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Medication Assessment
General
Medication belongs to:
The care home
The doctor who prescribed it
The person for whom it is prescribed
Which of the following statements are correct?
The British National Formlary (BNF) contains information about all medicines that are prescribed in the UK
The Medicines and Healthcare Products Regulatory Agency (MHRA) is the organisation that supplied medication to care providers
The Medicines and Healthcare Products Regulatory Agency (MHRA) regulates medicines medical devices advance therapy medicinal products and blood
The National Institute for Health and Clinical Evidence (NICE) is an organisation that provides national guidance on the promotion of good health and prevention and treatment of ill health.
Legislation
Which of the following pieces of legislation directly affects medicines management within the care home?
The Health Act 2006
The Health and Social Care Act 2008
The Manual Handling Operations Regulations 1992
The Medicines Act 1968
The Misuse of Drugs Act 1971
The Misuse of Drugs Regulations 2001
The Misuse of Drugs Safe Custody Regulations 2007
The Medicines Act 1968 classified medicines into three categories - Prescription only medicines (POM), Over the counter or pharmacy medicines (OTC or P), and General sales list (GSL). Which of the following statements describes Prescription only medicines.
Available only from a pharmacist but without prescription
Available only from a pharmacist if prescribed by a doctor or another regisetered pracitioner licensed to prescribe.
Medicine that may be bought from any shop without a prescription
The Medicines Act 1968 classified medicines into three categories - Prescription only medicines (POM), Over the counter or pharmacy medicines (OTC or P), and General sales list (GSL). Which of the following statements describes Over the counter or pharmacy medicines?
Available only from a pharmacist but without prescription
Available only from a pharmacist if prescribed by a doctor or another regisetered pracitioner licensed to prescribe.
Medicine that may be bought from any shop without a prescription
The Medicines Act 1968 classified medicines into three categories - Prescription only medicines (POM), Over the counter or pharmacy medicines (OTC or P), and General sales list (GSL). Which of the following statements describes Genera sales list medicines?
Available only from a pharmacist but without prescription
Available only from a pharmacist if prescribed by a doctor or another regisetered pracitioner licensed to prescribe.
Medicine that may be bought from any shop without a prescription
Which of the following are Prescription only medicine (POM)?
Ampicillin
Cetrizine 10mg
Chloramphenicol
Fluoxetine (Prozac)
Ibuprofen
Loperimide (Imodium)
Senokot
Which of the following are Over the counter/pharmacy (OTC/P) medicines?
Ampicillin
Cetrizine 10mg
Chloramphenicol
Fluoxetine (Prozac)
Ibuprofen
Loperimide (Imodium)
Senokot
Which of the following are General sales list (GSL) medicines?
Ampicillin
Cetrizine 10mg
Chloramphenicol
Fluoxetine (Prozac)
Ibuprofen
Loperimide (Imodium)
Senokot
Administration
It is okay to give one resident's medication to another resident. Is this statement TRUE or FALSE?
F
T
If after taking medicine someone said "It tastes horrible!", which of the following formulations could you ask a doctor about prescribing to make the person happier
Chewable
Enteric coated (EC)
Slow modified or controlled release (SR, MR or CR)
Soluble
Sublingual
Sugar coated
If after taking medicine someone said "I can't swallow it - it's too big", which of the following formulations could you ask a doctor about prescribing to make the person happier
Chewable
Enteric coated (EC)
Slow modified or controlled release (SR, MR or CR)
Soluble
Sublingual
Sugar coated
Controlled Drugs
Tick the box to identify which of the following are controlled drugs
Centrizin
Diamorphine
Fentanyl
Methhylphenidate
Paracetomol
Tick the box for each of the following statements which are correct
Controlled drugs are powerful medicines that are usually prescribed for serious conditions and pain relief
Controlled drugs can be given without a prescription
Controlled drugs can be shared amongst residents
It is an abuse to take controlled drugs without a medical reason
It is not dangerous to give controlled drugs in the wrong dosage
It is recommended good practice that there is a second member of staff as a witness when CDs are administered
Secure storage is required for controlled drugs
There are additional safety precautions and requirements for the storage, administration, record keeping and disposal of controlled drugs
Contra-indications
What are contra-idications?
Contra-indications are reasons that mean a particular medicine should be prescribed for an individual
Contra-indications are reasons that mean a particular medicine should not be prescribed for an individual
Contra-indications are the same as the side effects that may arise from taking a particular medicine
Alternative Medicines
Which of the following statements are correct?
Herbal remedies are classified as medicines and are governed by the Medicines Act
Herbal remedies are not classified as medicines and are not governed by the Medicines Act
Herbal remedies can cause reactions with prescribed medicines
Herbal remedies cannot cause reactions with prescribed medicines
Homeopathic medicines can be safely used in large does without risk of harm
Homeopathic medicines can sometimes use substances that would be harmful if used in large doses
Adverse Drug Reactions
You administer an oral antibiotic to a resident in your care. About 50 minutes aftere giving the medicine, the resident starts to appear drowsy and irritable. How would you describe the symptoms experienced by the resident?
adverse effect
desired effect
mild side effect
severe allergic reaction (anaphalaxis)
What is the first action you should take?
