resources to support therapeutic practice Flashcards

(68 cards)

1
Q

what website do associate members have access to as a guidance for optometrist prescribers

A

the college of optometrists

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2
Q

name 5 sources of medicines information

A
  • british national formulary BNF - BNF for children - monthly index of medical specialities MIMS - summary of product characteristics SPC, available online as the electronic medicines compendium - optometrists formulary
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3
Q

how often is the BNF published

A

twice a year (bi-annually) every march and September

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4
Q

who is the BNF published by

A

jointly by the british medical association and the royal pharmaceutical society of great britain

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5
Q

what is the BNF designed for

A

as a rapid reference source (for busy hospital doctors) covering medicines that are generally prescribed in the UK

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6
Q

what 5 pieces information does the BNF contain for each drug

A
  • indications - cautions - contraindications - side effects - cost only the essential stuff as it has 1000’s of drugs to fit into that book
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7
Q

who can access the BNF for free

A

NHS healthcare professionals online

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8
Q

what is a disadvantage to the BNF

A

it only contains info on drugs that can be prescribed but doesn’t contain information on OTC drugs

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9
Q

why does the BNF supply information about the cost of the drug

A

it is important if the px isn’t paying for the drug themselves and is getting it through a free prescription via NHS, it is in the interest of the tax payer for doctors to be cost effective in their recommendation

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10
Q

what does the BNF for children BNFC provide

A

essential practice information to all healthcare professionals involved in the prescribing, dispensing, monitoring and administration of medicines to children

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11
Q

what does the BNFC (for children) encourage

A

the safe, effective and appropriate use of medicines for the management of childhood conditions

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12
Q

what is the problem with prescribing for children and how does the BNFC help with this

A

the drug is rarely tested on children, so the drug market needs to go on extensive series of clinical trials and will rarely recruit children on clinical trials, so they only have information on hoe adults respond to the drug the BNFC includes authoritative advice on licensed as well as unlicensed and “off-label” use of medicines for children from birth up to the age of 18 years

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13
Q

at what age is the dose of a drug for a child the same as for an adult

A

age 12 onwards

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14
Q

which organisation created the BNF app for NHS staff in England to gain access to

A

national institute for health and clinical excellence - NICE

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15
Q

how often and by who is the monthly index of medical specialities MIMS published

A

published monthly by Haymarket medical Ltd

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16
Q

what does the monthly index of medical specialities MIMS provide

A

up to date information about prescription medicines as well as a number of OTC preparations

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17
Q

what does an annual subscription with the monthly index of medical specialities MIMS provide

A

12 copies of MIMS per year plus accompanying CD-ROM and access to the eMIMS web site

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18
Q

what is the advantage of the monthly index of medical specialities MIMS over the BNF

A

it has information on OTC drugs, whereas the BNF doesn’t

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19
Q

what is the electronic medicines compendium

A

an online resource which provides the summary of product characteristics (SPC) and patient instruction leaflets (PIL) for the majority of medicines that are available in the UK

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20
Q

what 5 types of information does the summary of product characteristics SPC provide about a drug

A
  • indications - cautions - use in pregnancy/lactation - contraindications - formulation
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21
Q

who is the optometrists formulary available to

A

members of the college of optometrists

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22
Q

what does the optometrists formulary contain

A

information on all drugs available to optometrists

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23
Q

how often is the optometrists formulary released

A

every year

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24
Q

what can optometrists who are independent prescribers do

A

can theoretically prescribe anything from the BNF, there is no restriction on the drug that they can use. most of them working at the hospital can actively prescribe at A&E dept, in glaucoma dept and any other specialist clinics

