Otc Flashcards

1
Q

Referral points for constipation

A

Refer if patient has been constipated for more than 14 days or more than seven days for children
Terry red, black, bloody stools, constipation, accompanied by wait an appetite loss, constipation with me again without a cause of dry skin constipation in over 50 years old with a new me abdominal pain and weight loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Moa of bulk forming laxatives

A

Swell up in the gut to increase faecal mass and so peristalsis is stimulated and encourage proliferation of colonic bacteria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How long does bulk forming laxatives take to reach full effect?

A

2 to 3 days side-effects, flatulence, abdominal pain, safe in pregnancy and breastfeeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Fybogel age

A

Over 6 years of age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Counselling advice for bulk forming laxatives

A

Must drink plenty of water when taking bulk forming laxative not to take before bed due to risk of oesophageal and intestinal obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Moa of osmotic

A

Retain fluids in the bowl by osmosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How long does it take for osmotic to work?

A

2-3 days to work
Safe in pregnancy and breastfeeding flatulence abdominal pain collic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Moa of stimulant laxatives

A

Increase motility by stimulating peristalsis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How long does it take for a stimulant laxative to work?

A

Effect can be achieved within 6 to 12 hours or within an hour, if applied as a suppository side-effects, abdominal pain, hyperkalaemia, avoiding pregnancy and breastfeeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Moa of stool softeners

A

Decrease surface tension and increase penetration of intestinal fluids. Takes up an hour to work on a plan as a suppository.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Docusate and glycerol

A

Have a stimulant and stool softener properties

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Biscadoyl
Counselling

A

Should not be taken with antacids and milk at the same time as the Internet courting can be broken down, cotton dyspepsia and gastric irritation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Referral points for diarrhoea

A

Babies under 12 months, if a child stops breast or bottlefeeding if a child under 5+70, her dehydration such as for your wet nappies, if the child is over five years old, but still showing signs of dehydration after you think I will rehydration sachets if diary process for more than seven days bloody diarrhoea, unable to drink fluids. Change in bowel habits in 50 years and above with concurrent weight loss.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Age for loperamide

A

12 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Dose for loperamide

A

Two tablets initially, and then one tablet to be taken after each loose stool maximum 16 mg a day eight tablets, not suitable for pregnancy and breastfeeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Bismuth salicylate age

A

> 16 years of age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Bismuth in P & breastfeeding

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Interaction between pepto bismol

A

Quinolone antibiotic leave a two hour gap

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Dose for pepto bismol

A

30ml or two tablets every 30 to 6 minutes when needed maximum eight tablets a day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Bismuth sub salicylate cancelling

A

Can result in salsalate absorption should be avoided by individuals hypersensitive to aspirin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Difference between heartburn and indigestion

A

Heartburn is burning pain and discomfort in the stomach all the way up to the oesophagus. Indigestion refers more to the pain from the chest to the upper abdominal and lower abdominal symptoms.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Referral for heartburn and indigestion

A

Anaemia, loss of weight anorexia and pain radiates to the back and the arms difficulty swallowing drugs which causes heartburn new or recently change symptoms in over 55 years of age, 4 weeks jaundice, severe liver, liver, disease and children

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Antacids age

A

> 12 years old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Alignates age

A

> 12 years of old
Gaviscon >6 years old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

H2 antagonists counselling

A

Can we recommended for short-term 14 days only license +16 years old can be used in pregnancy and breastfeeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

PPI counselling

A

14 days only license for 18 years old and above can mask symptoms of gastric cancer over 55 years of range. NHRA running very low risk of subacute lupus
, erythematous 

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Mebeverine age

A

18 +

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Orlistat counselling

A

18 years over and over with a BMI of 28 kg or more should be taken in conjunction with a low-fat Miley hypercaloric diet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Referral for orlistat

A

Diabetes not recommended for Accra boss American only required dose. Adjustment antiepileptic risk of convulsions people with chronic malabsorption syndrome, colour status, Conqueror treatment with ciclosporin or warfarin, pregnant or breastfeeding, a rectal bleeding while taking Orlistat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Counselling for Orlistat

A

Treatment should not exceed six months, if patient has not been able to lose weight after 12 weeks of treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Dose for Orlistat

A

One capsule, three times a day taken with water immediately before or during up to 1 hour after each main meal. If the meal contains no fat in the dose should be omitted.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Interactions with Orlistat

A

May reduce availability of oral contraceptives, ADEK, fat, soluble, vitamins, . patient should be referred with amirodone, oral anticoagulant, acrabose , antiepileptic, ciclosporin levothyroxine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Referral for haemorrhoids

A

unresponsive to 1 week of otc treatment symptoms longer than three weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Anusol hc age

A

> 18 not to be is longer than a week’s duration for a maximum four times a day

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Astringents age

A

> 12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

Referral for mouth ulcers

A

No signs of healing for more than 14 days to 3 weeks if also more than 1 cm in diameter, persistent recurrent diarrhoea weight loss is present painless ulcers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

Hydrocortisone buccal tablets age

A

> 12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

Bonjella-O, Junior, age

A

Five months to 16 years old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

How long can anebesol and teething gel be used for

A

Seven days

40
Q

referral points for oral thrush .

A

Diabetic patient does not result in more than three weeks immunocompromised patients children under four months of old painless lesions in those above 50 years, old or patches that cannot be wiped off difficulty open when swallowing

41
Q

Daktarin gel age

A

License for four months, old and above

42
Q

how long should you continue treatment for Daktarin jel?

