GP prescribing questions Flashcards
What different routes can be used to administer drugs to a patient?
(1) topical administration, (2) inhalation, (3) oral administration, (4) injection, and (5) rectal administration
How are the 8 week immunisations administered?
All are administered by Injection
What vaccines are administered in the 8-week immunisation
The 6-in-1, the PCV, Rotavirus, Men B
What are the different routes of administration for paracetamol in any age patient?
Oral, Rectal, Intravenous - for children oral syringe.
What does a FP10 do?
The FP10 is the form used to formally prescribe treatments for a patient, which is then transferred to the pharmacy, along with payment, in return for the treatment.
Who can complete and FP10?
The following can complete and FP10 form:
GP
Community Practitioner Nurse Prescriber
Nurse Independent/Supplementary Prescriber
Independent Prescribers
Supplementary Prescribers
Hospital Unit
What information is necessary for an FP10?
Name, Age, DOB, Home address
What is an asthma prophylactic?
Clenil modulite
Formal name of an inhaler?
metered-dose inhaler (MDI)
Advice for taking alendronic acid.
plenty of water while sitting or standing, and take on an empty stomach at least 30 mins before breakfast and to stay upright for at least 30mins after taking the tablet
A side effect of long term Letrazole use?
Osteoporosis
What is alendronic acid?
Alendronic acid is an oral bisphosphonate and inhibits osteoclast mediated bone resorption
What is letrozole?
Letrozole is used in post-menopausal women with oestrogen receptor positive breast cancer.
What do ACE inhibitors cause?
Vasodilation, Potassium retention, diuresis
Why must Renal function be checked before ACE-i prescription?
Hyperkalaemia
Why does ACE-i cough happen?
Accumulations of kinin in the lung
In which racial group are ACE-i not used and why?
Afro-Caribbean, due to low renin essential hypertension, due to lower serum renin
Give an example of an Alpha1-adrenergic receptor agonist. What is it used to treat?
Doxazasin, BPH
Give an example of an subtype-selective α1A- and α1D-adrenoceptor antagonist?
Tamsulosin - minimal effects om alpha-1b adrenergic receptors responsible for anti-hypertensive effects of Doxazasin
Give an example of a T-lymphocyte suppressor
Cyclosporin
What does Cyclosporin do?
Suppresses Th1 cells, inhibits primary immune system via inhibition of IL-2
What is the therapeutic index?
The range of doses at which medication is effective without unacceptable side effects .
Give 4 examples of drug with a narrow TI
Insulin, digoxin, methotrexate, cyclosporn
What monitoring should be done on patients being treated with methotrexate?
FBC, renal and liver FT before and during treatment
