risk
Statins interactions
Refer to notes
BMI Readings
Refer to notes
Blood pressure readings
Refer to notes
Cholesterol readings
Refer to notes
Blood glucose readings
Refer to notes
Infections associated with smoking
Meningococcal disease Pneumonia TB Influenza Periodontitis
Immediate benefits of stopping smoking
- After 10 years, your risk of death from lung cancer is half that of smokers
- CO level returns back to normal after 12 hours
- Heart rate becomes normal after 20 mins
- 1-9 months - coughing and shortness of breath decreases
What is a PGD
A legal mechanism by which a medicine can be supplied/administered without first having to see a doctor
Drugs alternate to NRT
Verenicline
Bupropion
Passive smoking risks
- children more likely to become smoker themselves
- likely to die due to cot syndrome
- likely to suffer from infections such as ear, nose and chest
What is self care
Led, owner and done by individuals to maintain, prevent or treat illness
Benefits to NHS for self care
Less GP visits
Less A&E visits
Low drug expenditure
Benefits for patients who self care
More in control of life and health
Less mental health issues / less depression
Medicine adherence
Remain in the home
Which bacteria causes chlamydia
Trachomatis
Treatment for Chlamydia
Azithromycin
Erythromycin
If excluded criteria - consider doxycycline or referral to GUM
What is the dose of azithromycin
Total dose - 1g
Dose - 125mg - x4
3 domains of public health
- Improving services
- Health protection
- Health improvement
3 factors that affect adherence
Dosage frequency
Nature of the disease
Length of the treatment
3 factors to improve adherence
- Give a combined drug
- Change the drug - one that can take once daily e.g ramipril rather than captoptil
- Change formulation to modified release
Name 2 compliance aids
Medication reminder charts
Electronic reminders
What is MAS
Going to pharmacists so they can give advice, give medication from the local formulary or refer to services
Who can access the MAS servive
Anyone who is referred
Anyone who has a voucher
Anyone who is registered with a GP in the PCO area
Treatment for insect bite
Chlorphenamine (antihistamine)
Treatment for chicken pox
Chlorphenamine
Which medicine should be avoided with chicken pox
iBook
Medicine for oral thrush
Micanazole gel
Medicine for vaginal thrush
Fluconazole
Medicine for athletes foot
Clotrimazole cream 1%
Micanazole cream
Virus which causes athletes foot
Trichophyton
Fungi that causes thrush
Candida
Virus which causes chickenpox
Varicella zoster
Examples of good practice
Approved clothing
Tying hair back if it interferes or adds risk to clinical infection
Wearing ID badge
What is professional socialisation and describe the process
It is the process of turning a member of the general public into a member of profession
Selection
Training
Recruitment
Professional regulation
What are the expectation of public from professionals
Non judgemental
High degree of knowledge
Act in best interest of the patient
Attributes of a profession
Specialised knowledge that others can’t understand
Monopoly
Autonomy
Service orientation
Attributes of professionalism
Professionalism towards the public, workers etc
Deal with mistakes
Life long learning
Aware of limitations
Side effects of Ella one
Abdominal pain, nausea, irregular vaginal bleeding
Symptoms of bowel cancer
Abdominal pain Bleeding Constipation Diarrhoea Extreme tiredness
What are the influence for self medication
Internet/advertising
Financial resources
Lowering of sickness absence
Increase medicine availability
Symptoms of chlamydia for women
Pain when urinating
Bleeding after sex
Bleeding between periods
Unusual vaginal discharge
Chlamydia symptoms in men
White cloudy discharge from the top of the penis
Pain when urinating
Pain in the testicles
Interaction with miconazole
Anticoagulant
Give evidence to show that MAS is effective
Only 2% would have purchased a medicine
92% of patients would have gone to the GP if MAS was not available
In 98% consultations no onward referral to other NHS providers was necessary
Alcohol guide
14 units per week
3 units per day
2 free alcohol days
What is binge drinking
Drinking large amount of alcohol in a short space of time
More than 6 units of alcohol in a single session
Treatment for opioid substitution therapy
Methadone
Buprenorphine
Prevention of relapse: Naltrexone
