Look over

Question 1

How should rapid furosemide be administered

Answer 1

IV

Question 2

What drugs may contribute to hyperkalaemia

Answer 2

• Heparin (inhibit aldosterone)
• tacrolimus
• Ace inhibitors
• ciclosporin

Question 3

Withhold in renal impairment

Answer 3

Allopurinol and ACE

Question 4

In renal impairment what may contribute to confusion

Answer 4

Steroids, opioids and benzos

Question 5

When on fentynyl patch what can be used for breakthrough pain

Answer 5

Fentanyl 50mcg nasal spray 2 sprays 10 mins apart if required - then 4hrs

Question 6

How should rivaroxiban be taken

Answer 6

with food if above 15 mg

Question 7

When should we not worry about creatinine increase

Answer 7

A rise of <20% is expected once starting an ACE inhibitor

Question 8

Most significant adverse affect to monitor for in ciclosporin

Answer 8

Renal toxicity - serum creatinine

Question 9

Acute distonia

Answer 9

procyclidine hydrochloride 5mg IV

Question 10

Prednisolone 30 mg dose delivery

Answer 10

5mg tablet 4 hourly

Question 11

if given 2 litres saline potassium chloride and euvolemic what next (NBM)

Answer 11

needs more potassium not more sodium - potassium 0.3%/glucose 5% 8 hours

Question 12

HRT - no withdrawal bleed

Answer 12

levongestrel/estrodiol patch 24 hours weekly patch

Question 13

What not to give with venous ulcers

Answer 13

beta blockers

Question 14

What causes biventricular failure

Answer 14

diltiazem and prednisolone (sodium and fluid retention)

Question 15

vaginal candida causes

Answer 15

Abx and steroids

Question 16

When not to give trimethoprim

Answer 16

With methotrexate or in first trimester

Question 17

What is scarlet fever

Answer 17

Strep A infections

Question 18

INR interpretation

Answer 18

More number more bleed

Question 19

Missed pill once

Answer 19

Take today and yesterday as normal

Question 20

If patient been put on k+ sparing diuretic

Answer 20

Monitor and chek k+ 1 week time

Question 21

What are sleep disturbances

Answer 21

Abnormal dreams

Question 22

Fentanyl patch questions

Answer 22

prescribing in palliative care - add all the morphine doses together then choose patch from table

Question 23

If patient not picking up prescription

Answer 23

Do not change it

Question 24

can cause ankle swelling

Answer 24

Naproxen
amlodipine

Question 25

If a patient has nueropathic pain what give

Answer 25

DONT GIVE AMITRYPTILLINE UNTIL YOU HAVE TRIED PARACETEMOL FIRST

Question 26

Diabetic on insulin on day of surgery when on VRIII

Answer 26

To reduce risk of hypokalemia/glycemia give Sodium/glucose/pottasium over 8 hours

Question 27

What can alendronic acid do

Answer 27

Worsen Aki

Question 28

hOW SHOULD VINCRISTINE BE ADMINISTERED

Answer 28

IV only

Question 29

Levothyroxine in patient with cardiac disease

Answer 29

Start at 25mcg, adjust by 25mcg each month

Question 30

bones, stones, moans, and groans

Answer 30

Hypercalcemia - sodium chloride 1 L 4 hours

Question 31

What must you check for in patient taking beta blockers

Answer 31

Asthma

Question 32

What reduces efficacy of doxycycline

Answer 32

ferrous sulfate - decreases absorption

Question 33

Rifampacin side effect

Answer 33

hepatitis and orange secretions

Question 34

Pyrazinamide

Answer 34

gout, hepatitis, athralgia, myalgia

Question 35

isoniazid

Answer 35

peripheral neuropathy, hepatitis agranulocytosis