Slady uzytkowania widoczne na okladce ksiazki. Ksiazka nie wypelniona w srodku.

The Unofficial Guide to Prescribing lays out the practical steps of how to assess, investigate and manage a patient, with a focus on what to prescribe and how to prescribe it. Its aim is to empower newly graduated junior doctors to excel at dealing with emergencies and handling complex prescribing scenarios.

Prescribing errors cost healthcare systems millions annually, so early training in prescribing has become an urgent priority of medical education and now forms an essential part of teaching and assessment.

The Unofficial Guide to Prescribing (from the same stable as The Unofficial Guide to Passing OSCEs) is a new book designed to address this requirement. It is written by junior doctors still close to the transition from theory to practice, overseen by a review panel of senior clinicians to ensure accuracy, and designed to help medical students practise and learn as much as possible about prescribing, in actual clinical scenarios, before they have to do it for real.

Each scenario is presented as you would see it in the hospital setting and covers:

Initial step-by-step assessment of the patient: how to assess, assessment findings, and immediate management
Initial investigations
Initial management
Reassessment
Treatment
Handing over the patient
'Prescribe' alerts throughout
Written-up drug charts
Blank drug charts for copying and practice
Autorzy: Author
Wydawnictwo: Elsevier Health Sciences (US)
Data wydania: 2014
Wydanie:
Liczba stron: 448
Forma publikacji: ePub (online)
Język publikacji: angielski
ISBN: 9780702055195
Cover image
Title page
Table of Contents
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 BasalBolus
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: Infective exacerbation of cystic fibrosis
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Handing over the Patient
Station 9.5: Gastroenteritis
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Handing over the Patient
Station 9.6: Sickle cell chest crisis
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Handing over the Patient
Station 9.7: Idiopathic nephrotic syndrome
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Handing over the Patient
References
10. Additional important scenarios
Station 10.1: Discharge prescribing
Prescribing Regular Medications
Prescribing PRN (As Required) Medication
Prescribing Controlled Drugs
Station 10.2: Analgesia
Non-Opioids
Weak Opioids
Strong Opioids
Adjuvants
Prescribing Morphine
Station 10.3: Dealing with a medication error
Station 10.4: Reporting an adverse drug reaction
Medicines and Healthcare Products Regulatory Agency
Station 10.5: Blood product prescribing
Initial Assessment
Initial Investigations
Initial Management
Blood Products that can be Prescribed
Less Commonly Prescribed Blood Products
Reassessment
Handing over the Patient
Station 10.6: Anaphylaxis
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Handing over the Patient
Station 10.7: Alcohol withdrawal
Initial Assessment
Initial Investigations
Initial Management
Reassessment
Handing over the Patient
Station 10.8: Vancomycin and gentamicin prescribing
Vancomycin
Gentamicin
References
Index