Medicines,ethicsandpractice PDF

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MEP notes...

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Medicines,)Ethics)and)Practice)(MEP)! ) Emergency)supplies) Appropriate!prescriber! If!EEA!or!Switzerland!prescriber!can!have!emergency!supply! New!prescription!needed!within!72!hours! Cannot!give!CD!1,2,3!except!phenobarbital!for!epilepsy!as!emergency! POM!register!record!needed! - Date!supplied! - Name,!strength,!quality,!formulation!of!medicine! - Name!and!address!of!prescriber!! - Name!and!address!of!patient!! - Date!of!prescription! - Date!when!prescription!received!! If!request!made!by!patient!have!to!check!previous!treatment!and!be!satisified!there!is!immediate!need,! need!to!interview!patient!! - Max!quantity!for!CD!=!5!days! - All!other!POMs!=!30!days! - Insulin/inhaler!=!smallest!pack!available! - Contraceptive!=!full!cycle!! !

! ! Repeat)dispensing) Oral!contraceptives!do!not!have!to!be!recorded!in!a!register! Can!be!repeated!for!6!times!within!6!months!! Private!prescription!–!first!dispensing!must!be!made!within!6!months,!no!legal!time!limit!for!remaining! repeats! CD!2+3!cannot!be!repeated,!CD!4+5!can!–!first!repeat!for!CD!4!has!to!be!within!28!days!! ! Private!prescriptions!must!be!retained!for!2!years!in!POM!register! - Supply!date! - Prescription!date! - Details!of!medication!(name,!quantity,!formulation!and!strength)!! - Prescriber!details! - Patient!details!!

! School)requisition)) - Reason!for!supply! - School!details! - Who!made!supply! - Signature! - Total!quantity! Ideally!on!school!headed!paper!but!not!legal!requirement!! Record!in!POM!register!for!2!years! Provide!information!on!spacers!and!how!to!use!inhaler! ! Legality)of)prescriptions) Date!valid!within!6!months!(28!days!for!CD!2,3,4)! Patient!name!and!address! Age!of!patient!if!under!12! Prescriber!name!and!address! Prescriber!signature! Name,!quantity,!formulation!+!strength!of!medication! Indelible!ink!! ! Medication)history) Prescribed!medications! Name!of!medications!–!brand!and!propriety!name! Dose!! Strength!! Formulation!! Route!of!administration! Frequency!of!administration! Length!of!therapy!eg!for!Abx!(indication)! Administration!device!eg!for!insulin! Day!of!week!eg!for!patch!! OTC!medications!–!eye!drops,!ear!drops,!inhalers,!herbal!medications,!creams,!vitamins,!injections! Birth!control!pills! Recreational!drug!use! Allergies! Any!medicines!which!you’ve!stopped!recently! Clinical!trials! Enough!supply!of!medicines!at!home!! Smoking/alcohol/caffeine! Able!to!take!medications!yourself!or!do!you!have!medication!aid!device!eg!dossette!box! Are!you!taking!all!your!medications!as!prescribed! Any!problems!or!side!effects! ! OTC) Cough/cold!-!Self!help!measures!–!drink!plenty!of!fluids! Fever!and!pain!–!paracetamol!and!ibuprofen!! Nasal!congestion!–!nasal!saline!drops,!steam!inhalations,!vapor!rubs! Cough!–!warm!fluids,!lemon/honey!drinks,!simple!cough!mixtures!eg!glycerol! Codeine!linctus!not!for!under!18s! ! Labels) Name!of!patient! Name!and!address!of!supplying!pharmacy! Date!of!dispensing!

Name!of!medicine! Directions!for!use!+!precautions! Keep!out!of!sight!and!reach!of!children! For!external!use!only! ! Veterinary)prescriptions) Name,!address,!telephone!number,!qualification!and!signature!of!prescriber!(if!CD2!or!3!registration! number!needed)! Name!and!address!of!the!owner! Species!of!animal! Date!within!6!months! Name,!strength,!quantity,!formulation!of!medicine!! Warnings!and!relevant!withdrawal!period!! Under!veterinary!cascade! CD!drugs!–!the!item!has!been!prescribed!under!the!care!of!veterinarian ! Number!of!repeats! ! Controlled)drug)requisition) Name,!address,!signature!of!recipient!! Profession! Total!quantity!of!drug! Purpose!of!requisition! ) CD)prescription)requirements! Patient!name!and!address! Prescriber!name!and!address! Signature! Valid!within!28!days! Name,!formulation,!strength!and!total!quantity!(in!words!and!figures)! Instalment!wording!(amount!of!medicine!per!installment,!interval!of!time!between!each!instalment)!! ! CD!instalments!can!only!be!for!CD2,!buprenorphine!(CD3),!buprenorphine/naloxone!(CD3)!or!diazepam! (CD4)!

! Q!risk!is!a!predictive!algorithm!for!cardiovascular!disease!based!on!various!risk!factors!such!as!age,! ethnicity!and!body!mass!index.!! Q!risk!2!>!10!indicates!that!primary!prevention!with!lipid!lowering!therapy!should!be!considered.!(10%! chance!of!CVD!event!in!next!10!years,!10!people!in!100!people!like!you!would!have!CVD!event)!...