HPE

Description

meds
Amelia Claire
Flashcards by Amelia Claire, updated more than 1 year ago
Amelia Claire
Created by Amelia Claire almost 8 years ago
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Resource summary

Question Answer
S2 - pharmacy only substantially safe, No Dx required Symptoms easily identifiable advice available if required A wide Therapeutic Index Low risk of masking a serious disease Low risk of compromising medical management of a disease
S3 - pharmacist only substantially safe, but require advice/counselling by a pharmacist for minor ailments symptoms easily identified does not require medical Dx e.g. Salbutamol (ventolin)
S4 - prescription only requires medical Dx and management may require further evaluation for safety are new to the market e.g. amoxicillin, SSRIs
S5 - caution Have low toxicity or a low concentration Have a low to moderate hazard Can cause only minor adverse effects to human being in normal use Require caution in handling, storage, or use.
S8 - controlled drug substances for therapeutic use that have high potential for dependency and abuse Possession without authority is an offence e.g. methadone, morphine
National Medicines Policy Access to Affordable Medicines PBS Quality Use of Medicines (QUM) Medicines of Appropriate Standards and Quality (TGA) Maintaining a responsible and viable medicines industry
NHMRC levels of Evidence Evidence Base Consistency Clinical Impact Generalisability Applicability
S8 limitations A GP cannot initiate treatment, but can prescribe in very limited circumstances. Pts who need S8 CNS stimulant Rx should be referred to a specialist for Ax. It is illegal for anyone other than an authorised doctor to issue a prescription for a Schedule 8 CNS stimulant
S3 Recordable Prescribed S3 poison means any of the following S3 poisons: (a) dihydrocodeineincoughpreparations; (b) doxylamine in preparations also containing codeine; (c) promethazine in preparations also containing codeine; (d) pseudoephedrine
Restriction on prescribing or supplying S2, S3 or S4 poisons containing S8 poisons; A prescriber must not prescribe or supply for use by a person who the prescriber knows or has reasonable cause to believe is dependent on drugs— (a) an S2 poison or S3 poison that contains a poison listed in S8 of the UPS; or (b) an S4 poison that contains a poison listed in S8 of the UPS for the purpose of maintaining or treating the person's dependencein accordance with an authority granted by the Minister.
Privacy 1: Consideration of personal information privacy 2: Collection of personal information 3: Dealing with personal information 4: Integrity of personal information 5: Access to, and correction of, personal information
What is “sensitive” information? Information or an opinion about an individual’s: Racial or ethnic origin political affiliation, religion, profession/trade  membership of a trade union; or  sexual preferences or practices; or  criminal record;  that is also personal information; or Health information about an individual is also regarded as “personal”.
National Competency Standards Framework for Pharmacists in Australia (PSA 2010) Element 3 – Respect & protect the consumer’s right to privacy/confidentiality 4.2: Consider appropriateness of PRx 6.1: Ax primary health care needs Element 1 – Elicit relevant clinical info Standard 7.1 Contribute to therapeutic decision making
Registered - AUST R = higher risk Must have AUST R number on label You use them to treat more serious illnesses, from a migraine all the way through to diseases like cancer. All PRx , most over-the-counter Rx (like painkillers, antihistamines some complementary medicines e.g. high dose Calcium. TGA assesses the safety/quality of AUST R Rx. TGA also looks at the evidence that AUST R Rx work effectively.
Listed - AUST L = lower risk Must have AUST L number on label Must not claim they will be useful in treatment/prevention of serious illnesses that would require the involvement of a health professional. listed medicines can be sold at most places includes vitamins/ mineral supplements herbal medicines; can only use pre-approved, lower risk ingredients. The supplier must also make a statutory declaration that the information they are providing to the TGA is true.
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