Unit 5
Unit 5
Unit 5
a. Paracetamol
b. Cyclizine
c. Salbutanol
d. Aspirin
e. Amoxicillin
f. Ranitidine
g. Chlorphenamine
h. Diazapam
1. ________ antibiotic
2. ________ analgesic
3. ________ antiemetic
4. ________ sedative/ hypnotic
5. ________ gastrointestinal
6. ________ antihistamine
7. ________ cardiovascular
8. ________ respiratory
Doctor : Good afternoon, Mr.Johnson. My name is Dr. Howard. How are you
today?
Patient : I’m fine, doctor.
Doctor : That’s good. Well, ... I’ve got some good news for you. You’ve made
very good progress and we’re going to let you go home.
Patient : Really?
Doctor : Yes. But before you go, there’s just one or two things to do. I can
see you’re very pleased about going home.
Patient : Well, I am.
Doctor : Well, we won’t keep you long then. First, I’d just like to have a brief
chat with you about your medication.
Patient : OK
Doctor :We’re going to give you lots of tablets to take with you ... and make
you rattle a bit.
Patient : OK. I thought that might happen.
Doctor : Right. Now, if at any time you want to stop me and ask questions,
feel free to do so. There’s a lot of information to take in at one time.
Patient : Yeah, fine.
Doctor : The first tablet, which I am sure you’re familiar with, is this little
white one, aspirin.
Patient : Yeah.
Doctor : We’re going to give you a very small dose of 75 milligrams. It’s a
much smaller dose than you’d normally buy over the counter. You
take it by mouth once a day after a meal from now on.
Patient : OK. Why do I need to take it?
Doctor : The aspirin will help you a bit, as it thins the blood and so helps to
prevent further attacks.
Patient : OK.That’s good.
Doctor : Now as with everything we take there are some possible side
effects.
And I emphazise the word possible, as you may not get any of them.
But I just have to point them out, so you are aware of them and can
do something about it if anything happens.
Patient : OK.
Doctor : Sometimes people get an upset stomach. Or aspirin can make the
stools of some people dark and smelly or it can cause bleeding like
nose bleeds or shortness of breath. But remember, I’m just pointing
them out so that you’re aware of them. Also look at the leaflet that
comes with the tablets. If you do get anything just get in touch with
your GP. Is everything OK, so far?
Patient : Yeah.
Doctor : OK. Would you like to get through everything and explain it to me?
Answer the questions.
C. LANGUAGE SPOT
Explaining side effects: can/ may
- When you explain the benefits of a drug to a patient, you state what the drug
does. To show that a drug or medicine causes side effects in some people, it is
important to understand the difference between can and may. Both words are
used to express possibility and are often used interchangeably. However, can
indicates a theoretical possibility while may indicates a real possibility.
Compare:
That door can be locked.
o It is possible to lock that door. Right now, it is either locked or unlocked.
That door may be locked.
o It is possible that the door is locked right now. If it is locked, we won’t be
able to open it.
Can
- Can is used to say that a side effect is possible.
This medication can cause some stomach irritation.
It is possible for this medication to cause some stomach irritation
May
- May also expresses that a side effect is possible.
This medication may cause some stomach irritation.
It is possible that this medication will cause some stomach irritation.
In this case, may indicates the possibility of the statement being or becoming
true. The word may in this sense is frequently stressed and indicates that
stomach irritation is a strong possibility. You may want to emphasize this.
There’s a strong possibility that this will upset your stomach.
Abbreviations
Abbreviatio Meaning
n
PO by mouth/ orally
prn as required
stat immediately
od once a day
g gram
TT two tablets
om in the morning
on at night
bd twice a day
tds to be taken three times a day
qds to be taken four times a day
IV intravenous
IM intramuscular
SC subcutaneous
PR by the rectum
INH by inhalation
NEB By nebuliser
Practice
1. In some people, it can cause a fleeting headache, but it doesn’t mean you
______ get one.
2. Theoretically, this can cause low blood pressure, but you ______ won’t have a
problem.
3. Some people get blurred vision, but it _________ happen in your case.
4. There’s a strong _____ that this will upset your stomach. In fact, it may make you
feel really ill.
5. Swelling of the ankle is not common, but it is possible – it _______ happen.
6. This _________ make you feel dizzy, so you should be careful when you drive.
measurement:
mg, ml
D. PRACTICE
1. Work in pairs. Take turns reading this chart aloud. Say the abbreviations
as complete words.
Example:
Give the patient one gram of paracetamol four times a day by mouth up to a
maximum of 4 grams.
E. ON YOUR OWN
Create a conversation between a doctor and a patient about dealing with medication. In
your conversation include the explanation of the benefits and side effects to the patient
and how to administer the drugs.