The Unofficial Guide to Prescribing e-book , livre ebook

The Unofficial Guide to Prescribing
Edited by
Zeshan Qureshi, BM BSc(Hons)
Academic Clinical Fellow (International Child Health), Great Ormond Street and Institute of Child Health, London and Honorary Clinical Tutor, University of Edinburgh, UK
Simon R J Maxwell, MD PhD FRCP FRCPE FBPharmacolS
Professor of Student Learning (Clinical Pharmacology and Prescribing), University of Edinburgh Clinical Pharmacology Unit, Western General Hospital, Edinburgh, UK
Table of Contents
Cover image
Title page
Copyright
Preface
Acknowledgements
Contributors
Panel of reviewers
How to use this book
Prescribing
List of abbreviations
1. Introduction to prescribing
The Characteristics of a Good Prescriber
Basic Principles of Clinical Pharmacology
Adverse Drug Reactions
Drug Interactions
Medication Errors
Rational Prescribing
Prescribing for Patients with Special Requirements
Getting Information about Medicines
Writing a Prescription
Prescribing Intravenous (IV) Fluids
Monitoring Drug Therapy
Further reading and information
2. Cardiology
Station 2.1: Acute pericarditis
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Definitive Treatment
Handing over the Patient
Station 2.2: Acute left ventricular failure
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Handing over the Patient to ITU
Definitive Management
Station 2.3: Acute coronary syndrome
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Handing over the Patient
Definitive Management
Station 2.4: Bradycardia
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Definitive Management
Handing over to the Ward Doctor
Station 2.5: Tachycardia
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Definitive Management
Handing over the Patient
Station 2.6: Warfarin prescribing
Background Information
Initiating Warfarin
References
3. Respiratory medicine
Station 3.1: Acute exacerbation of asthma
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Definitive Management
Handing over the Patient
Station 3.2: Exacerbation of COPD
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Definitive Management
Handing over the Patient
Station 3.3: Community-acquired pneumonia (CAP)
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Definitive Management
Handing over the Patient
Station 3.4: Hospital-acquired pneumonia
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Definitive Management
Handing over the Patient
Station 3.5: Pulmonary embolism
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Definitive Management
Handing over the Patient
References
4. Gastroenterology
Station 4.1: Severe ulcerative colitis
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Definitive Management
Handing over the Patient
Station 4.2: Spontaneous bacterial peritonitis
Initial assessment
Initial Investigations
Initial Management
Reassessment
Handing over the Patient
Station 4.3: Paracetamol overdose
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Handing over the Patient
Station 4.4: Abdominal sepsis
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Definitive Management
Handing over the Patient
Station 4.5: Acute upper GI bleed
Initial Assessment
Initial Investigations
Initial Management for all Severe UGI Bleeds
Reassessment
Definitive Management for Oesophageal Variceal Bleeding
Handing over the Patient
References
5. Neurology
Station 5.1: Meningitis
Initial Assessment
Initial Investigations
Initial Management
Reassessment after Investigation Results
Handing over the Patient (in this case would likely be to intensive care)
Station 5.2: Seizures
Initial Assessment
Initial Investigations
Initial Management
Reassessment once the Seizure has Stopped
Handing over the Patient
Station 5.3: Subarachnoid haemorrhage
Initial Assessment
Initial Investigations
Initial Management
Management Following Diagnosis of Subarachnoid Haemorrhage
Handing over the Patient
Station 5.4: Ischaemic stroke
Initial Assessment
Initial Investigations
Initial Management
Care of a Patient Following an Acute Stroke
Handing over the Patient
Station 5.5: Myasthenia gravis
Initial Assessment
Initial Investigations
Initial Management
Handing over the Patient
References
6. Endocrinology
Station 6.1: Diabetic ketoacidosis
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Definitive Management
Handing over the Patient
Station 6.2: Hyperosmolar hyperglycaemic state (HHS)
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Definitive Management
Handing over the Patient
Station 6.3: Hypoglycaemia
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Definitive Management
Station 6.4: Insulin prescribing
Types of Insulin
Scenario 1: Starting a Basal-Bolus
Scenario 2: Adjusting Short-Acting Insulin
Scenario 3: Biphasic Insulin
Scenario 4: Long-Acting Insulin
Station 6.5: Hyperkalaemia
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Definitive Management
Handing over the Patient
Station 6.6: Hypercalcaemia
Initial Assessment
Initial Investigations
Management
Reassessment
Handing over the Patient
Station 6.7: Hyponatraemia
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Definitive Management
Handing over the Patient
Station 6.8: Addisonian crisis
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Definitive Management
Handing over the Patient
Station 6.9: Hyperthyroid crisis (thyroid storm)
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Definitive Management
Handing over the Patient
Station 6.10: Hypothyroidism
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Definitive Management
Reassessing the Patient in Clinic
Afterwards you Write a Short Letter to the Patient s GP
References
7. Obstetrics and gynaecology
Station 7.1: Preterm labour
Initial Assessment
Initial Investigations
Management
Handing over to the Night Team
Station 7.2: Bleeding in pregnancy
Initial Assessment
Initial Investigations
Initial Management
Handing over the Patient
Station 7.3: Pre-eclampsia
Initial Assessment
Initial Investigations
Management
Presenting your Findings to the On-Call Obstetric Consultant
Station 7.4: Hyperemesis gravidarum
Initial Assessment Aims
Initial Investigations
Initial Management
Handing over the Patient to Primary Care: Discharge Summary
Station 7.5: Urinary tract infection in pregnancy
Initial Assessment
Management
References
8. General surgery
Station 8.1: Venous thromboembolism (VTE) prophylaxis
Thromboprophylaxis
Nicole s Risk Factors and Bleeding Risk
Station 8.2: Acute pancreatitis
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Handing over the Patient
Station 8.3: Intestinal obstruction
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Handing over the Patient
Station 8.4: Diabetes in the surgical patient
Initial Investigations
Initial Management
Reassessment
Handing over the Patient
Station 8.5: Postoperative fluid loss
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Handing over the Patient
References
9. Paediatrics
Station 9.1: Acute bronchiolitis
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Handing over the Patient
Station 9.2: Respiratory distress in the newborn
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Handing over the Patient
Station 9.3: Viral-induced wheeze
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Handing over the Patient
Station 9.4: