Drug Prescribing For Dentistry Flashcards
What is the Tx for hypoglycaemia
Administer glucagon, 1 mg
For kids:
under 8- 0.5mg
over 8- 1mg
if a pt is having a prolonged(5+mins)/repeated epiletic fit what do you do
Administer 10 mg midazolam (use
2 ml oromucosal solution, 5 mg/ml) topically into the buccal cavity
What is the prescription for dental abscesses
5 day regime of:
Amoxicillin Capsules 500mg, 1 capsule 3x a day
OR
PenV capsules 250mg, 2 tablets four times daily
What is the prescription for dental abscesses if the pt is allergic to penicillin
5 day regime of:
Metronidazole Tablets 400mg, 1 tablet three times daily
If patients do not respond to first-line amoxicillin or metronidazole treatment of a dental abscess whats next in line
5 day regime of:
Clindamycin Capsules 150 mg, 1 capsule four times daily
What is the Tx of Pseudomembranous Candidosis and
Erythematous Candidosis
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
What is the Tx of Pseudomembranous Candidosis and
Erythematous Candidosis if fluconazole and miconazole are contraindicated
Nystatin Oral Suspension 100,000 units/ml, 1 ml after food four times daily for 7 days
What is the Tx for angular cheilitis
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
If initial Tx of angular cheilitis is unresponsive what do you prescribe instead
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
What is the prescription for herpes simplex infections
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
What is the Tx of Herpes Simplex Infections if the pt immunocomprimised or severe infections in non-immunocompromised patients
5 day regime of:
Aciclovir Tablets 200 mg, 1 tablet five times daily
What is the Tx of herpes labialis in non-immunocompromised
patients
Aciclovir Cream 5%, Apply to lesion every 4 hours (five times daily) for 5 days
What is the Tx of Varicella-zoster Infections
7 day regime:
Aciclovir Tablets 800 mg (shinglestreatment pack), 1 tablet five times daily
What is the prescription of Benzydamine Mouthwash
Benzydamine Mouthwash, 0.15%
300 ml
Rinse or gargle using 15 ml every 1½ hours as required
What is the prescription of Chlorhexidine Mouthwash
Chlorhexidine Mouthwash 0.2%
Send: 300 ml
Rinse mouth for 1 minute with 10 ml twice daily
What is the max dose of paracetomol
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
What is the max dose of iboprufen
for adults is 800 milligrams per dose or 3200 mg per day
What is the max dose of codeine
one or two 30mg tablets, taken every 4 hours, up to a maximum of 8 tablets (240mg) in 24 hours
What are the key signs of a anaphylaxis
Marked upper airway (laryngeal) oedema and bronchospasm, causing
stridor and wheezing
Tachycardia (heart rate > 110 per minute) and increased respiratory rate
What do you do if some was having anaphylaxsis
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
What to do if pt is suffering from Angina and/or Myocardial Infarction
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
What is the drug prescription for NUG
3 day regime of:
metronidazole, 200mg
1 tablet 3 times daily
OR
Amoxicillin, 500mg
1 capsule 3 times daily
What is the prescription for sinusitis
Ephedrine Nasal Drops, 0.5%
Send 10ml and 1 drop into each nostril up to three times daily when required
What is the prescription for Denture stomatitis
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
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
5 day regime of:
Lansoprazole capsules 15mg
1 capsule daily
OR
Gastro resistant omeprazole 20mg
1 capsule daily
What is the prescription for trigeminal neuralgia
10 regime of:
Carbamazepine Tablets, 100 mg
1 tablet twice daily
What is the prescription for Benzydamine Oromucosal Spray
Benzydamine Oromucosal Spray, 0.15%
send 30ml and 4 sprays onto affected area every 1.5 hours
What is the prescription for Lidocaine Ointment and Lidocaine Spray
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
What is the prescription for beclomethasone MDI
50mg
Send 1 200-dose unit and : 1-2 puffs directed onto ulcers twice daily
What is the prescription for betamethasone
Betamethasone Soluble Tablets 500 mg
1 tablet dissolved in 10 ml water as a mouthwash four times daily
What does metronidazole interact with
Warafin and alcohol
What do macrolide antibiotics interact with e.g. clarithomycin
Ca blockers
carbamazepine
ciclosporin
domperidone
statins
theophylline
warfarin
What do azole antifungals interact with
Statins and warfarin
What do NSAIDs interact with
Antihypertensives
Anticoagulants
Aspirin
Lithium
Methotrexate
Selective serotonin reuptake inhibitors
Systemic corticosteroids (Only prescribe NSAIDs
in combination with a
proton-pump inhibitor)
