Em The Pharamcist Flashcards
What is the dose for paracetamol for a 2 yr old
180 every 4-6 hrs
Lithium and arb interaction
Increases the concentration of lithium making it become toxic
What medication needs to be omitted during periods of d+v
Diuretics should be omitted during periods of f and v due to risk of dehydration and aki
What advice would you give to a prescriber in terms of scheduling 2 drugs
Strongly recommended that no more than 30 days supply is prescribed of schedule 2, 3 or 4 drugs
What advice would you not give to a patient who has osteoporosis
Acupuncture should not be recommended for symptom relief in osteoporosis
Should give advice of exercise and only short term relief
What would you recommend to a patient who is on warfarin and has a heavy nose bleed that wouldn’t stop
Refer to a and e
What symptom would you need to seek immediate medical advice if the patient is on clozapine
Constipation due to intestinal blockage, faecal impaction and paralytic ilius
What is the FIRST Lines treatment for constipation for opioids
Either an osmotic laxative Laxido or a stimulant laxative senna
What antibiotic requires monitoring for new or worsening respiratory symptoms
Nitrofurantoin
Which medication has the highest anticholinergic burden
Amitriptylline
Which medication should not be taken with food
Lansoprazole should be taken at least 30 mins before food
What blood test need to be checked for arbs and antityroid medication
Renal function test and electrolytes for arbs and tft for levothyroxine
What is the moa of amoxicillin
Inhibits the peptidoglycan synthesis which weaken the bacterial cell wall
If the risk score came back >10% what advice would you give to a patient
Aim to do at least 150mins of exercise a week
What would be the target hba1c level for someone who has 2 anti diabetic medication
53mmol/mol
Due to the patient being on a su which is aasocaited with hypos and they are prescribed 2 anti diabetic medication
What is the target blood pressure range for someone who has stage 3 ckd and acr of 70
130/80
Within what timescale should iv antibiotics should be reviewed
48hrs
What tool is used for bleeding risk
Orbit not HASBLED
What antiemetic is used for only 5 days
Metcloperimide
What statin is considered a high intensity statin
Rosuvastatin
Pravastatin and fluvastatin are low intensity and simvastatin is moderate
What causes a risk of nephrotoxicity
NSAID
Ace-i and diuretic
Combination increases the risk of aki
What does ertrlaine and apixaban cause
Risk of bleeding
What does ertrlaine and apixaban cause
Risk of bleeding
What electrolyte imbalance is caused by taking PPIs for long term
Hypomagnesaemia
What electrolyte needs to be corrected before Alendronic acid can be initiated
HYPOcalcaemia
What insulin is a biphasic mixture
Humulin m3
What insulin is a biphasic mixture
Humulin m3
What insulin is an intermediate acting
Humulin 1
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
What medication is a DMARDs
Leflunomide
What is the licensing of eumovate
For eumovate to be sold otc need to be 12+
