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Practical Guide to Prescribing: Essential Skills & Protocols for New Doctors

This comprehensive guide by Dr. Anna Crown equips medical practitioners with the necessary skills and knowledge for safe and effective prescribing from day one. It covers critical aspects of the drug chart, prescribing abbreviations, and when not to prescribe. Additionally, it emphasizes the importance of utilizing the British National Formulary (BNF) and hospital protocols. The guide provides insights into simple remedies for common issues, pain management, blood sugar control, and handling emergency situations. Ideal for new physicians navigating their first prescriptions.

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Practical Guide to Prescribing: Essential Skills & Protocols for New Doctors

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Presentation Transcript

  1. DRUGS FOR TAKE A Practical Guide to Prescribing on Day 1! Dr. Anna Crown

  2. OBJECTIVES • Identify sections of the drug chart • Prescribing abbreviations • When not to prescribe • Use of the BNF • Use of hospital protocols • Prescribe common / emergency Rx

  3. THE DRUG CHART • FRONT • Patient details • Allergies • Once only medication • Drug doses omitted

  4. THE DRUG CHART • MIDDLE • Regular medication • BACK • As required medication

  5. ABBREVIATIONS • Route of administration • Timing

  6. WHEN NOT TO PRESCRIBE • Prescribing is not the answer • You need to do something else first • You could do more harm than good • You feel it is not appropriate

  7. USE THE BNF & HOSPITAL PROTOCOLS • Useful things in the BNF • Hospital protocols

  8. SIMPLE REMEDIES FOR MINOR PROBLEMS • Nausea • Constipation • Cough • Indigestion • Leg cramps • Insomnia • Agitation

  9. TACKLING PAIN • Regular analgesia • Regular paracetamol • Regular co-codamol 30:500 • NSAIDS • Morphine • Other pains

  10. JUGGLING BLOOD SUGARS • Highs and lows • Type 1 or Type 2? • Adjusting insulin doses • Sliding scales

  11. AVOIDING PROBLEMS WITH ALCOHOLICS • Enforced abstinence • Forced feeding • Wernicke’s encephalopathy: thiamine • DTs • Excess sodium • Hypoglycaemia • Seek advice

  12. SCARY SITUATIONS • What if you get there first? • Additional management • OSCEs • Doses • IV or IM

  13. SCARY SITUATIONS • Respiratory depression & pinpoint pupils • Severe heart failure • Myocardial infarction • Severe asthma • Hypoglycaemia • Possible meningococcal disease • Anaphylactic shock • Status epilepticus

  14. SUMMARY - 1 • The drug chart • Prescribing abbreviations • When not to prescribe • The BNF • Hospital protocols • Simple remedies for minor problems

  15. SUMMARY - 2 • Pain • Diabetes and the drug chart • Avoiding problems with alcoholics • Scary situations

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