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Look-alike sound-alike insulin — GPhC CRA MCQ

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ModerateDispensing and SupplyLook-alike sound-alike insulinGPhC CRA

A dispenser selects NovoRapid instead of NovoMix for a patient whose prescription is for NovoMix 30 FlexPen. The accuracy checker notices before handout. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: BCorrect the selection and record the near miss according to SOP

NovoRapid and NovoMix are different insulin products with different pharmacokinetic profiles. Supplying the wrong insulin could cause serious hypo- or hyperglycaemia, and the near miss should be recorded for learning. The other options either delay appropriate care, use an unsuitable medicine, or miss the main safety issue.

Reference: MEP; BNF