Medicine Optimiastaion And Patient Centred Care

Question 1

What do we do if there’s an error in Methadone?

Answer 1

• over 4% overage or under 4% for most companies
• report it
• before that try and figure out where it may have come from - dispensing and invoices

Question 2

What is medicine optimisation?

Answer 2

Ensuring patient gets the best possible outcome

Question 3

Eg. PATIENT FALS FROM RAMIPRIL

Answer 3

Consider stopping

Question 5

What are the main things

Answer 5

• AIM to understand the patients experience
• Evidence based choice of medicine
• Ensure that the medicine being used is as safe as possible
• Make medicine optimisation part of a routine service that is given

Question 6

Can give Nitrofurantoin when for pregnancy women?

Answer 6

It’s fine during pregnancy but just not at term

Question 7

Medicine reconciliation

Answer 7

Identify an accurate list of patients current medication
- medication history is essential - sources of info - GP,SCR, Pharmacies

Question 8

Clinically checking an RX

Answer 8

• Children -Lower dose based on body weight
• Pregnancy and breastfeeding - some medicines are contraindicated - doses may be different
• Elderly - Hepatic/renal impairment - protein bound drugs etc
• Certain ethnic groups - eg.hypertensive medication. -south East Asian
• Co-morbidities - Eg, anticholinergic medications are contraindicated in myasthenia gravies
• intolerances and preferences - eg. Unable to swallow tablets

Question 9

Checking what exactly?

Answer 9

• Indication
• Changes in regular treatment made clear
• Dose, frequency and strength
• Formulation
• Drug compatibility
• Monitoring requirements

Question 10

Phenytoin does what?

Answer 10

Clogs up feeding tubes
( consider aids to treatment - eye dropper, larger labels, spacer)