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CSP1 > CPT Revision > Flashcards

CPT Revision Flashcards

1
Q

Medicines Reconciliation

A

Ensures all medication patient is taking is correctly documented on admission and each transfer of care.

1) Admission
2) Post admission verification by pharmacy
3) Discharge

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2
Q

SCRs

A

Summary Care Records

Minimum = allergies, adverse reactions, medications

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3
Q

BNF

A
  • guidance on prescribing
  • individual therapeutic areas
  • appendices (interactions/additives)
  • drug monographs = indications for that drug
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4
Q

Gabapentin

A
  • licensed for epilepsy and neuropathic pain
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5
Q

Amitriptyline

A

Licensed for depression and nocturnal enuresis.

Unlicensed indications = neuropathic pain and migraine prophylaxis.

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6
Q

Formulations

A

Drugs have different doses depending on formulation used as bioavailability differs

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7
Q

Modified Release

A

To allow less frequent dosing

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8
Q

Pharmacodynamic

A

Drugs have additive or Antagonistic pharmacological effects

- often predictable

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9
Q

Pharmacokinetic

A

Drug increases or decreases amount of another drug available in body by affecting absorption, distribution, metabolism or excretion of the other.

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10
Q

Valid Prescription

A
  • signed in ink with your name
  • indelible ink permanent
  • address of practitioner
  • date
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11
Q

2 error types

A
  • slips and lapses (actions do not go according to plain)

- mistakes (plan itself is wrong)

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12
Q

Aspirin

A

Reyes syndrome

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13
Q

Corticosteroids in infants

A

Growth Suppresion

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14
Q

Paracetamol in infants

A

Reduced susceptibility to hepatotoxicity

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15
Q

Valproate in infants

A

Increased frequency of hepatotoxicity

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16
Q

Systemic chloramphenicol

A

gray baby syndrome

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17
Q

SSRIs

A

Increased suicidal ideation in teens

18
Q

High dose pancreatic enzyme replacement

A

Bowel stenosis

19
Q

Aspirin augmented

A 
1 = bleeding
2ry = gastric irritation
20
Q

Bisoprolol

A 
1 = bradycardia 
2dry = bronchospasm
21
Q

Salbutamol

A 
1 = bronchodilation
2ry = lactic acidosis
22
Q

Phenytoin

A

Ataxia, nsytagmus

23
Q

Digoxin

A

Visual aura, nauseua, arrhythmias

24
Q

Warfarin

A

Bleeding

Subdural haematoma

25
Q

Unfractionated heparin

A

Bleeding

26
Q

Diclofenac

A

Heart Failure

27
Q

Type C

A 
Bisphos = jaw osteonecrosis
Corticosteroids = osteoporosis
28
Q

Type D

A

Carbimazole = agranulocytosis
Typical antipyschotics = tardive dyskinesia
Chemo = infertility
Many drugs = teratogenicity

29
Q

Stilbestrol

A

Clear Cell adenocarcinoma of genital tract in young women

30
Q

Type E

A 
Benzodiazepine = agitation/insomnia
Cortciosteroids = adrenal insufficiency
Opiates = flu like withdrawal
31
Q

Pharmacokinetics

A

Gentamycin = trough plasma levels

32
Q

Pharmacodynamics

A

Warfarin = INR

33
Q

Objective side effects

A

ACEi = renal function

34
Q

Subjective SE

A

Aspirin = gastritis

35
Q

IM

A

CI in haemophillia

36
Q

Intrathecal

A
  • single dose analgesia
  • limited chemo agents
  • baclofen
  • respiratory depression potential
37
Q

Intranasal

A

DDAVP

Midazolam

38
Q

PV

A

Hormonal
IUD
Pessaries

39
Q

Max potassium rate fludis

A

Not faster than 10mmol/hr
Max 40mmol/L in peripheral line
20 or 40

40
Q

Resus Fluids

A

Crystalloids
sodium 130-154
bolus 500ml over less than 15 mins
severe sepsis = human albumin solution 4-5%

41
Q

Maintenance Fluids

A
  • 20-30ml/kg/day of water
  • 1mmol/kg/day of K+, Na+, Cl-
  • obese adjust IV to ideal body weight
  • do not exceed 30ml/kg/day
  • less if old/frail/renal failure/cardiac failure
  • 25-30ml/kg/day sodium chloride 0.18% in 4% glucose
  • 27mmo/l potassium on day 1
  • > 2.5:L increases hyponatremia risk
  • 1L over 8-12 hs
  • 2L-2.5L over 24 hrs

CSP1 (20 decks)

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