Give the resident something to eat
Put the resident to bed
Send the resident to hospital immediately
Take observations and notify the GP
You gave an oral liquid antiobitic at 1pm to a resident in your care for an ear infection. Around 2pm the resident begins to complain of difficulty breathing and she has hives on her stomach, hands, face and neck. How would you describe the symptoms experienced by the resident?
adverse effect
desired effect
mild side effect
severe allergic reaction (anaphalaxis)
What is the first action you should take?
Administer analgesia
Apply lotion to the skin
Put the resident to bed
Send the resident to hospital immediately
Which of the following may indicate an Adverse Drug Reaction (ADR)?
Breathing Difficulties
Confusion
Hallucinations or delusions
Nausea
Sudden Rashes or blotches
Swelling of face or mouth
Vomiting
Prescriptions
Which of the following people are allowed to prescribe medicine?
Dentist
General Practitioner
Healthcare Assistant
Hospital Consultant
Nurse Prescriber
Which of the following is the pharmacist responsible for?
Administering medication to residents in care homes
Clinical scrutiny of a prescription to identify any errors
Dispensing the right quantity of the correct medicine
Ensuring that medicines are correctly labelled with the persons name, the name of the medicine and the dosage
Overall checking of a prescription to make sure that it is legal and written by a person qualified to do so.
Prescribing medication
Providing a repeat prescription service in co-operation with GP surgeries
Providing advice and treatment for minor illnesses, injuries and health concerns
Procedures
If a medicine is administered "Sublingually" it means that it is to be administered:
If a medicine is administered as an "Intravenous Injection" it means that it is to be administered:
As eye, nose or ear drops
Directly into the muscle
Directly into the rectum
Directly into the vagina
Directly into the vein
Under the skin
Under the tongue
If a medicine is administered as an "Intra Muscular Injection" it means that it is to be administered:
As eye, nose or ear drops
Directly into the muscle
Directly into the rectum
Directly into the vagina
Directly into the vein
Inhaled directly into the lungs
Under the skin
Under the tongue
If a medicine is administered as a "Subcutaneous Injection" it means that it is to be administered:
As eye, nose or ear drops
Directly into the muscle
Directly into the rectum
Directly into the vagina
Directly into the vein
Under the skin
Under the tongue
If a medicine is administered "Rectally" it means that it is to be administered:
As eye, nose or ear drops
Directly into the muscle
Directly into the rectum
Directly into the vagina
Directly into the vein
Inhaled directly into the lungs
Under the skin
Under the tongue
If a medicine is administered by "Instillation" it means that it is to be administered:
As eye, nose or ear drops
Directly into the muscle
Directly into the rectum
Directly into the vagina
Directly into the vein
Directly onto the skin
Inhaled directly into the lungs
Under the skin
Under the tongue
If a medicine is administered "Topically" it means that it is to be administered:
As eye, nose or ear drops
Directly into the muscle
Directly into the rectum
Directly into the vagina
Directly into the vein
Directly onto the skin
Inhaled directly into the lungs
Under the skin
Under the tongue
If a medicine is administered by "Inhalation" it means that it is to be administered:
As eye, nose or ear drops
Directly into the muscle
Directly into the rectum
Directly into the vagina
Directly into the vein
Directly onto the skin
Inhaled directly into the lungs
Under the skin
Under the tongue
If a medicine is administered "Transdermally" it means that it is to be administered:
A patch placed directly on to the skin
As eye, nose or ear drops
Directly into the muscle
Directly into the rectum
Directly into the vagina
Directly into the vein
Inhaled directly into the lungs
Under the skin
Under the tongue
If a medicine is administered "Vaginally" it means that it is to be administered:
As eye, nose or ear drops
Directly into the muscle
Directly into the rectum
Directly into the vagina
Directly into the vein
Directly onto the skin
Inhaled directly into the lungs
Under the skin
Under the tongue
Indicate whether the following statements are true or false
In order to complete the medication round more quickly It is permissable for care staff to put medicines into pots and then to administer from the pots at a later time
Inhaled directly into the lungs
Medicines must be administered from the container they were supplied in.
Indicate whether the following statements are true or false
If a patient dies the medicine must be kept for 14 days after the death
If a patient dies the medicine must be kept for 7 days after the death
In a care home medication must be stored in a locked area (e.g. cupboard or trolley)
Most medication must be stored below 25 deg C
Most medication must be stored below 4 deg C
The medication fridge must maintain a temperature in the range 2 - 8 deg C
Unused medication should be disposed of in the general household waste bins
Upon receiving medication from the pharmacy, the MAR charts and the medication should be checked against the prescription before the medication is administered
Consent
Can you give medication to someone without their consent if they have the capacity to make their own decisions?
No
Yes
Drug Calculations
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