Understanding Patient Medical History

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Questions and Answers

What is the primary purpose of pre-work before attending a lecture?

To complete all assigned readings in one sitting

To avoid asking questions during the lecture

To memorize all new terms and phrases

To familiarize oneself with new ideas and concepts (correct)

Why is it suggested to have a tab open for searching unknown terms while reading?

It can lead to skipping irrelevant sections

It helps save time during the lecture

It increases understanding of the material (correct)

It allows for easier memorization of terms

What should be done with the information after the session?

Forget it until the final exam

Discard any notes taken during the lecture

Only read it if you have time

Review it to solidify understanding (correct)

What is a recommended strategy for studying complex pharmacology content?

Highlighting key parts in the online book Signup and view all the answers

What is an essential aspect of taking a patient’s drug history?

It alerts practitioners to possible adverse drug reactions Signup and view all the answers

What is a common recommendation for working in groups while studying?

To focus on multiple items and true/false statements Signup and view all the answers

How should the reading assignments be managed according to the guidance?

Split into manageable sections over time Signup and view all the answers

What should you do if you have questions about the lecture content?

Email them after the lecture or ask during it Signup and view all the answers

Which of the following conditions is NOT considered a common disease in the UK?

Thyroid disease Signup and view all the answers

What is one essential aspect of storing ophthalmic medications?

Ensuring they are out of reach of children Signup and view all the answers

When assessing a patient’s ocular history, which of the following is least relevant?

Residential address Signup and view all the answers

Which of the following statements is accurate regarding the use of diagnostic ophthalmic drugs?

The treatment may cause unwanted side effects. Signup and view all the answers

What is the primary reason for assessing manual dexterity during a clinical examination?

To determine the ability to handle medications correctly Signup and view all the answers

What should you inform a patient about the effects of eye drops?

Effects may vary and last for a limited time. Signup and view all the answers

Which of the following is a required component of the patient consultation regarding eye drops?

Why the drop is being instilled Signup and view all the answers

Why is it important to check the expiry date of ophthalmic drugs?

To avoid adverse reactions due to degradation Signup and view all the answers

Study Notes

Pre-work

The idea of pre-work is to prepare students for new concepts and information.
Reading before the lecture allows students to identify areas they understand and areas they need to focus on.
Pre-work provides the opportunity to prepare questions to ask in the lecture or email to the lecturer.

Understanding Your Patient

Taking a careful patient drug history is essential for identifying potential adverse drug reactions.
It also identifies interactions between systemic and topical medications.

History and Symptoms

Questions to ask a patient about their history and symptoms:
- Ocular history: diseases, contact lens wear, ocular medications, surgery
- Medical history: renal and hepatic disease, cardiovascular and respiratory disease, thyroid disease, diabetes, central nervous system, mental health, pregnancy

H&S

Seven most common diseases in the UK:
- Heart disease
- Chronic respiratory disease
- Stroke and CVD
- Alzheimer's Disease and dementia
- Diabetes
- Cancer
- Mental health problems

Clinical Examination

The following should be assessed:
- Manual dexterity
- Visual acuity
- Pupils
- Refractive error
- Accommodation
- Cover test
- Slit lamp (corneal integrity, anterior chamber angle/anterior chamber)
- Intraocular pressure

Hygiene in Use of Topical Ophthalmic Drugs

Store all medications out of reach of children.
Many ophthalmic drugs are stored in the refrigerator.

Storage, Care of Drugs in Practice

Practices should have a dedicated fridge for ophthalmic drugs to prevent cross contamination from food.
The minimum and bottle size should be considered for storage.
Check temperature ranges for safe storage on the drug label.

What to Say to the Patient

Explain the reason for administering the drops.
Describe the potential effects of the drops and how long they will last.
Inform the patient about possible side effects.
Explain what to do if an adverse reaction occurs.

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Description

This quiz focuses on the importance of understanding a patient's medical history and drug history in the context of their ocular health. Students will review key areas such as pre-work preparation, common diseases, and essential questions for patient assessments. This knowledge is crucial for identifying potential adverse drug reactions and interactions.