29-01-2020 General Surgery

Question 1

What do you need to use for fourth year exams?

Answer 1

Pass medicine!

Question 2

Who can you speak to regarding FY1, 4th and 5th year stuff

Answer 2

M.macdonald1@NHS.net

Question 3

What are some important things regarding using the kardex on the ward?

Answer 3

Don’t put the kardex down until someone has signed it.
Front-allergies
Middle- what they take and what you’re prescribing
Codes and info, as required drugs

Question 4

What do you need to know about doltaparin?

Answer 4

Low molecular weight heparin, always prescribed on surgical wards unless contraindicated.

Given to anyone who’s at risk of a clot, subcut injection. Standard dose 2500 units BMI<30
5000 units or BMI over 30

Question 5

What are the common prescribing errors with amoxicillin and co-tramoxazole

Answer 5

Allergies, quite common
Amoxicillin- penicillin allergies
Co-tramoxazole- if allergic to trimethiprim

Question 6

What is the standard paracetamol dose?

Answer 6

1g, 4 times per day unless LFT’s or weight under 50kg

Question 7

What is a good anti-sickness drug

Answer 7

Cyclizine, 50mg, same dose given IV

Question 8

What is a good painkiller drug?

Answer 8

10mg every four hours, typically no upper dose

Question 9

What do you always prescribe with a painkiller

Answer 9

an anti sickness drug

Question 10

What is metoclopermide?

Answer 10

drug for nausea and vomiting, 10mg every 6-8 hours

Question 11

What is domperidone?

Answer 11

Anti nausea and vomiting drug, 10 mg three times per day. Max 30mg