rps23 Flashcards
It is important that pharmacists maintain confidentiality of their patients. However, in certain circumstances, it may be appropriate to break patient confidentiality. Which of the following would be appropriate to break patient confidentiality without consent
- A Health and social care employer who wants to know whether this employee has had their COVID vaccines
- A parent who collects a prescription for their 14 year old son asks what it is used for
- A patient is admitted to hospital in possession of a small amount of sch 1 CD
- A 11 year old girl presenting for EHC
- A 85 year old patient with dementia who daughter wants info about her current treatment
Appendix 3 of MEP gives guidance on consent and of the situations mentioned, only D would warrant breaking patient confidentiality. For D –MEP 3.2.2 states that children under the age of 13 are legally too young to consent to any sexual activity and instances should be treated seriously with a presumption that the case should be reported to social services unless there are exceptional circumstances backed by documented reasons for not sharing information.Schedule 1 CD –patient confidentiality should normally be maintained, and the police should be informed on the understanding that the source will not be identified (unless quantity larger than for personal use only where may be in public interest to identify source)
A 14 year old girl has been diagnosed with migraine which is treated with paracetamol and sumatriptan nasal spray. Due to the frequency of her migraines, it is decided that some prophylactic medication would be suitable. Which is the most suitable for this patient
- Amitriptyline
- Gabapentin
- Sodium Valproate
- Topiramate
- Propanolol
Propanolol
A 65 year old man has been admitted to hospital for investigations. he has type 2 diabetes. His blood glucose control has been poor and he has not been able o manage this with his medicine or lifestyle. He takes glicazide 160mg once daily and other medicines. Which of the following medication is most likely to have adversely affected his blood glucose levels
- Aspirin 75mg tablets
- Bendroflumethazie 2.5mg tablets
- Doxasosin 2mg tabs
- Simvasatin 20mg tabs
- tramadol 200mg capsules
The hypoglycaemic effect of antidiabetics is antagonised by thiazide diuretics, such as Bendroflumethiazide. The dose of the sulfonylurea (and in some cases any concomitant antidiabetic drug) may need to be reduced, to reduce the risk of hypoglycaemia.
IBD patient has experienced a flare of symptoms. She has been started on a weaning regiment which will last 4 weeks. She is to take prednisolone 40mg OD in the morning for 7 days and reduce by 5mg each week. How many 5mg prednisolone tablets will you supply?
171
172
181
182
183
182
If a 5 year old patient is taking
Phenoxymethylpenicillin 125mg/5 ml oral solution
Morphine sulphate 10mg/5ml oral soluition
Paracetamol 120mg/5ml suspension and hydroxycarbmamide oral solution. Which of the following conditions it the patient most likely to be experiencing
- Anaemia
- Folate deficiency
- osteoarthritis
- Sickle cell disease
- Tonsilitis
Sickle cell disease
None of the medications listed are indicated for anaemia or folate deficiency. Osteoarthritis is not seen in children.
The frequency of phenoxymethylpenicillin is for the prevention of pneumococcal infection in asplenia or in patients with sickle cell disease.
Hydroxycarbamide is indicated for sickle cell disease. The combination of hydroxycarbamide and phenoxymethylpenicillin indicate that the patient has sickle cell disease.
Morphine Sulphate and paracetamol are commonly prescribed analgesics in this patient group to help with sickle cell pain crisis
A 62 year old man admitted with poor blood glucose control that he has not managed with medicine and lifestyle measures. He takes glicazliade 160mg tablets once daily and other medicines. Which of the following medicines is most likely to affect his blood glucose levels
aspirin
bendro
doxasosin
simvastatin
tramadol
The hypoglycaemic effect of antidiabetics is antagonised by thiazide diuretics, such as Bendroflumethiazide. The dose of the sulfonylurea (and in some cases any concomitant antidiabetic drug) may need to be reduced, to reduce the risk of hypoglycaemia.
Assessment topic: Endocrine – type 2 diabetes; gliclazide; interaction
