Topic 1 Midwives Excemption + PGD

Fitness to practice common Allegations (25%)

Prescribing and medicine management (25%)

• Patient or clinical records

• Drugs or medication records

• Other record keeping issues

• Care plan

Fitness to practice common Allegations (18%)

Patient care

• Not administering or refusing to administer medication

• Other drug administration or med management error

• Administering incorrect dose

• Inappropriate or incorrect delivery of meds

Describe the flow of a drug in the body after administration and absorption

Drugs enter circulation/plasma —> travel to tissue fluid (causing effects/adverse effects)

Fat (for storage) or breast milk

They are also eliminated from circulation

Fitness to practice common Allegations

Record keeping

• Patient or clinical record

• Drug or medication records

• Other record keeping issues

• care plan

What is a drug?

A drug is a small molecule that changes how the body works by acting at the molecular level. It is not food it is any substance that is used to:

• Prevent

• Diagnose

• Treat

Or relive symptoms of a disease or abdominal condition

What are the Terminology 3 categories of medicines classification

GSL: General sale list

P: Pharmacy Medicine

POM: Prescribed only Medicine

What is GSL and definition

General Sale List:

It needs neither a prescription nor the supervision of the pharmacist. It can be obtained from retail outlets

What is P

Pharmacy Medicine:

A Medicinal product which is not a prescription, only a medicine. It can be sold from pharmacies

What is POM

What must you do with the controlled drug register?

1. Both sign when drug is removed (verifying drug and dose)

2. The nurse who is administering must sign the given coloum

What major process happens between days 18 to 55

Organ differentiation- most organs begin to form

What are the two main structures formed from the blastocyst cells?

Trophoblast - forms placenta and chronic inner cell mass - develops into the fetus

What law covers when a women may lack capacity?

Mental health act 2005

What is the medicine act excemption?

It is a legal provision allowing certain health care professionals to administer medications without a prescription or being a prescriber.

What are controlled Drugs

Medicine that can cause addiction or harm or can be used illegally

What is the goal of medicine management and optimisation

To maximise patient benefit while minimising harm

What does the professional dusty of candour refer to?

Being open and honest with patients when something goes wrong in their care, including admitting errors and explaining what happened.

What must midwives be confident and aware of?

The plan of care, known allergies, and adverse drug reactions.

What right do women have regarding treatment?

To accept or refuse treatment

Who must be involved in administration of controlled drugs

Two suitably qualified healthcare practitioners (e.g. midwives, nurses, doctors) they both must be there to witness and document the administration, according to specific regulations and policies.

What knowledge do midwives have on pharmacology?

• Positive and adverse effects,

• allergies,

• side effects,

• contraindications,

• incompletion,

• prescription errors

What group is paracetamol in?

Analgesic/non - opioid

What is the use of paracetamol?

Mild to moderate pain, Pyrex

What are the contra - indications of paracetamol?

Chronic alcohol Consumption,chronic dehydration

What are the routes for paracetamol?

• Oral

• Intravenous

• Rectal

What are the dosages of paracetamol?

0.5-1 g every 4-6 hours max 4g/day

Side effects of paracetamol?

Thrombocytopenia (rare to very rare)

Fatal risk of paracetamol

No known risks

Effect of paracetamol on Breastfading

The amount of paracetamol is too small to be harmful.

What group / type of drug is Ibuprofen

Analgesic, non - opioid , NSAID

What are the use/indicators for ibuprofen?

Mild to moderate pain, inflammation, Pyrexia

What are the dosages for ibuprofen?

200 -400mg 3-4 times a day

Route for ibuprofen?

Oral, Topical intravenous

Contra - Indications of ibuprofen

Active bleeding , thrombocytopenia , gastric -intestinal disorders

Side effects of Ibuprofen

Gastrointestinal discomfort ,skin reactions

Feral risks of ibuprofen

Not for use in pregnancy as it can cause premature closure of patent ductus arteriosis

Is ibuprofen suitable whilst breastfeeding?

Ibuprofen is suitable during breastfeeding

What drug group / type is Diclofenac?

Analgesic non -opioid, NSAID

Use/indications of Diclofenac

Post operative pain, pain and inflammation in rheumatic fevee

Dosage of Diclofenac

75- 150mg in 2-3 divided doses ' or 100mg once daily

What are the routes for diclofenac

Rectally, oral , topical

What are the contra -indications of Diclofenac

Gastro - intestinal bleeding , ulceration hypovolaemia, asthma

Side effects of diclofenal