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Published bySeth Silva Modified over 11 years ago
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DRUGS FOR TAKE A Practical Guide to Prescribing on Day 1! Dr. Anna Crown
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OBJECTIVES Identify sections of the drug chart Prescribing abbreviations When not to prescribe Use of the BNF Use of hospital protocols Prescribe common / emergency Rx
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THE DRUG CHART FRONT –Patient details –Allergies –Once only medication –Drug doses omitted
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THE DRUG CHART MIDDLE –Regular medication BACK –As required medication
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ABBREVIATIONS Route of administration Timing
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WHEN NOT TO PRESCRIBE Prescribing is not the answer You need to do something else first You could do more harm than good You feel it is not appropriate
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USE THE BNF & HOSPITAL PROTOCOLS Useful things in the BNF Hospital protocols
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SIMPLE REMEDIES FOR MINOR PROBLEMS Nausea Constipation Cough Indigestion Leg cramps Insomnia Agitation
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TACKLING PAIN Regular analgesia Regular paracetamol Regular co-codamol 30:500 NSAIDS Morphine Other pains
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JUGGLING BLOOD SUGARS Highs and lows Type 1 or Type 2? Adjusting insulin doses Sliding scales
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AVOIDING PROBLEMS WITH ALCOHOLICS Enforced abstinence Forced feeding Wernickes encephalopathy: thiamine DTs Excess sodium Hypoglycaemia Seek advice
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SCARY SITUATIONS What if you get there first? Additional management OSCEs Doses IV or IM
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SCARY SITUATIONS Respiratory depression & pinpoint pupils Severe heart failure Myocardial infarction Severe asthma Hypoglycaemia Possible meningococcal disease Anaphylactic shock Status epilepticus
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SUMMARY - 1 The drug chart Prescribing abbreviations When not to prescribe The BNF Hospital protocols Simple remedies for minor problems
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SUMMARY - 2 Pain Diabetes and the drug chart Avoiding problems with alcoholics Scary situations
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