Fluoxetine Counseling Rubric

OSCE Practice

1st Important Question

“What did your prescriber tell you this medication is for?”

Provides drug name

Fluoxetine

Provides drug use

Helps with mood

Physical Action

Show patient drugs

2nd Important Question

“How did your prescriber tell you to take the medication?”

Provides dose

20mg (30 tablets)

Provides route

By mouth

Provides schedule

Once Daily

Provides missed dose instructions

Take as soon as you think about it. If it is within 6-12 hours of the next dose, skip the dose. Do not take extra doses. 

Provides storage conditions

Room temperature, dry place, protect from light

3rd Important Question

“What did your provider tell you to expect?”

Explain benefits to be expected

Improved mood

Explain onset of action

May take several weeks to work and feel effects

Explain duration of drug action

Usually long time therapy because it raises chemical levels in the brain

Provide common side effects

Upset stomach, headache, tiredness, insomnia

Provide possible sever reaction

Allergic type reactions, Serotonin Syndrome (agitation, confusion, seizures), Suicidal thoughts

Explain drug interactions

Many drug interactions. Consult pharmacist before taking other drugs

Explain contradictions with drug use

Hypersensitivity to certain drugs

Provide techniques for monitoring

N/A

Steps to avoid adverse reactions

Do not suddenly stop taking the drug

When to seek medical help

Suicidal thoughts, allergic reactions, seizure

Last step

Ask patient to repeat back instructions

3rd Important Question

“What questions do you have for me?”