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📘 PRESCRIBING FOUNDATIONS & CALCULATIONS 📝 Anatomy of a safe prescription 🎯 Rational prescribing: the six-step method 🪪 Patient identity and essential details 📋 Taking a complete medication history ⚠️ Drug allergy versus intolerance 💊 Generic names and medicine identification ⚖️ Strength, dose and formulation ⏰ Frequency and timing instructions 💉 Choosing and specifying the route 📅 Duration, quantity and review date 🆘 Writing a complete PRN order ✍️ Avoiding dangerous abbreviations 🔢 Units, decimal points and conversions 🧮 Tablet and capsule calculations 🥄 Liquid medicine calculations 👶 Weight-based paediatric calculations 💧 Infusion-rate calculations ➗ Per-dose versus per-day instructions 📊 Loading and maintenance doses ⌛ Half-life, accumulation and steady state 🛡️ PATIENT FACTORS & MEDICINE SAFETY 🫘 Prescribing in kidney impairment 🩺 Prescribing in liver impairment 🤰 Medicines during pregnancy 🤱 Medicines during breastfeeding 👴 Prescribing for older adults 🧒 Prescribing safely for children ⚖️ Dosing weight in obesity 🔄 Drug-drug interactions 🍽️ Food, supplements and medicine timing 🚫 Contraindications and precautions ⚠️ Recognising adverse drug reactions 📢 Reporting reactions through PvPI 💊 Polypharmacy: review the whole regimen 📉 Deprescribing with a plan 🚨 High-alert medicines 🔍 Look-alike and sound-alike medicines 🧩 Fixed-dose combinations: check every ingredient ⚖️ Prescription-only and controlled medicines in India 💻 Electronic prescriptions: avoiding digital errors 🔗 Medication reconciliation at transitions 🦠 ANTIMICROBIALS & INFECTION DECISIONS 💊 Antibiotic prescribing: start with the syndrome 🌍 Understanding the WHO AWaRe groups 🧫 Cultures and antimicrobial susceptibility ⏳ Antibiotic review at 48–72 hours 🛡️ Penicillins: key prescribing checks 🪜 Cephalosporins: spectrum is not a ladder ❤️ Macrolides: interactions and cardiac risk 🥛 Doxycycline: administration matters ⚠️ Fluoroquinolones: use with justification 📊 Aminoglycosides: monitoring is part of the order 🦠 Metronidazole: match the organism and context 🚽 Antibiotic-associated diarrhoea 🫘 Urinary symptoms: classify before prescribing 🤧 Upper-respiratory illness: avoiding unnecessary antibiotics 🫁 Pneumonia: severity determines the setting 🩹 Skin infections: source control and diagnosis 🌡️ Undifferentiated fever and suspected dengue 🫁 Tuberculosis prescriptions: programme-based care 🍄 Antifungals: topical or systemic? 🦠 Antivirals: timing and organ function 💊 COMMON MEDICINES & CARDIOVASCULAR CARE 🌡️ Paracetamol: prevent hidden duplication 🩹 NSAIDs: pain relief with risk assessment ⚠️ Opioids: specify formulation and monitoring 📅 Systemic corticosteroids: plan the course 🤧 Antihistamines: sedation still matters 🛡️ Proton-pump inhibitors: a reason and review 🤢 Antiemetics: treat the cause and choose safely 💧 ORS and zinc: diarrhoea care priorities 🚽 Laxatives: match the problem 🩸 Oral iron: elemental amount and response 🦴 Vitamin D and calcium: units and purpose 🫘 ACE inhibitors and ARBs: renal and potassium checks ❤️ Calcium-channel blockers: know the subtype 💧 Diuretics: fluid balance and electrolytes 💓 Beta-blockers: pulse, indication and withdrawal 📉 Statins: risk reduction and muscle symptoms 🩸 Antiplatelets: indication, duration and bleeding 🧪 Warfarin: the INR-linked prescription ⚖️ DOACs: dose criteria are drug-specific 💉 Heparins: prophylaxis is not treatment 🩺 ENDOCRINE, RESPIRATORY & PRACTICAL CARE 🫘 Metformin: kidney function and tolerability 🍽️ Sulfonylureas: meals and hypoglycaemia ⚠️ SGLT2 inhibitors: illness and ketoacidosis risk 💉 Insulin: product, units and device 🍬 Hypoglycaemia: immediate safety and prevention ⏰ Levothyroxine: consistency and separation 🌬️ Inhaler technique: match the device 🫁 Asthma: anti-inflammatory treatment and review 🌬️ COPD: inhalers chosen for the patient 🧠 Antiseizure medicines: continuity and interactions 💬 Antidepressants: follow-up is part of treatment 😴 Sedatives and benzodiazepines: define the exit 🧴 Topical prescriptions: site, amount and duration 👁️ Eye drops: specify the eye and recognise red flags 👂 Ear drops: examine before selecting 💉 Vaccine orders: product, schedule and record 🤝 Adherence: make the plan usable ⏰ Missed doses: avoid a universal catch-up rule 📊 Monitoring: specify the test and owner ✅ The final prescription safety audit
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