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MEDICINESMANAGEMENTASSESSMENTarecruitmentandselection tool.

CandidateName: Assessmentdate:

INSTRUCTIONSTOCANDIDATES Youhave45minutestocompletetheassessment

Pleaseshowyourcalculations/workingoutinthespaceprovided

Readthequestionscarefullyandtaketimetocheckyouranswersafter completion PleasenoteCalculatorsareNOTpermittedandnoconferringallowed. Forthepurposeof thisassessment,thedateis01.01.2010thereforeany medicationinthedrugcupboardwithanexpirydatebeforethisdate, shouldnotbeusedandshouldbehighlightedasdrugexpired. Aminimumscoreof80%isrequiredtoenableyoutoproceedwithyour jobapplication.Thisalsoappliestoexistingstaffmembers. Ifyouachievebetween80% 99%,youwillundertakeaneducational packageanddemonstratecompetenceifyouareemployed,before unsuperviseddrugadministration.

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CALCULATIONSGUIDANCE Thefollowingmayassistyouwithyourcalculations: Strengthrequiredxvolume=dose (whatyouwant xwhatitisin Strengthinstock whatyouhavegot Infusionratecalculations Volume(mls)=infusionrateinmlsperhour Time(hours)

Guidancefor%concentrationquestion. Theconcentrationofsomedrugsolutionsisexpressedasapercentageweightin Volume(%w/v) Thisexpressestheweightofthedrugper100mlofsolution. E.g 1%=1g/100ml 5%=5g/100ml Workedexample Onelitre(1000ml)of0.9%normalsaline,contains9gofsodiumchloride. 0.9%=0.9gin100ml Multiplyby10tomake1000ml =9gin1000ml.

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Questions.Pleaserefer tothevirtualdrugcupboardandtheexample formulae. Forthepurposeofthisassessmentthedateis01/01/2010

Q1.ApatientisprescribedTramadol100mg3timesdaily.Howmanytablets arerequired? Answerandcalculation. 1. Perdose

2. In24hours

2marks Q2.ApatientisprescribedBenzylpenicillin1.2g IVinjection, Calculatetheamountofvialsrequired. Answerandcalculation.

1mark

Q3.Apatientisprescribeddigoxin0.5mg. Howmanytabletswouldyouadminister? Answerandcalculation.

1mark

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Q4.ApatientisprescribedCefotaxime1gIVinjection.. Howmanyvialsareneededtomakeupthedoseprescribed? Answerandcalculation.

1mark

Q5.Convertthefollowingtomicrograms 1) 1.50mg 2) 1.75mg 3) 2.5g Answersandcalculations. 1. 2. 3. 3marks

Q6.How manygramsof chloralhydratearetherein100mlsofa4%solution? Answerandcalculation 1mark

Q7.Apatientisprescribedaninfusionof0.9% sodiumchloride,1litreover12 Hours. Whatisthehourlyinfusionrateinmlsusinganinfusionpump? Answerandcalculation. 1mark

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Q.8 Apatienthasbeenprescribed300mgofIbuprofenoralsuspension Howmuchliquidwouldyouadminister?

Answerandcalculation.

1mark

Q.9 Listthemainactionsyouwouldtakeifyoumadeadrugerror. Answer 1. 2 3. 4. 4marks

Q.10 Priortotheadministrationofacontrolleddrug,e.g.diamorphine,name3ofthe maincheckingproceduresbeforeadministering. Answer 1. 2. 3. 3marks

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Q.11 Whenadministeringprescribedmedication,whatmustbecheckedinrelationto thedrug?(5Rights)

Answer. 1. 2. 3. 4. 5. 5marks

Q.12 Apatienthasbeenprescribed335mgofParacetamolsuspension.Howmany mlswouldyouadminister? Answerandcalculation

1mark

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Q.13 Lookattheinsulinprescriptionbelow. Intravenousinsulinslidingscaleprescription

TestStickGlucose(mmolsperlitre) <3.9 46.9 79.9 1014.9 1519.9 >20

Slidingscaleunits/mlsperhour (50units/50mls) 0.5 1 2 3 4 5

Whatratewouldyousetapatientslidingscaleinsulinpumpif thebloodsugar recordwas7.2mmolsperlitre?

Answer 1mark

Q.14 Whyisitimportanttohavethepatientsweightonthedrugchart?

Answer. 1mark

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Q15 Listthemainactionsyouwouldtakeifyoumadeadrugerror. Answer 1. 2 3. 4.4marks

Q.16 Ifaprescribeddrugisunavailableoutofhours,name2thingsyouwoulddo. Answer 1. 2.2marks

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