Em The Pharamcist Flashcards

1
Q

What is the dose for paracetamol for a 2 yr old

A

180 every 4-6 hrs

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2
Q

Lithium and arb interaction

A

Increases the concentration of lithium making it become toxic

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3
Q

What medication needs to be omitted during periods of d+v

A

Diuretics should be omitted during periods of f and v due to risk of dehydration and aki

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4
Q

What advice would you give to a prescriber in terms of scheduling 2 drugs

A

Strongly recommended that no more than 30 days supply is prescribed of schedule 2, 3 or 4 drugs

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5
Q

What advice would you not give to a patient who has osteoporosis

A

Acupuncture should not be recommended for symptom relief in osteoporosis

Should give advice of exercise and only short term relief

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6
Q

What would you recommend to a patient who is on warfarin and has a heavy nose bleed that wouldn’t stop

A

Refer to a and e

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7
Q

What symptom would you need to seek immediate medical advice if the patient is on clozapine

A

Constipation due to intestinal blockage, faecal impaction and paralytic ilius

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8
Q

What is the FIRST Lines treatment for constipation for opioids

A

Either an osmotic laxative Laxido or a stimulant laxative senna

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9
Q

What antibiotic requires monitoring for new or worsening respiratory symptoms

A

Nitrofurantoin

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10
Q

Which medication has the highest anticholinergic burden

A

Amitriptylline

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11
Q

Which medication should not be taken with food

A

Lansoprazole should be taken at least 30 mins before food

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12
Q

What blood test need to be checked for arbs and antityroid medication

A

Renal function test and electrolytes for arbs and tft for levothyroxine

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13
Q

What is the moa of amoxicillin

A

Inhibits the peptidoglycan synthesis which weaken the bacterial cell wall

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14
Q

If the risk score came back >10% what advice would you give to a patient

A

Aim to do at least 150mins of exercise a week

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15
Q

What would be the target hba1c level for someone who has 2 anti diabetic medication

A

53mmol/mol

Due to the patient being on a su which is aasocaited with hypos and they are prescribed 2 anti diabetic medication

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16
Q

What is the target blood pressure range for someone who has stage 3 ckd and acr of 70

17
Q

Within what timescale should iv antibiotics should be reviewed

18
Q

What tool is used for bleeding risk

A

Orbit not HASBLED

19
Q

What antiemetic is used for only 5 days

A

Metcloperimide

20
Q

What statin is considered a high intensity statin

A

Rosuvastatin
Pravastatin and fluvastatin are low intensity and simvastatin is moderate

21
Q

What causes a risk of nephrotoxicity

A

NSAID
Ace-i and diuretic

Combination increases the risk of aki

22
Q

What does ertrlaine and apixaban cause

A

Risk of bleeding

23
Q

What does ertrlaine and apixaban cause

A

Risk of bleeding

24
Q

What electrolyte imbalance is caused by taking PPIs for long term

A

Hypomagnesaemia

25
What electrolyte needs to be corrected before Alendronic acid can be initiated
HYPOcalcaemia
26
What insulin is a biphasic mixture
Humulin m3
27
What insulin is a biphasic mixture
Humulin m3
28
What insulin is an intermediate acting
Humulin 1
29
What medication require annual eye check ups as per monitoring for this medication
Hydroxychloroquine Carries the risk of retinopathy Annual eye check ups are recommended for those who are taking the medication longer than 5 years
30
What medication is a DMARDs
Leflunomide
31
What is the licensing of eumovate
For eumovate to be sold otc need to be 12+