wk4- info gathering

Question 1

ice stands for

Answer 1

ideas, concerns, expectations

Question 2

difference between disease and illness

Answer 2

disease
-symptoms, signs
-investigations
-pathology
-differential diagnosis

illness
-ICE
-feelings/thoughts
-effects on life
-pt exprience of illness

Question 3

what do you need to consider when selecting drug/dose for a patient

Answer 3

goal/aim of drug- benefit to the patient

pharmacokinetic factors
-drug/drug interactions (enzyme inhibitors, inducers)
-drug/condition interactions (renal, hepatic)

patient factors:
age, allergies, pregnancy, breastfeeding, adherence, route they can use, ease of frequency and with/wihtout food

side effects/ADRS

Question 4

what is wrong with prescribing pain/ other symptomatic medications as a podiatrist

Answer 4

it is not for long term use

non pharmalogical interventions is based where able to or referral

Question 5

key parts of decision making

Answer 5

1. identify key medical/medication issues
2. determine if disease/symptoms are well controlled
3. are symptoms modifiable with symptomatic treatment or disease modifying treatment
4. drug and non drug interventions while taking into account contraindications (drug/ drug, drug/patient, drug/disease)
5. select drug, form, route, dose, frequency, duration of treatment

Question 6

what do u need to rule out before adding drugs

Answer 6

that a condition or medication isnt causing the issue

that it cant be fixed with the same outcomes with non drug interventions

QUM

Question 7

whats the best anti inflammatory action NSAID

Answer 7

diclofenac- gel to redue systemic effects

Question 8

why is asking when symptoms started important?

Answer 8

1. the association with when a medication is started and ADRs experienced
2. the association with the progress of a condition

Question 9

difference between an allergy and intolernece

Answer 9

allergy:
4 types, immediate/delayed non severe and severe
rash/hives, swelling, anaphylaxis

intolerence:
-side effects: N, V, D

Question 10

what are the goals of initial consultations

Answer 10

patients ideas, concerns, expectations

building trust

information gathering

Question 11

pregnancy categories

Answer 11

A- drugs taken by large number of pregnant women without any increase in malformations

B1- drugs taken by a limited number of pregnant women without an increase in malformations

studies in animals have not shown increase occurence in fetal damage

B2- “
studies in animals are inadequate/lacking but theres no increase in fetal damage

B3- “
studies in animals show increased occurence of fetal damage

C-may cause harmful effects on fetus without causing malformations. may be reversible

D- drugs that have caused increased malformations or irreveserible damage

X- high risk of permanent damage to fetus. dont use in pregnancy or possibility of pregnancy

Question 12

why does AMH object to the use of these classifications

Answer 12

1. doesn’t account risk v benefit calculation
2. not updated regularly
3. doesn’t use guidelines/best practice on emerging evidence

Question 13

list some category A antibiotics

Answer 13

clindamycin
amoxicillin
amipicillin
cefalexin

Question 14

whats a B1 antibiotic

Answer 14

flucloxacillin

Question 15

whats a b2 antibiotic

Answer 15

dicloxacillin

Question 16

what can pregnant women use safely for headaches

Answer 16

paracetamol

Question 17

what category are NSAIDS and why

Answer 17

1. risk of inducing abortion- restriction of blood supply
2. harm to fetus

all are category C

Question 18

methoxyflurane is what category and what is it, can pod ESM use?

Answer 18

general anaesthetic

category C

pod ESM can use low doses as a LA in nail surgery

Question 19

what are some LA categorised as, what isnt

Answer 19

category A

levobupivocaine- B3

Question 20

what category are most corticortsteroids

Answer 20

category A