PSA: providing prescribing decisions/communicating information Flashcards
important info to give pts starting on systemic corticosteorids
Side effects of these medications include psychiatric reactions, which can be severe in some patients
psychiatric disturbances, which can include suicidal ideation and psychotic reactions. It is important to inform the patient and their family of this so that they recognise the signs early and can seek urgent medical advice.
important information to give pts taking clozapine
Clozapine should not be stopped suddenly.
Seek urgent medical assistance if constipation develops
why should clozapine not be stopped suddenly
It is crucial to emphasize this to the patient due to the risk of rebound psychosis associated with abrupt discontinuation of clozapine treatment.
why should a pt on clozapine seek urgent medical attention if they get constipation
urgent medical assistance if constipation develops - potentially fatal risk of intestinal obstruction, faecal impaction and paralytic ileus.
what should pts taking MAOIs be advised in regards to food and drink
diet low in tyramine-containing foods, alongside cheese, patients should avoid cured meats, fermented foods, and alcohol consumption - the BNF states that patients should ‘be advised to avoid alcoholic drinks’.
what is the most important piece of information to give someone when prescribing benzodiazepines
may impair the ability to drive or perform skilled tasks is the most important advice to give patients starting a benzodiazepine
It is an offence to drive whilst unfit due to drug use and the law does not distinguish between prescribed or recreational medication. Patients should be advised not to drive until they know how the medication affects them
important info when prescribing mirtzepine
Seek medical advice if they experience a fever, sore throat, or other symptoms of infection
take at night
why should pts on mirtazepine be warned about fever, sore throat etc
due to the risk of bone marrow suppression including agranulocytosis.
An urgent full blood count should be performed if bone marrow suppression is suspected.
how should rivaroxaban be taken
with food
