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Skip to 0 minutes and 14 seconds So the next step is very important that you can actually think about and this should be actually become your intuition. When people are asking you about a medication how to administer the medication? You actually need to know You need to quickly ask what’s the indication for the patient ? Or what patient’s disease states? Because a lot of the time, a patient has some limitation about power function or some issue about hemostat state. And thus they have a difficulty to use oral or parenteral medications. So those kind of an issue need to be clarified before you giving a reprieve Then about adverse effects and that’s very important that if people quickly asked you as…

Skip to 1 minute and 16 seconds for example marking causing constipation even such a simple issue. You still need to ask “hello and what’s the dose for morphine?” and “oh yes the patient having other medications” or the patient’s age and disease state to avoid that you jump to the conclusion too quickly and then the healthcare professional may actually discontinued the medication quickly but they still not find the answers and the patient still have that effects. And actually not closing from the medication as they suspected. And therefore compatibility stability issue that’s actually a very often conference nurses.

Skip to 2 minutes and 13 seconds So in this special category, you need to actually identify all medications and also the concentration as very important that compatibility actually a lot of time related to concentration in the solution. And also important what kind of method they deliver those parenteral solutions. And also the container is very important. and those IV line is very important and also the time and volume of infusion Because the patient may have some baseline issue about their hemostasis and they could not be provided with a lot of volume of a solution. So all need to be counted to calculate if all those medications really can mix together.

Skip to 3 minutes and 16 seconds And also related to a contraindication for contraindication, you also need to remember in your mind that the medication yes all the medication under your packaging are there are lots of a contraindication this set. but the patient also has some other issues very specific to the patient so you have to check if patients ages, disease states or if the patient actually on other medications and could have very severe contraindication to the medication either you intended to give. Ok and let’s talk about dosage.

Skip to 4 minutes and 2 seconds For this type of question, usually the question could actually from a patient with impaired renal function or the patient is actually dialysis or the patient has impaired liver function or for a patient who are actually pediatric or geriatric patients and in this way you need to actually check a specific database especially for the pediatric patient because the pediatric patient actually has different growing rate. So some patient they are probably actually in the age they are very young but actually they grew up about quickly so they have a very high very high weight body weight. In the way, the calculation will be different.

Skip to 5 minutes and 1 second So that’s very important need for special special patient population you need to check different references And also on for dosages we need to remember as a pharmacist. A medication has no dosage, only when medication applied to a patient you can actually say there is such a dose because a medication in a different therapeutic uses there actually has different dosage. So let’s only to be taking into account before you answer picture any question.

Categorization of questions from requesters 1

Prof. Shawn Chen elaborates on 5 categorization of the questions from requesters in this video.

As a pharmacist, we need to know the background information required in administration, adverse effect, compatibility (stability), contraindications, and dosage.

Besides, when we deal with pediatric cases, we need to check a specific database because pediatric patients actually have different growing rates.

Therefore, some patients may be very young, but they have a very high weight body weight, leading the calculation to be different.

Which categorization of questions impressed you the most? Please share your experience below.

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This video is from the free online course:

Evidence-Based Medicine in Clinical Pharmacy Practice

Taipei Medical University