Clinical Skills Flashcards
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
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
What type of service is an MUR?
An advanced service
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
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
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)
At what period of pregnancy are drugs most dangerous?
3rd to the 11th week (first trimester) as they could cause congenitial malformations
What 4 disease states must be monitored more in pregnancy?
Diabetes
Epilepsy
Hypertension (due to pre-eclampsia)
Mental health problems
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
