Episode 07B1 — Beginner/Intermediate

Medication Review & Drug Allergy

26 min. NKDA, drug allergy, adverse reaction & generic name. Full role-play. Free PDF.

FREE TRANSCRIPT PDF

Episode 7 — Free transcript & study guide

  • 10-term vocabulary table
  • Full role-play transcript
  • Language breakdown notes
  • Quiz with full answers

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EPISODE STRUCTURE

Vocabulary Preview

~3 min

Role-play Dialogue

~8 min

Language Breakdown

~4 min

Comprehension Quiz

~2 min

Free Transcript PDF

YOUR HOSTS

Nadia

Nadia

Nurse
Tom

Tom

Patient

VOCABULARY - 10 TERMS

TermDefinitionExample
AllergyAn immune-mediated hypersensitivity reaction to a substance. Symptoms range from mild (rash, itching) to severe (anaphylaxis). Key: the immune system is directly involved."Mr. Davies reported a penicillin allergy — his notes were flagged immediately."
Adverse reactionAny unwanted response to a medication, regardless of mechanism. The umbrella term — it includes allergies, side effects, and intolerances."He experienced an adverse reaction — nausea and dizziness within the first two days."
Drug intoleranceAn unwanted response to a medication not driven by the immune system. Often dose-dependent — the higher the dose, the worse the effect."She described an intolerance to codeine — it made her feel extremely sick, even at low doses."
Medication reviewA structured, formal evaluation of everything a patient is currently taking — names, doses, adherence, efficacy, and adverse effects."The practice nurse conducted a medication review before Mr. Davies saw Dr. Bennett."
Current medicationAll drugs, supplements, vitamins, or treatments a patient is taking at the time of consultation — whether prescribed, over-the-counter, or herbal."Can I ask — what are your current medications? That includes anything prescribed and anything you buy yourself."
NKDANo Known Drug Allergies. A clinical notation recorded in patient notes after a systematic allergy check — not a permanent guarantee; a record of what was reported."Mr. Davies's allergy status was updated: NKDA — no known drug allergies confirmed at medication review."
ContraindicationA condition or factor that makes a particular treatment inadvisable or unsafe for a specific patient."Aspirin is contraindicated in patients with a known allergy — the nurse flagged this before the GP reviewed the prescription."
Side effectA secondary, usually unwanted, effect of a medication taken at normal therapeutic doses. A known drug property — not a prescribing error."Drowsiness is a common side effect of this medication — it tends to settle after the first week."
AnaphylaxisA severe, rapidly progressing, potentially life-threatening allergic reaction. Can cause airway swelling and blood pressure drop. Requires immediate emergency treatment."She had a previous episode of anaphylaxis to penicillin — the drug class was contraindicated in her notes."
Generic nameThe non-proprietary, internationally recognised name of a drug — not the brand name. Ibuprofen (generic) = Nurofen (brand). Clinical documentation always uses the generic."Mr. Davies wasn't sure of the name — but from the packaging, the nurse identified the generic as paracetamol."

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