W24 Role of pharmacist in CHD Flashcards
what is the role of the pharmacist
monitor for therapeutic effect
monitor for side effects and act when appropriate
avoid unnecessary or mitigate risks from drug drug interactions
provide effective counselling
promote a healthy diet and lifestyle
what sort of healthy lifestyle should be promoted
Smoking cessation Weight management Limit salt intake Limit saturated fat intake 30 minutes of exercise on 5 days of the week Limit refined sugar intake Eat 2 portions of oily fish per week Manage stress / anxiety Eat 5 portions of fruit or veg per day
What are red flags of CV disease
Breathlessness (Dyspnoea) Palpitations Tachycardia Chest pain/pressure Radiating pain to jaw or L arm Pitting oedema (new) Reduced exercise tolerance Coughing up frothy sputum Paroxysmal nocturnal dyspnoea Orthopnoea
when should we refer
any red flag symptom
any condition that could cause their current condition to deteriorate
drug disease interactions for RTS condition
what OTC products should be avoided in CV disease
High sodium content drugs that affect blood pressure drugs that increase risk of falls drugs that affect fluid retention drugs that affect heart rate
what form of drug should be avoided at all costs
NSAIDs as they cause fluid retention renal impairment and increase risk of bleeding
how do we mange pain in patients with CVD
paracetamol
low dose opiods
how do we manage cold and flu in CVD
fever - paracetamol
blocked sinuses - steam inhalation
cough - steam inhalation
- simple linctus
how do we manage headaches and migraines in CVD
paracetamol
codeine
migraleve
how do we manage constipation with no fluid restriction
bulk forming laxitatves
lactulose
encourage fluid intake
encourage fresh fruit and veg high in fibre
how do we manage constipation with fluid restriction
use stimulant laxatives short term
encourage food high in fibre
