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Flashcards in Clinical Skills Deck (9)
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1

What are the 2 levels of medicines reconcilliation?

Level 1 --> Obtaining a medication list and documenting it (usually in a drug chart)

- Admission led

 

Level 2 --> Two or more sources are used to ensure that it is correct, with any discrepencies spotted and sorted out (this is not a clincal screen!)

- Pharmacy consolidation

2

What are the 3 Cs about in terms of medicines reconcilliations?

Collecting --> Taking a meds history with 2 different sources of information

 

Checking --> Looking at differences/similarities between the meds history that you have made, with the drugs that are currently prescribed

 

Communicating --> Document and data any changes that have been made

3

What type of service is an MUR?

An advanced service

4

What is the eligibility criteria for an MUR?

Had medication from the pharmacy for at least 3 months

 

Be part of on an MUR target group (High risk medicine)

 

Have more than one medication (unless the one medication is high-risk)

 

Have the capacity to consent to the review

 

Not had an NMS in 6 months or an MUR in 12 months

5

Define AKI

A rise in serum creatinine of 26micromol/L or greaer within 48 hours

 

A 50% or greater rise in serum creatinine in the last 7 days

 

A fall in urine output to less than 0.5ml/kg/hour for more than 6 hours

6

What is gestational age for pre-term babies?

The number of weeks gestational age (eg, 25 weeks) plus the number of weeks sincxe birth (eg, 3 weeks)

 

This would make the age of the baby as 28 weeks (gestational age)

7

At what period of pregnancy are drugs most dangerous?

3rd to the 11th week (first trimester) as they could cause congenitial malformations

8

What 4 disease states must be monitored more in pregnancy?

Diabetes

 

Epilepsy

 

Hypertension (due to pre-eclampsia)

 

Mental health problems

9

What are the 4 target groups for an MUR?

Patients on high-risk medications

 

Patients who have just been discharged from hospital and had their medications altered

 

Patients with respiratory disease

 

Patients with CVD (or at risk) and regulalrly being prescribed 4 or more drugs