Home' Australian Pharmacist : Australian Pharmacist January 2017 Contents Australian Pharmacist January 2017 I ©Pharmaceutical Society of Australia Ltd.
1. Which of the following conditions or
symptoms is LEAST likely to increase
the risk of swallowing difficulties?
a) Cerebrovascular accident.
b) Parkinson’s disease.
c) Xerostomia (dry mouth).
d) Ischaemic heart disease.
2. Which of the following medicines is
LEAST likely to cause oesophagitis?
3. Which of the following substances can
affect the dissolution of medicines?
a) Strawberry jam.
b) Orange juice.
c) Apple juice.
d) All of the above.
4. The Society of Hospital Pharmacists of
Australia recommends what vehicle to
assist in swallowing of medicines prior
to alteration of the dose form?
a) Medicine lubricant.
c) Apple sauce.
d) Chocolate pudding.
Where possible, dose alteration (e.g. crushing
medicines) should be avoided and alternate dose
forms or routes of administration should be found.
One of the advantages of using a medicine lubricant
is that it may reduce the need for alteration of the
medicine, as it may allow the patient to swallow the
medicine without the need for crushing.
the first purpose-designed medicine lubricant, and
is available in Australia.
Some preliminary work from The University of
Queensland has assessed the effect of Gloup on
They concluded that Gloup is
consistent with Level 400 (moderately thick) in the
dysphagia-oriented product classification.
It has no
effect on drug dissolution, unlike some gum-based
thickeners designed to ensure safe fluid delivery
in dysphagia. However, due to Gloup’s slipperiness
and propensity for the tablet to separate from the
gel (intentionally designed this way to have minimal
impact on medicine absorption), the authors
concluded that further work is required to determine
whether it will safely transport medicines without
risk of aspiration, before Gloup is recommended
in patients with dysphagia.
Consultation with a
speech pathologist is generally recommended for
The Australian Don’t Rush to Crush Handbook,
the Australian Pharmaceutical Formulary and
Handbook, and the Australian Medicines Handbook
are mandated by the Pharmacy Board of Australia
as required texts for pharmacists. These texts, as
well as the MedeCrush application, may be useful
resources for pharmacists when assessing suitable
management options for medicines in patients with
Each question has only one correct answer.
CONTINUING PROFESSIONAL DEVELOPMENT
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