General prescribing Flashcards
PReSCRIBER mneumonia
Patient details Reaction Sign the chart Contraindications Route IV fluids Blood clot prophylaxis antiEmetic pain Relief
Drugs that increase bleeding are contraindicated when?
Patients are bleeding
Stroke (unconfirmed type) - heparin also contraindicated in ischaemic stroke
When are NSAIDs contraindicated?
Renal failure Systolic dysfunction Asthma Indigestion Clotting abnormality
If a patient is vomiting what route should be used for antiemetics
Non oral
When are compression stockings contraindicated?
in patients with peripheral arterial disease
Gentamicin dosing
trough level high ->
peak level is high ->
if the trough (pre-dose) level is high the interval between the doses should be increased
if the peak (post-dose) level is high the dose should be decreased
drugs causing SIADH
sulfonylureas (glimepiride and glipizide) SSRIs, tricyclics carbamazepine vincristine cyclophosphamide
The following drugs may worsen seizure control in patients with epilepsy:
alcohol, cocaine, amphetamines ciprofloxacin, levofloxacin aminophylline, theophylline bupropion methylphenidate (used in ADHD) mefenamic acid
Drugs causing hyperkalaemia
Dalteparin
ACE-i
Tacrolimus
Drugs causing hyponatraemia
Ramipril
Citalopram
Bendroflumethiazide