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Insulin dose confusion — GPhC CRA MCQ

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HardEndocrine TherapeuticsInsulin dose confusionGPhC CRA

A prescription for insulin aspart reads 'use as directed' with no dose, and the patient is newly discharged from hospital. The discharge summary is not available and the patient is unsure of the dose. What is the most appropriate action?

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Correct answer: E — Do not dispense until the dose is clarified from an appropriate clinical source

Insulin is a high-risk medicine and ambiguous directions can cause serious harm. A specific dose or clear administration plan should be confirmed before dispensing where the patient is uncertain. 'Use as directed' may be unsafe for a newly discharged patient without supporting information. The pharmacist should contact the hospital, GP or another reliable source urgently.

Reference: BNF; GPhC Standards