P03-106 - Review of high dose anti psychotic prescription and monitoring at north end house, durham - 05/05/11
Résumé |
Introduction |
A single or more than two Antipsychotics above the recommended dose is known as High Dose prescription. Regular review of these patients is necessary due to the potential side effects.
Objective |
Reviewing of the HDAT prescription and monitoring process between June and July 2010.
Standard - TEWV NHS Trust guidelines suggest that patients on High Dose Antipsychotics should have
1) | Documentation of Medical history and Physical examination at the Well Being Clinic |
2) | Medication Alert on PARIS (Trust intranet) |
3) | Documentation on Visual display Board |
4) | Regular Blood tests and ECG |
Methodology |
Referring Case notes, PARIS entries and Visual Display board.
Results |
Of the 8 patients at Well Being Clinic, Male −4, Female −4.
Details of medical history & physical examination were recorded for all patients.
Medication alerts were documented on PARIS.
Visual display board was up to date with dates for bloods & ECG. Bloods tests - FBC,U&E, LFT, Lipids, Blood glucose & Prolactin. The tests were done at baseline, repeated on 1,2,3,6,9,12 months & at dose increment. All the blood tests & ECGs were up to date. 2 male patients were discharged following dose review. Once the patients were discharged, the alert on PARIS was removed.
1 male patient was referred to GP for physical examination as the patient was quite obese. Prolactin levels of 2 patients were high. They were followed up with further blood investigations.
Conclusion |
. | Side effect monitoring scales like “LUNSERS” to be used |
. | Arrange educational meetings to the Support workers. |
Vol 26 - N° S1
P. 1275 - 2011 Retour au numéro
Article précédent
- P03-105 - Screening of metabolic side effects of antipsychotics in patients with mental disorder
- H.T. Reddy, R. Edwards
- P03-107 - How to treat patients with adult attention-deficit/hyperactivity disorder (ADHD) comorbid with psychosis? a case report
- M. Holler, C. Foff, H. Rittmannsberger
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