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Prescribing

Prescribing. Annie Houldey Jonathan Matthews. Plan. General Tips Regular medication PRN medication Once only medication Antibiotics Synareos Fluids Other boring stuff. General Tips. Easy station to score on All the answers are in front of you – BNF/drug card Things not to forget

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Prescribing

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  1. Prescribing Annie Houldey Jonathan Matthews

  2. Plan • General Tips • Regular medication • PRN medication • Once only medication • Antibiotics • Synareos • Fluids • Other boring stuff

  3. General Tips • Easy station to score on • All the answers are in front of you – BNF/drug card • Things not to forget • Patient identification stuff • Allergies • VTE • Oxygen • Sign, Write, Bleep • No empty boxes

  4. Regular medication • Drug • Dose • Route • Timings • Additional instructions • Sign/name/bleep/Date STARTED • Drug Hx/new

  5. PRN • Drug • Dose • Route • How often (PRN) – max hourly • Max dose in 24 hours • Sign/Name/Bleep

  6. Once only medication • Date and Time • Drug • Route • Dose • Sign/Name/Bleep

  7. Antibiotics • Hospital policy • Drug • Dose • Route • Timings • Duration • Indication • Name/Sign/Bleep

  8. Synaerios • One case • Most/all sections of the drug card • Stop relevant medication • Relatives medication • Interactions • Antibiotics common

  9. CAP - tiecoplainin

  10. Fluids • Indications • Fluid status • Check U and E’s • NBM: Dex/dex/saline +/- K+ • 3-4.4 40-60mmols /24 hrs • <3.4 60-80 mmols / 24 hrs

  11. Common Additional instructions Dalteparin: Please check platelets and K+

  12. Common interactions:

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