GP Flashcards
Define Polypharmacy?
Simultaneous use of multiple medicines by a patient for their conditions.
Most commonly it is defined as regularly taking five or more medicines
Define Concordance?
An agreement reached after negotiation between a patient and a healthcare professional that respects the beliefs and wishes of the patient in determining whether, when, and how medicines are taken.
When are the Baby Checks carried out?
Within first 72 hours of life
Heel Prick blood spot test
New Born Hearing Test
First 6-8 weeks of life
What checks are carried out in the first 72 hours baby check?
Overall physical exam
- Eyes - Cataracts
- Heart - Murmurs
- Hips - DDH
- Testicles - Cryptorchidism
What conditions are tested for in the Heel prick blood spot test?
Phenylketonuria
Congenital Hypothyroidism
Sickle Cell disease
Maple Syrup Disease
Homocystinuria
Congenital Adrenal Hyperplasia
Cystic Fibrosis
MCAD
When is the 6in1 vaccine given?
3 Doses given at 8, 12 and 16 weeks old via IM
What conditions are protected against within the 6in1 vaccine?
Diphtheria
Hepatitis B
Haemophilus Influenza B
Polio
Tetanus
Pertussis
What other vaccines are given in childhood?
Pneumococcal
Meningitis B
Rotavirus
What monitoring should be done when a patient is prescribed an ACEi?
Monitor Renal Function
- before starting
- When Increasing Dose
- Periodically whilst on it
What is Naproxen contraindicated in?
Recurrent GI bleeds
Active ulceration
NSAID induced ulceration
Severe heart failure
Aspirin allergy
Renal failure
What is a fairly common side effect of Naproxen?
Bronchospasm in 8-20% of patients
What are the side effects of Metformin?
Risk of Lactic acidosis if metformin taken with IV contrast
Therefore Metformin withheld for 48 hrs
GI disturbance (N+V, Anorexia and Diarrhoea)
What are the components of an annual Diabetic Review?
- Height and weight
- Blood Pressure
- Review blood glucose control
- Review your HbA1c and cholesterol levels
- Discuss any issues you have with your diabetes or health in general
- Advise any change in regimen, lifestyle or medication – including any side effects
What is St Johns Wart?
Why is it important that Doctors know if the Px is using this?
Herbal Medicine taken for mild-moderate depression.
A Complementary Alternative Medicine (CAM)
A CYP inducer and therefore it will interact with multiple other drugs
What is the Pharmacological treatment for depression?
Selective Serotonin Re-uptake Inhibitors (SSRI) - Fluoxetine/Sertraline
Other Options:
TCA - Amitriptyline
SNRi
MOAI