A

Should continue treatment for up to 1 week after symptoms have disappeared

43
Q

Referral for cough

A

Costing more than 2 to 3 weeks coloured, sputum, blood in sputum, difficulty, breathing chest pain

44
Q

Codeine, linctus counselling

A

Contraindicated in less than 18 years, old liver disease, spreading, invest, feeding in asthma, drug abuse tolerance may occur

45
Q

Dextromethorphan age and ca

A

> 12 contraindicated in SSO MAOI, or any other medication for depression, psychiatrical, emotional conditions

46
Q

For codeine, linctus age

A

Above 12 years old children, 6 to 12 years old for five days, only contraindicated in less than 6 years of age, people at risk of respiratory failure, COPD, liver disease

47
Q

Cough expectorant age

A

12 years, benylin children, 6 to 12 years old

48
Q

Ccetirizine age

A

> six years old
Syrup over two years old

49
Q

Loratadine age

A

over six years old
Syrup over two years old

50
Q

Corticosteroids counselling

A

4/18 years old contraindicated in glucoma, Cataracs treatment should be stuck with no improvement is it within seven days should not be used for more than three months

51
Q

Which two drugs need referring if you experience motion sickness

A

Theophylline or digoxin

52
Q

Age for Promethazine

A

10mg tablets license for five years old>
25mg license for 10 years old and above

53
Q

Joy ride age

A

> 3 years old

54
Q

Kwells age

A

> 10

55
Q

Kweels kids age

A

4-10

56
Q

Cyclzine age

A

> 6 years old

57
Q

Cinnarizine

A

> 5 years old

58
Q

Migraleve age

A

> 16

59
Q

Sumatriptan age

A

18-65

60
Q

Sumatriptan dose

A

50 MG to be taken onset of migraine . If there is a response to the first tablet, a second tablet, must be taken two hours after the first tablet, no more than two tablets in 24 hour period 

61
Q

Which headline treatment is suitable for asthma, pregnancy and breastfeeding

A

Dimeticone 4%

62
Q

Full marks solution suitable for asthmatic

A

Yes

63
Q

Derbac M malathion age

A

Over 6 months

64
Q

Mebendazole age

A

> 2 years

65
Q

Mebendazole in P&B

A

No only hygiene measures for six weeks

66
Q

Referral for cystitis

A

Children under 16 years old man, pregnant women patients with diabetes longer than seven days recurrent

67
Q

Referral for thrush

A

More than two attacks in six months patient under 16/60 years old

68
Q

Ella one is licensed within how many days

A

Five days 120 hours

69
Q

Levonorgestrel is licensed for

A

16 years of age and although within 72 hours three days

70
Q

Ella one contra indication

A

Not recommended for patients taking CYP3 A4, enzyme inducing medicines within within the last four weeks of vomiting occurs within three hours another tablet should be taken

71
Q

Levonorgestrel cA

A

Not suitable for patients taking CYP3 A4 enzyme induces or herbal products in the last four weeks for people who are CID is not an option 2 tablets can be taken patient above 70kg of BMI above 26 levonorgestrel is less effective double doors is offlabel vomiting occurs within three hours. Another door should be taken.

72
Q

Ella one suitable for overweight patients

A

Yes

73
Q

Cautions for Ella one

A

Severe liver, impairment, severe asthma on all glucocorticoid
Patient on cyclosporine

74
Q

Cautions for levonorgestrel

A

Severe liver dysfunction, patient service for pregnancy, inflammation of the Philippian tubes, malabsorption syndrome, cyclosporine

75
Q

Interactions between Ella one and levonorgestrel

A

Enzyme inhibitors cyp3a4 inhibitors should be offered a copper, intrauterine device within five days or double the dose of levonorgestrol

76
Q

Which is the most effective contraceptive method

A

IUD

77
Q

Ella one and breastfeeding

A

Ella one
Not recommended for breastfeeding for one week advised to maintain lactation

78
Q

Levonorgestrel and breastfeeding

A

Wait 8 hours

79
Q

Ella one and coc and poc

A

To reduce the efficacy of combined oral contraceptive progestogen containing drug should not be started for five days afterwards

80
Q

Naproxen age

A

15-50 years

81
Q

Naproxen for dysmenorrhea dose

A

No more than three tablets per day, no more than three days treatment in any one months

82
Q

Dose for tranexamic acid

A

Two tablets, three times a day until symptoms are elevated. It should not be taken more than four consecutive days, maximum 4 g daily eight tablets

83
Q

Tranexamic acid age

A

18-45

84
Q

Tamsulosin age

A

45-75 years of age

85
Q

Supply critter for Tamsulosin

A

45-75
Symptoms must be present for three
Two weeks apply should be supplied initially if symptoms have been improved then a further supplier for weeks can be made after six weeks after the supply can only be mad if the patient confirmed that the doctor has carried out a clinical assessment, this must be confirmed every 12 months

86
Q

Main CA for sildenfil

A

Hypertension renal impairment of cardiovascular in the last six months, women men under 18 years old

87
Q

Food and sildenfil

A

If taken with food the onset of activity may be delayed, competitive, fasted state

88
Q

Chlororamphenicol age

A

> 2 years

89
Q

Chloramphenicol dose

A

One drop every two hours for the first 48 hours than reducing four times a day for maximum five days

90
Q

Which ingredient in a drug causes, stinging an irritation

A

Benzalkonium

91
Q

Can you treat a chesty cough with an antitussive?

A

No risk of chest infection, mucus accumulates
in the lungs

92
Q

Significant interaction with levenolle

A

Ciclosporin

93
Q

Can you take Ella one in more than one cycle

A

No

94
Q

Which medications can cause cystitis

A

allopurinol cyclophosphamide

95
Q

Naproxen age

A

15/50