prescribing extra cases ws

When prescribing dog with caninsulin for insulin-dependent diabetes mellitus, what additional information must be given?

>Shelf life

>Special precautions for storage.

>Immediate packaging

>Disposal

What special precautions should be given when terminating a pregnancy in a dog with aglepristone?

>Accidental injection may be a particular hazard to women who are pregnant, intending to become pregnant or whose pregnancy status is unknown.

>Care should be taken by the veterinary surgeon when handling the product and the person restraining the dog to avoid accidental injection.

>Pregnant women should administer the product with caution.

>This is an oil-based product that may cause prolonged local reactions at the site of injection.

What should be considered when treating a horse with Duphapen for penicillin sensitive pneumonia?

· Not to be used in horses intended for human consumption.

· Treated horses may never be slaughtered for human consumption.

· The horse must have been declared as not intended for human consumption under national horse passport legislation.

What must all medicines administered to a farm animal be recorded in?

The medicine Record book

When administerating mediciation to a farm animal, what information must you leave on the farm after giving the initial treatment?

-Name of practice, address of practice, telephone number of practice

-Who it is to: Farmer name, address

-For animal treatment only

-Which animal it is intended for

-The dose

-Batch number

-Withdrawal time

-Total amount given

-Storage

-Date, name, qualifications, signature of veterinary surgeon

What are the recommendations for Schedule 3 drugs?

-Recommended to be kept in a locked cupboard

-Use does not need to be recorded in a CD register

What are examples of schedule 3 drugs?

-Midazolam

-Gabapentin

-Buprenorphine

-Epiphen

-Pentobarbital

What are the requirements for schedule 2 drugs?

-Required to be kept in a controlled drugs cupboard

-Use is required to be recorded in a CD register

What are some examples of schedule 2 drugs?

-Ketamine

-Narketan

-Fentanyl

-Morphine sulphate

-methadone

What are some examples of schedule 4 drugs?

-propoflo

-Diazepam

what must happen with returned drugs

• Cannot be reused and should be destroyed asap

• CD must be clearly labelled as return and stored in the CD cabinet but separated from stock

• VMD advise that the requirements to wirness and record the destruction of CD do not apply to returned CDs but it would be good practice to consider making a record of any CD that is returned and having witness of destruction-> can be recorded in separate book

what must happen to out of date stock

• Legal requirements to witness the destruction of schedule CD

• There are comercially availiable denaturing kits and these can be used to destroy out of date stock and returned CDs

• Record must be kept of the date of destruction and quantity destroyed which the witness must sign

• Expired stock should not be marked out of the running balance in the CDR until its destroyed

what must happen to residual or waste drugs

• No legal requirement to have the disposal of waste product witnessed

• Arent dneatured usint gits becauseit would be too costly due to daily waste -> need to be disposed of in a way they are non retrievable (eg. Into cat litter) -> then this sent as pharmaceutical waste through waste contractor

• The mount adminitered and amoutn denatured should be recorded on the same line of the CDR to ensure that the running balance tallies

• Good practice for the CDR to be double signed

how must schedule 2 cd be destroyed

be destroyed in the presence of a wittness

• An inspector appointed under the VMR

• A person legally aurthorised to witness the destruction of CDs such as a police CD liastion officer (CDLO)

• A witness can be a vet surgeon who Is independent from the practice

  • Must not accpect any form of payment

  • Must record their RCVS numver and confirm their independence in the CD register

  • No personal, professional, finanical interst or relationship with the vet practice where the drug is being destroyed

  • Must not chare stock with or provide services to the practice

  • may work doe the same franchise or corporate group provided the pracitces have a different owner and are separate legal entities

• To maintain independence, the vet destroying the CDs should not use the same witness repeatedly for the destruction of CDs at their practice

 

• This also applies to schedule 3 and 4 CDs that have been prepared extemporaneouslt dor use underthe cascade