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What is the point of seeing the yellow book in community?

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  • What is the point of seeing the yellow book in community?

    Hi,

    In community pharmacy, what is the point of seeing the yellow book in patients on warfarin, please? What do you record on the computer system and why? Do you confirm with the patient the warfarin dose he is currently on?

    Thanks.

  • #2
    Re: What is the point of seeing the yellow book in community?

    theoretically pharmacists are supposed to check the warfarin yellow book whenever dispensing warfarin. the yellow book tells you their latest INR measurement and when was it taken.
    assume you get a script with a different dose than what was regularly prescribed, before dispensing you either have to check their INR measurement or ring the GP to check if they are being monitered before and during this change.
    you do not want them to bleed if they were prescribed an overdose!
    Last edited by Rafael; 9, November 2008, 08:11 PM.
    [COLOR=Olive]xxxx They tried to break my back, but i survived. whatever doesn't kill you, will only makes you stronger xxxx
    [/COLOR]

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    • #3
      Re: What is the point of seeing the yellow book in community?

      Nearly every Rx I see says "as directed"
      MUR

      Major Underestimation of Resources

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      • #4
        Re: What is the point of seeing the yellow book in community?

        On Proscript we have to type in WAR as a direction after the original dose. This will then print out to also direct the patient to consult their yellow book before taking the tablets.
        Make some one smile today.

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        • #5
          Re: What is the point of seeing the yellow book in community?

          Leeds doesn't have yellow books.

          Isn't life fun ;-)


          Jeff

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          • #6
            Re: What is the point of seeing the yellow book in community?

            [QUOTE=Jeff;19789]Leeds doesn't have yellow books.

            What do you have then?
            Make some one smile today.

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            • #7
              Re: What is the point of seeing the yellow book in community?

              [QUOTE=jaymags;19843]
              Originally posted by Jeff View Post
              Leeds doesn't have yellow books.

              What do you have then?
              A computer printout

              Jeff

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              • #8
                Re: What is the point of seeing the yellow book in community?

                Originally posted by Jen the 3rd View Post
                Nearly every Rx I see says "as directed"
                It does indeed as dosages change it prevents the need to issue a new prescription newly labelled each time. However, you need to know that a patient has been recently monitored and you can see that in the Yellow book before dispensing the prescription.
                http://uk.youtube.com/watch?v=Hmbyj0XFUhA

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                • #9
                  Re: What is the point of seeing the yellow book in community?

                  Originally posted by Tony Schofield View Post
                  It does indeed as dosages change it prevents the need to issue a new prescription newly labelled each time. However, you need to know that a patient has been recently monitored and you can see that in the Yellow book before dispensing the prescription.
                  So for the label, would you write 'take as directed' or 'take as directed according to your yellow book'. Does the yellow book actually contain the actual dose required?
                  3rd yr pharmacy student - bath

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                  • #10
                    Re: What is the point of seeing the yellow book in community?

                    ‘Take as directed’…..no need to refer to the yellow book on the dispensing label…..

                    Please have a look at the following website….

                    Actions that can make anticoagulant therapy safer

                    I’ve read somewhere that eating one litre of ice cream can interact with warfarin and raise the INR!!!!
                    Lazy Lady...
                    [IMG]http://www.polyvore.com/cgi/img-set?.out=jpg&id=VgnFNpwK3hGyUXFqqJvo3g&size=l[/IMG]

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                    • #11
                      Re: What is the point of seeing the yellow book in community?

                      Originally posted by Lazy Nite View Post
                      I’ve read somewhere that eating one litre of ice cream can interact with warfarin and raise the INR!!!!
                      I'm up for that - except for the warfarin


                      Jeff

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