Drug consulting service
First, the patient medication consultation
1. Consulting environment
(1) Adjacent to outpatient pharmacy or pharmacy hall.
(2) obvious signs
(3) Comfortable environment
(4) Proper confidentiality
(5) Necessary equipment
2. Consulting methods
Consulting methods are divided into active and passive ways.
3. The content of patient consultation
(1) drug name. Include common names, trade names and aliases.
(2) indications. Whether the indication of the drug corresponds to the patient's condition.
(3) the method of medication. Including the correct taking method, taking time and special tips before taking oral drugs; Correct use of suppository, drops, aerosol and other external dosage forms; The use of special dosage forms such as sustained-release preparation, controlled-release preparation and enteric-coated preparation; How to avoid drug leakage and remedial measures after drug leakage?
(4) dosage. Comprise an initial dose and a maintenance dose; Frequency and interval of daily medication; course of treatment
(5) The expected curative effect, onset time and maintenance time after taking the medicine.
(6) Adverse drug reactions and drug interactions.
(7) Whether there are alternative drugs or other therapies.
(8) Identification, storage and expiration date of drugs.
(9) Drug price, whether to enter the medical insurance reimbursement catalogue, etc.
4. Tips of pharmacists under special circumstances
(1) When patients use two or more drugs containing the same two components at the same time; Or when there are many combinations of drugs.
(2) When the patient has an adverse reaction after taking the medicine; Or have a history of adverse reactions in the past.
(3) When the patient's compliance is not good; Or when the patient thinks that the curative effect is not ideal and the dose is not enough to work.
(4) When the condition requires that the dose in the prescription exceeds the prescribed dose (double signature of the doctor is required); Usage, dosage and prescription instructions
When the account books are inconsistent; Or the usage, dosage and indications indicated in the drug instructions.
(5) The indications are beyond the scope of the instructions or the dosage is beyond the scope of the instructions (double signature of the doctor is required).
(6) There are incompatibility or improper compatibility of the drugs that patients are using (if there are obvious incompatibility, contact them as soon as possible)
To avoid disputes).
(7) Patients who need TDM.
(8) The drug instructions have been revised recently (such as trade name, indications, dosage, safety, expiration date, storage conditions, adverse drug reactions, etc.).
(9) Recently, it was found that the drugs used by patients had serious or rare adverse reactions.
(10) Patients who use narcotic drugs and psychotropic drugs; Or the use of special drugs (antibiotics, antifungal drugs, hormones, sedatives
Sleeping pills, antipsychotics and so on. ).
(1 1) When the same drug has multiple indications or a large dosage range.
(12) When the drug is repackaged and the packaging label is unclear.
(13) When drugs requiring special storage conditions are used, or when drugs with expiration date are used.
5. Issues requiring special attention
(1) Problems that Special People Should Pay Attention to
Old people should speak slowly when explaining to them, and they can also use words and pictures more appropriately.
For female patients, we should also pay attention to asking whether they are pregnant or have a pregnancy plan, and whether they are breastfeeding.
The patient's disease state is also a problem that can not be ignored. For example, patients with hepatic and renal insufficiency will affect the metabolism and excretion of drugs and easily lead to adverse drug reactions and poisoning.
(2) Interpretation skills For the consultation of general patients, it should be explained in easy-to-understand medical terms. Try to use descriptive language. Try not to express it in numbers.
(3) For special patients, such as patients taking medicine for the first time, try to provide written materials; Use digoxin, theophylline and other drugs to treat patients with narrow windows; Patients with poor medication compliance.
(4) Respect patients' wishes and protect patients' privacy.
(5) Answer in time without delay.
Second, the doctor's medication consultation
Consultation content:
1. New drug information
2. Information on rational drug use
3. Therapeutic drug monitoring
4. Adverse drug reactions
5. contraindications
Third, the nurse medication consultation
Consultation content: dosage and usage of drugs, solvent, concentration and infusion speed of preparations for injection, as well as changes in physicochemical properties of infusion drugs such as stability, compatibility and incompatibility.
Fourth, public consultation on drug use.
Consultation content: daily health care and disease prevention. Give scientific medication guidance in weight loss, calcium supplement and nutrition supplement.
Pharmacists should pay attention to the following when consulting nurses
A. knowledge of pharmacoeconomics
B. Equivalence of pharmaceutical preparations
C. Pharmacokinetic parameters of drugs in human body
D. Preparation, solvent, concentration and dropping speed of injection
E. Manufacturer and batch number of the drug
Answer: d