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Prescription Review. Why do we need to do a prescription review?. “To ensure medicines prescribed for a particular patient are appropriate and safe”. What is involved in prescription review?. Identifying any medicines related problems Ensuring patients are receiving the correct medicines
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Why do we need to do a prescription review? “To ensure medicines prescribed for a particular patient are appropriate and safe”
What is involved in prescription review? • Identifying any medicines related problems • Ensuring patients are receiving the correct medicines • At the right time • At the right dose • Via the correct route • Identifying drug-interactions or disease interactions
What do you need to take into account? The patient and their views Co-morbidities The patients medication history Current blood and other clinical test results
Necessary Resources BNF Current local guidelines and/or formulary Patient notes and prescription The patient
Performing a prescription review Check allergies and intolerances Check the patients demographics Check the medicine indication Check the medicine dose, frequency, duration and route Check for drug interactions Check for relevant co-morbidities Check the prescription is legal and complete Check how the patient is taking their medication
Mr ParveenAktar Acute prescription Diclofenac 50mg tablets one tds Repeat prescription Aspirin 75mg tablets one daily Rosuvatatin 40mg tablets at night No Known Drug Allergies Mr ParveenAktar is 67 years old and admitted to A&E with an new presentation of heart failure. You need to review and prescribe his regular medications. His GP repeat shows the following medications. What would you prescribe? (hosp no. M12/45678 cons CRP)
Mr Harry Jones Mr Harry Jones is admitted with a diagnosis of community acquired pneumonia he is transferred to your ward w4 from AMU. Review the prescription and amend the drug chart accordingly
Mrs Amy Duck On reviewing Mrs Amy Duck’s U&Es you find that she has AKI and her results of note are as follows: eGFR = 23ml/min Potassium = 6.8mmol/l Review her medication chart