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25
what 2 things does the college of optometrists clinical guidelines provide
- guidance to optometrists on the pharmacological and non-pharmacological management of eye disease - information on investigations and criteria for referral
26
how many college of optometrists clinical guidelines have been developed
58
27
how old must each college of optometrists clinical guideline be
less than 2 years old
28
where does the content from the college of optometrists clinical guidelines come from
evidence based (informed by current best research evidence) developed by a team comprising ophthalmologists and optometrists
29
what process does the college of optometrists clinical guidelines go through before being published
it gets peer reviewed by a multidisciplinary group of optometrists and ophthalmologists
30
what common format do all college of optometrists clinical guidelines CMGs conform to and why
the clinical presentation and management of each condition is described under the following headings: - aetiology - predisposing factors - symptoms - signs - differential diagnosis - management by optometrist - management category - possible management by ophthalmologist - evidence based this is written this way so people can look it up very quickly
31
what does the management category in the college of optometrists clinical guidelines provide
referral guidance for optometrist therapeutic prescribers
32
in the college of optometrists clinical guidelines, what two categories are conditions defined as
A) sight threatening or B) not normally sight threatening
33
what 3 groups is conditions that are sight threatening sub divided up into in the college of optometrists clinical guidelines
1. emergency referral to an ophthalmologist 2. first aid measures followed by emergency referral to an ophthalmologist (emergency = same day referrals) 3. urgent referral to an ophthalmologist (urgent = within a week)
34
what 3 groups is conditions that are not normally sight threatening sub divided up into in the college of optometrists clinical guidelines
1. possible prescription of drugs; routine referral 2. alleviation or palliation; no referral 3. management to resolution
35
# reversed the college of optometrists
what website do associate members have access to as a guidance for optometrist prescribers
36
# reversed - british national formulary BNF - BNF for children - monthly index of medical specialities MIMS - summary of product characteristics SPC, available online as the electronic medicines compendium - optometrists formulary
name 5 sources of medicines information
37
# reversed twice a year (bi-annually) every march and September
how often is the BNF published
38
# reversed jointly by the british medical association and the royal pharmaceutical society of great britain
who is the BNF published by
39
# reversed as a rapid reference source (for busy hospital doctors) covering medicines that are generally prescribed in the UK
what is the BNF designed for
40
# reversed - indications - cautions - contraindications - side effects - cost only the essential stuff as it has 1000's of drugs to fit into that book
what 5 pieces information does the BNF contain for each drug
41
# reversed NHS healthcare professionals online
who can access the BNF for free
42
# reversed it only contains info on drugs that can be prescribed but doesn't contain information on OTC drugs
what is a disadvantage to the BNF
43
# reversed it is important if the px isn't paying for the drug themselves and is getting it through a free prescription via NHS, it is in the interest of the tax payer for doctors to be cost effective in their recommendation
why does the BNF supply information about the cost of the drug
44
# reversed essential practice information to all healthcare professionals involved in the prescribing, dispensing, monitoring and administration of medicines to children
what does the BNF for children BNFC provide
45
# reversed the safe, effective and appropriate use of medicines for the management of childhood conditions
what does the BNFC (for children) encourage
46
# reversed the drug is rarely tested on children, so the drug market needs to go on extensive series of clinical trials and will rarely recruit children on clinical trials, so they only have information on hoe adults respond to the drug the BNFC includes authoritative advice on licensed as well as unlicensed and "off-label" use of medicines for children from birth up to the age of 18 years
what is the problem with prescribing for children and how does the BNFC help with this
47
# reversed age 12 onwards
at what age is the dose of a drug for a child the same as for an adult
48
# reversed national institute for health and clinical excellence - NICE
which organisation created the BNF app for NHS staff in England to gain access to
49
# reversed published monthly by Haymarket medical Ltd
how often and by who is the monthly index of medical specialities MIMS published
50
# reversed up to date information about prescription medicines as well as a number of OTC preparations
what does the monthly index of medical specialities MIMS provide
51
# reversed 12 copies of MIMS per year plus accompanying CD-ROM and access to the eMIMS web site
what does an annual subscription with the monthly index of medical specialities MIMS provide
52
# reversed it has information on OTC drugs, whereas the BNF doesn't
what is the advantage of the monthly index of medical specialities MIMS over the BNF
53
# reversed an online resource which provides the summary of product characteristics (SPC) and patient instruction leaflets (PIL) for the majority of medicines that are available in the UK
what is the electronic medicines compendium
54
# reversed - indications - cautions - use in pregnancy/lactation - contraindications - formulation
what 5 types of information does the summary of product characteristics SPC provide about a drug
55
# reversed members of the college of optometrists
who is the optometrists formulary available to
56
# reversed information on all drugs available to optometrists
what does the optometrists formulary contain
57
# reversed every year
how often is the optometrists formulary released
58
# reversed can theoretically prescribe anything from the BNF, there is no restriction on the drug that they can use. most of them working at the hospital can actively prescribe at A&E dept, in glaucoma dept and any other specialist clinics
what can optometrists who are independent prescribers do
59
# reversed - guidance to optometrists on the pharmacological and non-pharmacological management of eye disease - information on investigations and criteria for referral
what 2 things does the college of optometrists clinical guidelines provide
60
# reversed 58
how many college of optometrists clinical guidelines have been developed
61
# reversed less than 2 years old
how old must each college of optometrists clinical guideline be
62
# reversed evidence based (informed by current best research evidence) developed by a team comprising ophthalmologists and optometrists
where does the content from the college of optometrists clinical guidelines come from
63
# reversed it gets peer reviewed by a multidisciplinary group of optometrists and ophthalmologists
what process does the college of optometrists clinical guidelines go through before being published
64
# reversed the clinical presentation and management of each condition is described under the following headings: - aetiology - predisposing factors - symptoms - signs - differential diagnosis - management by optometrist - management category - possible management by ophthalmologist - evidence based this is written this way so people can look it up very quickly
what common format do all college of optometrists clinical guidelines CMGs conform to and why
65
# reversed referral guidance for optometrist therapeutic prescribers
what does the management category in the college of optometrists clinical guidelines provide
66
# reversed A) sight threatening or B) not normally sight threatening
in the college of optometrists clinical guidelines, what two categories are conditions defined as
67
# reversed 1. emergency referral to an ophthalmologist 2. first aid measures followed by emergency referral to an ophthalmologist (emergency = same day referrals) 3. urgent referral to an ophthalmologist (urgent = within a week)
what 3 groups is conditions that are sight threatening sub divided up into in the college of optometrists clinical guidelines
68
# reversed 1. possible prescription of drugs; routine referral 2. alleviation or palliation; no referral 3. management to resolution
what 3 groups is conditions that are not normally sight threatening sub divided up into in the college of optometrists clinical guidelines