Rational drug use consulting services and drug information management

Rational drug use consultation service methods:

1. Understand the general information of the inquirer and the background information of the questions

2. Determine the problem and Classification

Common consultation questions include;

Usage of special dosage forms

Problems with refilling missed doses

Adverse drug reactions

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Medication Dosage

Indications and Contraindications

Drug Interactions

Lactation and Pregnancy Medications

Blood Medications Concentration detection and dosage adjustment

Compatibility of injection drugs

Pharmacokinetics

Drug identification

Substitution treatment

< p> 3. Determine the search method and review the literature

4. Evaluation, analysis and organization of the literature

5. Formulate the answer and inform the patient

6. Follow-up And establish files

Management of drug information:

Drug information processing generally goes through five cyclical stages: information seeking stage, information collection stage, information sorting stage, information regeneration stage, Regeneration information transfer stage.

1. Traditional drug information management

1. Card management

2. Notebook excerpt

3. Editing Excerpt

2. Computer management of drug information materials

3. Information management software

Medication consultation:

Medication consultation is a pharmacist application The pharmaceutical knowledge and drug information mastered, including pharmacology, pharmacodynamics, pharmacokinetics, toxicology, commercial science, adverse drug reaction information, etc., to undertake public consultation services on drug treatment and rational use of drugs.

Pharmacists’ drug consultation is an important link for pharmacists to participate in the full range of pharmaceutical services. It is also a breakthrough in pharmaceutical services. It plays a key role in rational clinical drug use and is of great significance in ensuring rational drug use.

According to the different objects of drug consultation, it can be divided into drug consultation for patients, doctors, nurses and the public.

1. Patient medication consultation

As pharmaceutical professionals and technicians, pharmacists should use their professional knowledge to guide patients in medication use, maximize the patient's drug treatment effect, and improve medication compliance. properties to ensure the safety and effectiveness of medication.

1. Consultation environment

(1) Close to the outpatient pharmacy or pharmacy lobby

(2) Clear signs

(3) Environment Comfortable

(4) Appropriate privacy

(5) Necessary equipment

The information desk should prepare pharmaceutical and medical reference materials, books and distribute them to patients Medical science popularization materials.

2. Consultation method

(1) Active method

(2) Passive method

3. Consultation content

(1) Drug name

(2) Indications

(3) Medication method

(4) Medication dosage

(5) Estimated efficacy, onset time, and maintenance time after taking the drug

(6) Adverse drug reactions and interactions

(7) Are there alternative drugs or other treatments

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(8) Identification, storage and validity period of drugs

(9) Drug price, reimbursement, whether it is included in the medical insurance reimbursement catalog, etc.

4. Pharmacists should take the initiative Several situations when providing consultation to patients

(1) The patient uses two or more drugs containing the same ingredients at the same time; or when a large number of drugs are combined; the drugs prescribed this time are related to the original chronic disease When in conflict.

(2) When the patient experiences adverse reactions after taking the medication; or has a history of adverse reactions in the past.

(3) When the patient's compliance is not good; or when the patient thinks that the efficacy is not ideal or the dose is not effective enough.

(4) If the condition requires it, the prescribed medicine is off-label and the dosage exceeds the prescribed dosage. When the usage and dosage in the prescription are inconsistent with the instructions.

(5) When the medicine the patient is taking has incompatible or improper compatibility.

(6) Patients who require blood drug concentration monitoring (TDM).

(7) The drug instructions have been modified recently.

(8) Serious or rare adverse reactions have recently been discovered in the drugs used by the patient.

(9) Patients using anesthesia and psychotropic drugs; or using special drugs (antibiotics, antifungals, anticoagulants, antitumor drugs, bisphosphonates, sedative-hypnotics, antipsychotics etc.); special dosage forms (sustained and controlled release preparations, transdermal preparations, inhalants).

(10) When the same drug has multiple indications or the usage and dosage are complicated.

(11) When the medicine is repackaged and the packaging labels are unclear.

(12) When using drugs that require special storage conditions.

5. Issues that require special attention

(1) Issues that require attention for special groups

The elderly, women, etc.

(2) Explanation skills

Consultations for general patients should be explained in easy-to-understand medical terms

(3) Try to provide written promotional materials for special patients

For example, patients who are taking medication for the first time

Patients who use digoxin, theophylline and other narrow therapeutic window drugs

Patients with poor medication compliance

< p> (4) Respect the patient’s wishes and protect the patient’s privacy

(5) Answer promptly without delay

2. Physician medication consultation

(1) Improve drug treatment effects

New drug information

Rational drug use information

Therapeutic drug monitoring (TDM)

(2) Reduce drug treatment risks

Adverse drug reactions (ADR), adverse drug events (ADE)

Contraindications

Drug interactions

3. Nurses Medication consultation

(1) Suitable solvent for the drug

(2) Dilution volume of the drug

(3) Dripping speed of the drug

< p> (4) Drug incompatibility

4. Public consultation on medication

5. Consultation on pharmaceutical excipients, packaging materials, and medication devices