drugs Flashcards
what is the max dose of paracetamol?
1g (2 tablets) every 4-6hrs
ibuprofen:
- contraindications? 5
- side effects? 1
- dose?
contraindications:
- hepatic/renal impairment
- pregnancy
- breasfeeding
- asthma
- GI disturbance
side effects:
- GI disturbance
dose:
- 300-400mg 3-4 times daily (max 2.4g daily)
nb 1 tablet = 200mg
aspirin:
- contraindications? 6
- side effects? 2
- dose?
contraindications:
- hepatic/renal impairment
- pregnancy
- breast feeding
- asthma
- GI disturbance
- children under 16y
side effects:
- GI irritation
- slight bleeding/bruising
dose:
- 300-900mg every 4-6 hours (max 4g daily)
contraindications of co-codamol? 8
- hepatic/renal impairment
- acute respiratory depression
- comatose patients
- raised ICP
- children under 18 with removed tonsils
- pregnancy
- breastfeeding
- those taking paracetamol
co-codamol:
- side effects?
- dose?
side effects:
- nausea
- vomiting
- constipation
- dry mouth
- respiratory depression
- hypotension
in preparations:
- 8/500, 15/500, 30/500
- see doses of codeine + paracetamol
what are the abbreviations for:
- oral?
- rectal?
- vaginal?
- topical?
- nebulised?
- nasogastric?
- inhaled?
- oral = PO
- rectal = PR
- vaginal = PV
- topical = TOP
- nebulised = NEB
- nasogastric = NG
- inhaled = IH
what are the abbreviations for:
- once in the morning?
- once at night?
- once a day?
- twice a day?
- three times a day?
- four times a day?
OM - once in the morning?
ON - once at night?
OD - once a day?
BD - twice a day?
TDS - three times a day?
QDS - four times a day?
what do these words mean:
- enteral?
- parenteral?
enteral = oral or NG route
parenteral = not oral/NG
what colour do pharmacists write on drug charts?
green
what are the 5 steps of the ‘pain ladder’?
- paracetamol
- add NSAIDS (ibuprofen + naproxen are best)(
- add weak opiods (codeine)
- morphine
- diamorphine (aka heroin)
what drug should you always consider prescribing alongside opiods?
laxatives (eg senna)
as opiods commonly cause constipation
what should be used to treat neuropathic pain?
antidepressants
- amitriptyline
anticonvulsants
- gabapentin
- pregabalin