Communicating information Flashcards
Why should ACE inhibitors be stopped in pregnancy and what should they be replaced with?
Teratogenic; labetalol
Side-effects/interactions of tamoxifen it is important to warn patients about? (4)
Increased risk of endometrial carcinoma
Hot flushes
Increased risk of VTE
Promotes the anticoagulant effect of warfarin
When should gliclazide be taken, and why?
In the morning (if on single dose regimen). Taking in evening increases risk of nocturnal hypoglycaemia
How often is methotrexate taken?
Weekly
Which drugs should never be used with methotrexate?
Folate antagonists such as trimethoprim and co-trimoxazole, as they increase the effect of MTX
What should be prescribed alongside MTX and why?
Folic acid, to prevent bone marrow toxicity
Doses of warfarin tablets:
a) 0.5mg
b) 1mg
c) 3mg
d) 5mg
a) white
b) brown
c) blue
d) pink
How often is warfarin monitoring required once a stable dose is established?
monthly
When should bisphosponates be offered in the case of steroid therapy?
If predicted to be taking steroids for more than 3 months, particularly in elderly, to prevent osteoporosis
Agitation, fever and hallucinations after starting citalopram?
Serotonin syndrome
Target HbA1c for diabetic patients?
48mmol/l or less
Precautions when taking bisphosphonate tablets?
Tablet needs to be swallowed with a full glass of water and you should remain upright for 30 mins afterwards
