Taking a drug hx

Question 1

What do you call the process of writing down the list of meds someone takes upon admission to hosp?

Answer 1

Medication reconciliation

Question 2

What is the point of medication reconciliation?

Answer 2

To ensure the drugs prescribed at hosp match up with those

Question 3

Name some herbal medications that inhibit platelet aggregation

Answer 3

Feverfew (taken as an anti-inflammatory against migraines)
Echinacea
Ginseng

Question 4

Why do some people take Ginseng?

Answer 4

To improve sexual function (esp in china)

Question 5

What does the mnemonic DRUGS stand for?

Answer 5

Drugs 
Recreational use
User-obtained (OTC)
Gynae (OCP)
Sensitivities (allergies)

Question 6

Important mnemonic for surgical hx?

Answer 6

CASES

Contraceptive pills
Anticoagulation 
Steroids (Addisonian crisis?)
Ethanol (interaction with anaesthetics)
Smoking (lung disease)

Question 7

What do you have to check for when examining a patient’s drugs?

Answer 7

The patient's name
Expiry date
Dose
Dispensing errors 
Duplicate items
Adherence

Question 8

What drugs will not be included in an MDS?

Answer 8

When required medication (e.g. analgesics).
Cytotoxic agents (e.g. thalidomide).
Once weekly doses (e.g. risedronate, methotrexate).
Variable doses (e.g. warfarin).
Dispersible or effervescent formulations (e.g. aspirin).
Buccal or sublingual formulations.

Question 9

What does an MDS stand for?

Answer 9

Monitored dosage system

Question 10

Where can you go for a visual database of a drug?

Answer 10

TICTAC

Question 11

What will this visual database show?

Answer 11

Colour(s)
Markings
Shape
Size