Prescription Review/General

Question 1

if patient has haemoptysis- STOP?

Answer 1

aspirin
prophylactic enoxaparin (LMWH)

Question 2

if ↑ K+?

Answer 2

ACEi (contributes to renal failure)

IV fluids containing KCl (alternative started)

Question 3

if penicillin allergic… STOP?

Answer 3

co-amoxiclav
(contains amoxicillin, a type of penicillin)

Tazocin
(contains piperacillin)

Question 4

approach to prescription review

Answer 4

PReSCRIBER

• patient details (3)
• reaction (allergy + reaction)
• signature (A. Bell)
• CIs for each drug
• route
• IV fluid need
• blood clot prophylaxis need
• antiEmetic
• pain Relief

Question 5

If patient is V?

Answer 5

if lasting a short time no need to change

if extended V, give via non-oral route (IV, IM, SC) and check if dose is different

Question 6

should a patient that is NBM still receive their oral medication?

Answer 6

yes! including prior to surgery

Question 7

what to write when prescribing oral solution morphine?

Answer 7

MORPHINE SULPHATE (10MG/5ML) - write the strength and the dose (5mg is usual to start)

if PRN, say frequency 4 hrly with indication for pain

Question 8

if prescribing fluids for someone with ↑Na+ and ↑K+?

Answer 8

5% dextrose!