Pharmacology and the safe prescribing of drugs

Jamie J. Coleman, Anthony R. Cox, Nicholas J. Cowley

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Understanding the pharmacological principles and safe use of drugs is just as important in surgical practice as in any other medical specialty. With an ageing population with often multiple comorbidities and medications, as well as an expanding list of new pharmacological treatments, it is important that surgeons understand the implications of therapeutic drugs on their daily practice. The increasing emphasis on high quality and safe patient care demands that doctors are aware of preventable adverse drug reactions (ADRs) and interactions, try to minimize the potential for medication errors, and consider the benefits and harms of medicines in their patients. This chapter examines these aspects from the view of surgical practice and expands on the implications of some of the most common medical conditions and drug classes in the perioperative period. The therapeutic care of surgical patients is obvious in many circumstances – for example, antibacterial prophylaxis, thromboprophylaxis, and postoperative analgesia. However, the careful examination of other drug therapies is often critical not only to the sustained treatment of the associated medical conditions but to the perioperative outcomes of patients undergoing surgery. The benefit–harm balance of many therapies may be fundamentally altered by the stress of an operation in one direction or the other; this is not a decision that should wait until the anaesthetist arrives for a preoperative assessment or one that should be left to junior medical or nursing staff on the ward.

Original languageEnglish
Title of host publicationFundamentals of surgical practice
PublisherCambridge University Press
Pages1-14
Number of pages14
Edition3rd
ISBN (Electronic)978-0-511-98478-5
ISBN (Print)978-0-521-13722-5
DOIs
Publication statusPublished - 2011

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Drug Prescriptions
Pharmacology
Patient Care
Pharmaceutical Preparations
Therapeutics
Medication Errors
Perioperative Period
Nursing Staff
Medical Staff
Drug-Related Side Effects and Adverse Reactions
Drug Interactions
Analgesia
Comorbidity
Medicine
Drug Therapy
Population

Cite this

Coleman, J. J., Cox, A. R., & Cowley, N. J. (2011). Pharmacology and the safe prescribing of drugs. In Fundamentals of surgical practice (3rd ed., pp. 1-14). Cambridge University Press. https://doi.org/10.1017/CBO9780511984785.002
Coleman, Jamie J. ; Cox, Anthony R. ; Cowley, Nicholas J. / Pharmacology and the safe prescribing of drugs. Fundamentals of surgical practice. 3rd. ed. Cambridge University Press, 2011. pp. 1-14
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Coleman, JJ, Cox, AR & Cowley, NJ 2011, Pharmacology and the safe prescribing of drugs. in Fundamentals of surgical practice. 3rd edn, Cambridge University Press, pp. 1-14. https://doi.org/10.1017/CBO9780511984785.002

Pharmacology and the safe prescribing of drugs. / Coleman, Jamie J.; Cox, Anthony R.; Cowley, Nicholas J.

Fundamentals of surgical practice. 3rd. ed. Cambridge University Press, 2011. p. 1-14.

Research output: Chapter in Book/Report/Conference proceedingChapter

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Coleman JJ, Cox AR, Cowley NJ. Pharmacology and the safe prescribing of drugs. In Fundamentals of surgical practice. 3rd ed. Cambridge University Press. 2011. p. 1-14 https://doi.org/10.1017/CBO9780511984785.002