OSCE D3 Kefarmasian - Farmasi D3 - apoteker Mom Run

Summary

This video script provides an in-depth look at the essential steps in the pharmaceutical process to ensure safe medication delivery. It covers confirming prescription details, pharmaceutical suitability screening, and thorough clinical screening to check for correct dosage, drug interactions, side effects, and contraindications. The importance of understanding drug formulations, such as enteric-coated or sustained-release tablets, is also highlighted to prevent medication errors. Overall, the video emphasizes the necessity of vigilance and careful screening to improve patient safety and prevent complications.

Takeaways

• 😀 Ensure the prescription contains all necessary information, including drug name, dosage, and form.
• 😀 Pharmaceutical suitability screening involves verifying the correct drug form and strength prescribed by the doctor.
• 😀 Incomplete prescriptions can lead to medication errors, so it is crucial to check all required details.
• 😀 Dosage strength must be clearly written on the prescription. If not, the smallest dosage strength is assumed.
• 😀 Clinical screening involves verifying whether the prescribed medication is appropriate for the patient's condition.
• 😀 Check for possible drug duplication or polypharmacy, which can lead to unnecessary or harmful medication use.
• 😀 Ensure the prescribed drug is safe for the patient, considering potential allergies, side effects, or contraindications.
• 😀 Drug interactions must be carefully checked to avoid adverse reactions between medications.
• 😀 Pay attention to the specific dosage form of the drug (e.g., enteric-coated, sustained-release), as improper use can make the medication ineffective.
• 😀 Some drugs, like enteric-coated tablets, should not be split or crushed, as it can damage their specialized coating and affect their function.
• 😀 If a drug is not available in the required form or strength, consult with the prescribing doctor to adjust the dosage to avoid splitting tablets.

Q & A

Why is it important to verify the strength and form of medication prescribed by a doctor?

Verifying the strength and form of the prescribed medication ensures that the patient receives the correct dosage and formulation. This is crucial for the drug's efficacy and safety. Missing or unclear information about the strength may lead to errors, so pharmacists need to confirm these details before dispensing the medication.

What happens if the doctor does not specify the strength of the medication?

If the doctor does not specify the strength of the medication, the pharmacist will assume the smallest available dosage. For example, if a doctor prescribes amlodipine without specifying the strength, it is assumed to be 5 mg, the smallest dosage.

What is pharmaceutical suitability screening and why is it necessary?

Pharmaceutical suitability screening involves checking the form and strength of the medication, its stability, and its compatibility with other drugs. This ensures that the medication is safe for the patient and effective in treating the condition for which it was prescribed.

What is polypharmacy, and why is it important to watch for it when reviewing a prescription?

Polypharmacy refers to the use of multiple medications, often for the same condition, which can lead to drug duplication or interactions. It’s important to monitor for polypharmacy to prevent potential overdosing, side effects, and drug interactions that may negatively affect the patient's health.

What are the potential consequences of mixing medications that have similar therapeutic effects?

Mixing medications with similar therapeutic effects, like diclofenac sodium and ibuprofen (both NSAIDs), can increase the risk of side effects, such as gastrointestinal problems, and overdose. It is crucial to avoid unnecessary duplication to prevent harm.

How can drug interactions affect the treatment process?

Drug interactions can alter the effectiveness of medications or increase the risk of side effects. For example, combining simvastatin and amlodipine can lead to adverse interactions. It is essential to screen for such interactions to ensure that medications work properly and do not cause harm.

What should be considered when prescribing medication to pregnant or breastfeeding women?

Certain medications may be contraindicated for pregnant or breastfeeding women due to potential risks to the fetus or infant. It's important to review the medication's safety profile and ensure it does not pose a threat to the patient or the child.

Why should some types of tablets, such as enteric-coated tablets, not be split or crushed?

Enteric-coated and sustained-release tablets are designed to release the drug gradually or protect the stomach from irritation. Splitting or crushing these tablets can damage their coating, reducing their effectiveness and possibly causing harm to the patient.

What should a pharmacist do if a prescription asks for a dosage that involves splitting a tablet with an enteric coating?

The pharmacist should inform the doctor about the issue and suggest alternatives, such as finding a medication with the correct strength, to avoid splitting or crushing the tablet. This helps preserve the drug's effectiveness and safety.

What is the significance of carefully reviewing the dosage form of a medication?

Carefully reviewing the dosage form is important because different forms, such as tablets, film-coated tablets, or slow-release tablets, have specific characteristics that can affect how the drug is absorbed and works in the body. Mismanagement of these forms can lead to reduced drug efficacy or increased risk of side effects.