Category: Prescribing

Hypercalcaemia

Serum calcium concentration is tightly regulated between 2.1-2.6mmol/L. Severe hypercalcaemia is a life-threatening electrolyte emergency requiring prompt recognition and urgent treatment.   Classification Mild (2.65 – 3.00 mmol/L): Patient is often asymptomatic Moderate (3.01-3.40 mmol/L): Can be asymptomatic or symptomatic Severe (>3.40 mmol/L): Risk of dysrhythmia and coma Serum calcium is found in 2 forms

Read More »

Reporting Adverse Drug Reactions

The World Health Organization (WHO) defines adverse drug reactions (ADR) as “any response to a drug which is noxious and unintended, and which occurs at doses normally used in man”. Importantly, these refer to situations when the drug is used normally and at the recommended dosages. ADRs may be classified into six categories, based on

Read More »

Hypomagnesaemia

The UK Medicines Information group have provided excellent guidance on how to replace magnesium.Useful advice on treatment: Clinical features Usually asymptomatic Irritability & lethargy Nausea/vomiting Psychiatric: confusion, depression, psychosis Neuromuscular: Tremors, cramps, tetany, weakness & seizures ECG: prolonged PR, ST depression, altered T waves, arrhythmias Causes Dietary such as refeeding syndrome GI losses (D&V, high stoma output)

Read More »

Overview of eye drops

Medicines reconciliation is the process of accurately listing a person’s medicines. This often takes place when they’re admitted into a service and is an important day to day job of a junior doctor. It has been demonstrated that patients admitted to the hospital for non-ophthalmic reasons do not always receive their eye drops as prescribed.

Read More »

Passing the Prescribing Safety Assessment (PSA)

The PSA is aimed at final year medical students and those graduating overseas to assess their competency at prescribing as Foundation Year 1 Doctors. It can also be taken by FY1s if they have not passed it in their final year or had not attempted it before. Content It is made up of 8 sections

Read More »

Medications in Diabetes

In this article, we’ll cover the treatments used in Diabetes Mellitus. We’ll look at key things you need to know about each therapy, when you might start it & common adverse effects. This article isn’t comprehensive or a guideline – you should still look up information & a guideline before starting any treatment. Introduction Type

Read More »

Common Prescribing Errors

When I supervise and teach FY1s, prescribing is in the top three things they are most concerned about. Usually, they’re worried that they won’t know what to prescribe or that an error will cause serious harm. As with everything, your seniors have all been through this and we are there to help you through. Introduction

Read More »

Parkinson’s Disease

In this article, we will present several common scenarios involving Parkinson’s disease (PD) that you might face on the ward or on call. We will not go into too much detail about the pathophysiology of the disease – as fascinating as it is. This is more of a quick practical guide, on how to deal

Read More »

Anticoagulation

For new doctors, prescribing anticoagulants can be daunting. A few simple rules can make this easier. Ensure you use your local guidelines in the first instance, which often provides information on first-line agents and dosing. The information below may be incorrect and so hence, as per our disclaimer, do use your own clinical judgement. The

Read More »

Opiate overdose & toxicity

You will likely encounter an opiate overdose due to the prevalence of opiates for recreational use, in those who have chronic pain or mental health issues & those who may accumulate opiates due to liver or renal impairment. No matter the type of opiate, treatment is broadly the same, although some opiates may require higher

Read More »

Follow us

Our Newsletter

Trending Now

How to take a psychiatric history
Psychiatry, as a specialty is unique in that diagnostic methods, rely very heavily on symptomatology,...
Preparing for the Situational Judgement Test
Preparing for the Situational Judgement Test (SJT) exam can be quite daunting. It makes up 50% of your...
Applying to Core Surgical Training (CST)
Surgical training has a variety of work to get involved in as well as having many sub-specialties within...
Passing the Prescribing Safety Assessment (PSA)
The PSA is aimed at final year medical students and those graduating overseas to assess their competency...
ABG Interpretation
In this article, we will look at more practical aspects of how to read an ABG and treatment following...
Describing Skin Lesions
It is quite common for you to need to describe rashes for documentation purposes, to senior colleagues...
Audits & Quality Improvement Projects (QIPs)
Audits & QIPs are a way to identify issues, drive changes and assess the effects they have. It is...

Sign up for our awesome resources

Join over 25,000 users who have signed up for our free weekly webinars, referral cheat sheet & other amazing content!