Summary
Summary OSCE OTC Medications
- Module
- PHA333
- Institution
- University Of Sunderland (UoS)
All the OTC medications
[Show more]
Seller
Follow
Content preview
OTC StationIntroduction:
- Aqsa, 3rd year pharmacy student, asked to provide advice and possibly sell you something
for your presenting complaint
- Confidentiality
- Consent
- Note taking?
- Name and Age
Q) How can I help you today? O – Onset -When did this start? What were
you doing?
Patient presents complaint: E.g. Can you sell me
something for my headache? P – Pain/Precipitating factors – What makes it
worse?
A – Age/Appearance
Q – Quality/Quantity – Type of pain? (Sharp,
S – Self or someone else? – NOTE: If someone else, dull?) (Throbbing? Pulsating? Pressing?
how old? Tightening? How often? Happened before?
M – Medication? (Dosing?) R – Radiation/ Relieving factors – Is this
E – Extra Medicines (What have you already tried? At radiating elsewhere? Does anything relieve it?
what dosing/how often applying? How did you respond S – Severity – Pain score 1-10?
to this?)
T – Timing – Is this constant or does it come
T – Time persisting (When did this start?) and go? Any particular time of day?
H – History U – ICE – Idea what it is? Any major concerns?
O – Other symptoms (Are you experiencing any other What are you expecting from this
symptoms?) consultation?
So I’m just going to go through some symptoms, they
may or not be relevant to you but they’ll just help me to make an informed decision regarding
the issue today.
D – Danger symptoms
A – Any allergies?
Migraine/Headache
Notes: Counselling advice?
- Keep a headache diary to identify
Danger Symptoms/Refer if:
triggers – avoid triggers once
Migraine with COC (especially with aura) triggers
- Immediate use of simple analgesia
- Dark and quiet environment room
- Good sleep hygiene
- Diet and fluid intake
- COCs
, Headache with associated high temperature (38)
Frequent migraine/treatment failure
Severe headache of > 4hrs duration
Suspected ADR (due to lots of current drugs)
Associated drowsiness, unsteadiness, visual disturbances, or vomiting
Associated neck stiffness
Suspected injury/trauma
Children under 12
Four or more attacks in last month
Selling:
If Migraine (Pulsating and throbbing):
If nothing tried: Simple analgesia – Paracetamol (1-2 500mg tablets up to QDS),
ibuprofen (1-2 200mg tablets upto TDS)
If vomiting – Migraleve (Codeine, paracetamol and buclizine)
If previously diagnosed with migraine and >18 – Buccastem M Buccal
(Prochlorperazine 3mg) – 1-2 tablets BD under tongue
Supply for Sumatriptan:
If had migraine (ask if diagnosed by doctor or pharmacist – decide if presenting
symptoms is of migraine), if yes, then establish if more than 5 in past year, if yes then
ask if simple analgesic used and ineffective, if yes to all 3 then SUPPLY!!!
If no to 1/3 then NO SUPPLY
All of following bullet points in bold below must be met to sell sumatriptan OTC.
The migraine must be diagnosed by a doctor or pharmacist.
o Any pharmacist can diagnose the patient with a migraine OTC if they haven't
previously been diagnosed. This can be done when the patient presents for
sumatriptan and this is usually based on the patients symptoms being suggestive of
a migraine.
The patient should have an established pattern of migraine (a history of five or more
migraine attacks occurring over a period of at least one year)
o Therefore, if the patient hasn't had 5 or more migraines then even if you felt as
though the patient was suffering from a migraine you couldn't sell it.
Tried simple analgesics tried and ineffective.
o I.e the patient has used paracetamol and it has not helped
If analgesic tried and ineffective (>18) – Imigran containing Sumatriptan 50mg ASAP
at start of headache then take another one 2hrs later if symptoms resurface – DON’T
TAKE >2 FOR SAME ATTACK OR >2 IN 24HRS
If Tension Type Headache (Pressing and tightening):
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller aqsaahmed. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78834 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now