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BDS4 SDCEP guidlines > Drug Prescribing For Dentistry > Flashcards

Drug Prescribing For Dentistry Flashcards

1
Q

What is the Tx for hypoglycaemia

A

Administer glucagon, 1 mg

For kids:

under 8- 0.5mg

over 8- 1mg

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2
Q

if a pt is having a prolonged(5+mins)/repeated epiletic fit what do you do

A

Administer 10 mg midazolam (use
2 ml oromucosal solution, 5 mg/ml) topically into the buccal cavity

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3
Q

What is the prescription for dental abscesses

A

5 day regime of:

Amoxicillin Capsules 500mg, 1 capsule 3x a day

OR

PenV capsules 250mg, 2 tablets four times daily

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4
Q

What is the prescription for dental abscesses if the pt is allergic to penicillin

A

5 day regime of:

Metronidazole Tablets 400mg, 1 tablet three times daily

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5
Q

If patients do not respond to first-line amoxicillin or metronidazole treatment of a dental abscess whats next in line

A

5 day regime of:

Clindamycin Capsules 150 mg, 1 capsule four times daily

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6
Q

What is the Tx of Pseudomembranous Candidosis and
Erythematous Candidosis

A

7-day regimen of:

Fluconazole Capsules 50 mg, 1 capsule daily

OR

Miconazole Oromucosal Gel 20 mg/g, Apply a pea-sized amount after food four times daily

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7
Q

What is the Tx of Pseudomembranous Candidosis and
Erythematous Candidosis if fluconazole and miconazole are contraindicated

A

Nystatin Oral Suspension 100,000 units/ml, 1 ml after food four times daily for 7 days

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8
Q

What is the Tx for angular cheilitis

A

Miconazole Cream 2%, Advise patient to continue use for 10 days after lesions have healed, Apply to angles of mouth twice daily

OR

Sodium Fusidate Ointment 2%,do not prescribe sodium fusidate for longer than 10 days, Apply to angles of mouth four times daily

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9
Q

If initial Tx of angular cheilitis is unresponsive what do you prescribe instead

A

Miconazole (2%) and Hydrocortisone (1%) Cream
Send a 30g tube and Apply to angles of mouth twice daily

Advise patient to continue use for a maximum of 7 days

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10
Q

What is the prescription for herpes simplex infections

A

Chlorhexidine MW 0,2%
Send 300ml and Rinse mouth for 1 minute with 10 ml twice daily

OR

Hydrogen peroxide MW 6%
Send 300ml and Rinse mouth for 2 minutes with 15 ml diluted in half a tumbler of warm water three times daily

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11
Q

What is the Tx of Herpes Simplex Infections if the pt immunocomprimised or severe infections in non-immunocompromised patients

A

5 day regime of:

Aciclovir Tablets 200 mg, 1 tablet five times daily

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12
Q

What is the Tx of herpes labialis in non-immunocompromised
patients

A

Aciclovir Cream 5%, Apply to lesion every 4 hours (five times daily) for 5 days

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13
Q

What is the Tx of Varicella-zoster Infections

A

7 day regime:

Aciclovir Tablets 800 mg (shinglestreatment pack), 1 tablet five times daily

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14
Q

What is the prescription of Benzydamine Mouthwash

A

Benzydamine Mouthwash, 0.15%

300 ml

Rinse or gargle using 15 ml every 1½ hours as required

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15
Q

What is the prescription of Chlorhexidine Mouthwash

A

Chlorhexidine Mouthwash 0.2%

Send: 300 ml

Rinse mouth for 1 minute with 10 ml twice daily

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16
Q

What is the max dose of paracetomol

A

Adults can take 2 , 500mg tablets, 4 times in 24 hours. You must wait at least 4 hours between doses. Do not take more than 8 tablets in 24 hours

17
Q

What is the max dose of iboprufen

A

for adults is 800 milligrams per dose or 3200 mg per day

18
Q

What is the max dose of codeine

A

one or two 30mg tablets, taken every 4 hours, up to a maximum of 8 tablets (240mg) in 24 hours

19
Q

What are the key signs of a anaphylaxis

A

Marked upper airway (laryngeal) oedema and bronchospasm, causing
stridor and wheezing

Tachycardia (heart rate > 110 per minute) and increased respiratory rate

20
Q

What do you do if some was having anaphylaxsis

A

Assess the patient

Call for an ambulance

Secure the patient’s airway and help to restore their blood pressure by laying the patient flat and raising their feet

Remove the source of anaphylaxis, if known, using suction if required

Administer 100% oxygen
– flow rate: 15 litres/minute

Administer adrenaline, 0.5 ml(1:1000), i.m. injectionb repeated after 5 minutes if needed

21
Q

What to do if pt is suffering from Angina and/or Myocardial Infarction

A

Administer 100% oxygen
– flow rate: 15 litres/minute

Administer glyceryl trinitrate spray, 2 puffs (400 micrograms per metered dose) sublingually, repeated after 3 minutes if chest pain remains

If no response to GTN phone for ambulance

Administer aspirin, 300 mg
dispersible tablet, orally

22
Q

What is the drug prescription for NUG

A

3 day regime of:

metronidazole, 200mg
1 tablet 3 times daily

OR

Amoxicillin, 500mg
1 capsule 3 times daily

23
Q

What is the prescription for sinusitis

A

Ephedrine Nasal Drops, 0.5%

Send 10ml and 1 drop into each nostril up to three times daily when required

24
Q

What is the prescription for Denture stomatitis

A

7 day regime of:

Fluconazole capsules, 50mg
1 capsule dailr

OR

Miconazole oromucosal gel, 20mg/g
A 80g tube and Apply a pea-sized amount to
fitting surface of upper denture after food four times daily

25
Q

If a pt has a history of previous or current peptic ulcer disease and requires NSAID’s for Tx of odontogenic pain what can you prescribe instead

A

5 day regime of:

Lansoprazole capsules 15mg
1 capsule daily

OR

Gastro resistant omeprazole 20mg
1 capsule daily

26
Q

What is the prescription for trigeminal neuralgia

A

10 regime of:

Carbamazepine Tablets, 100 mg
1 tablet twice daily

27
Q

What is the prescription for Benzydamine Oromucosal Spray

A

Benzydamine Oromucosal Spray, 0.15%
send 30ml and 4 sprays onto affected area every 1.5 hours

28
Q

What is the prescription for Lidocaine Ointment and Lidocaine Spray

A

Lidocaine Ointment, 5%
Send 15g and Rub sparingly and gently on affected areas

Lidocaine Spray, 10%
Send 50ml and Apply as necessary with a cotton bud

29
Q

What is the prescription for beclomethasone MDI

A

50mg
Send 1 200-dose unit and : 1-2 puffs directed onto ulcers twice daily

30
Q

What is the prescription for betamethasone

A

Betamethasone Soluble Tablets 500 mg

1 tablet dissolved in 10 ml water as a mouthwash four times daily

31
Q

What does metronidazole interact with

A

Warafin and alcohol

32
Q

What do macrolide antibiotics interact with e.g. clarithomycin

A

Ca blockers

carbamazepine

ciclosporin

domperidone

statins

theophylline

warfarin

33
Q

What do azole antifungals interact with

A

Statins and warfarin

34
Q

What do NSAIDs interact with

A

Antihypertensives

Anticoagulants

Aspirin

Lithium

Methotrexate

Selective serotonin reuptake inhibitors

Systemic corticosteroids (Only prescribe NSAIDs
in combination with a
proton-pump inhibitor)

BDS4 SDCEP guidlines (2 decks)

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