otc ppt Flashcards

1
Q

What are the BMI categories

A

under 18 - under weight
18-25 normal
25-30 over weight
30 plus obese

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2
Q

What are the recommended weekly alcohol units

A

men and women 14 units spread across at least 3 days

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3
Q

What are the alarm symptoms for gord

A

dysphagia, weight loss, bleeding, change in bowel habit, sudden onset, age over 55

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4
Q

how many units are in a single shot of spirit

A

1 unit

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5
Q

How many units are in a 35ml shot

A

1.4 units

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6
Q

How many units are in a small glass of wine 125ml

A

1.5 units

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7
Q

How many units are in a pint of beer or cider

A

2 units low strength, 3 units high strength

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8
Q

How many units in a regular glass of wine 175ml

A

2.1 units

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9
Q

How many units in a large 250ml glass of wine

A

3 units

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10
Q

How do you work out units in a drink

A

strenghth x vol/100

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11
Q

Which analgesic would you recommend to a breast feeding woman

A

paracetamol/ibuprofen

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12
Q

Which analgesic would you recommened to a 54 year old man

A

paracetamol or ibuprofen

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13
Q

Which analgesic would you recommend for a suprerficial burn

A

paracetamol

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14
Q

Which analgesic would you recommend if a patient is taking amlodipine, bendroflumethiazide and ramipril

A

avoid nsaid

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15
Q

Which analgesic would you recommend for a patient with citalopram

A

avoid nsaids

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16
Q

Who is naproxen licensed for otc

A

250mg tablets for the tx of primary dysmenorrhea in women aged 15-50 years old

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17
Q

what is the dosing of naproxen otc

A

day 1: 2 tablets initially then one every 6-8 hours if needed
day 2 and 3: one every 6 to 8 hours
no more than 3 per day
max cycle is 3 days

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18
Q

What is the nhs advice for cold and flu

A

ease aches and pains or sore throat with paracetamol or ibuprofen
relieve blocked nose with decongestant sprays or tablets

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19
Q

What is the thrush referral criteria

A

<16 year old and >60
diabetic
more than 2 occurrences in 6 months

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20
Q

What is the tx for ringworm (tinea corporis)

A

clotrimazole 1% or miconazole 2%. no legal age limit

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21
Q

What is the tx for athletes foot

A

under 10 clotrimazole
10+ clotrimazole or miconazole with hydrocortisone
16+ terbinafine
18+ lamisil once

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22
Q

What is the tx for nappy rash

A

barrier cream
if fungal then clotrimazole
if inflammation then refer for hydrocortisone

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23
Q

What is the tx for oral thrush

A

miconazole, 4 months old, use after eating, qds for 7 days

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24
Q

What is the otc age for hydrocortisone

A

10 years old

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25
Q

What is the otc age for clobetasone

A

12

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26
Q

what are the contraindications for otc steroids

A

not on broken skin, face, genital area, for longer than 7 days or on a large area

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27
Q

What is the dose of paracetamol for 3-5months

A

2.5ml

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28
Q

What is the dose of paracetamol for 6-23 months

A

5ml

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29
Q

What is the dose of paracetamol for 2-4

A

7.5ml

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30
Q

What is the dose of paracetamol for 4-6

A

10ml

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31
Q

What is the dose of paracetamol for 6-8

A

5ml

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32
Q

What is the dose of paracetamol for 8-10

A

7.5ml

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33
Q

What is the dose of paracetamol for 10-12

A

10ml

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34
Q

What is the dose of ibuprofen for 3-5

A

2.5ml tds

35
Q

What is the dose of ibuprofen for 6-11

A

2.5ml t-qds

36
Q

What is the dose of ibuprofen for 1-3

A

5ml tds

37
Q

What is the dose of ibuprofen for 4-6

A

7.5ml tds

38
Q

What is the dose of ibuprofen for 7-9

A

10ML tds

39
Q

What is the dose of ibuprofen for 10-11

A

15ml tds

40
Q

What are the symptoms of measles

A

red/brown blotchy rash
conjunctivitis
koplik spots

41
Q

What symptoms associated with rashes should cause concern?

A

non-blanching, sensitivity to light, drowsiness/confusion, not wanting to play, stiff neck, severe headache, severe or prolonged temp, infection, worsening symptoms

42
Q

What are the symptoms of chicken pox

A

itchy spots that develop into fluid filled blisters. Infections until 2 days before rash develops and until crusts over

43
Q

What is the incubation period for chicken pox

A

10-20 days

44
Q

What are the symptoms of shingles

A

tingling or painful rash on one side of the body

45
Q

What are the symptoms of hand, foot and mouth

A

ulcers in the mouth and raised spots on hands/feet

46
Q

What are the symptoms of molluscum contagiosm

A

harmless and rarely needs treatment. Only symptom is spots. Raised dome like appearance with a white like in the middle. spots will clear in 18 months. contagious

47
Q

What are the symptoms of scarlet fever

A

flu like
rash appears 12-48 hrs later, starting on stomach and spreading. feels like sandpaper
strawberry tongue

48
Q

What is the tx for scarlet fever

A

pen v

49
Q

What us the otc age for esomeprazole

A

18

50
Q

What us the otc age for threadworms

A

2

51
Q

What us the otc age for cyclo f

A

18-45

52
Q

What us the otc age for pepto bismol

A

16 years

53
Q

What us the otc age for levonelle one step

A

16+ unless on a pgd

54
Q

What are the compression rates

A

100-120 per minute and after 30 then give 2 rescue breaths

55
Q

Which vitamins are recommended in pregnancy

A

folic acid, vitamin d, iron, vitamin c, calcium

56
Q

Why is folic acid recommended in pregnancy

A

to help babys spine to form and reduce the risk of neural tube defects

57
Q

What is the dose of folic acid in pregnancy

A

400mcg daily and throughout first 12 weeks. High dose if: diabetes, family hx of ntd, epilepsy

58
Q

What dose of vit is recommended in pregnancy

A

10mcg per day

59
Q

What is the effect of pregnancy on medication clearance

A

medication clearance increases as a result of increased cardiac output, so doses of some medications may need to be higher in the second and third trimesters

60
Q

Which vaccines are recommended in pregnancy

A

whooping cough, flu, covid 19

61
Q

What is a teratogenic drug

A

an agent that can disturb the developement of an embryo or foetus by halting the pregnancy or producing congenital malformations

62
Q

Which drugs are teratogenic

A

sodium valproate, oral retinoids, anitepleptics, tetracyclines, lithium, ace inhibitors

63
Q

Discuss cytotoxic drugs and pregnancy

A

most drugs are cytotoxic and should not be administered in pregnancy. exclude pregnancy before treatment and use effectie contraception during and after tx

64
Q

Which drugs are used as normal for asthma during pregnancy

A

saba, laba, ics, theophylline, montelukast

65
Q

Discuss anticoagulation in pregnancy

A

increase the risk of blood clot. switch onto lmwh and stop when labour begins

66
Q

Discuss anticoaglation in breastfeeding

A

lmwh or warfarin

67
Q

What are the tx options for depression in pregnancy

A

no intervetnion/psychological
no licensed antidepressant
ssris - sertraline/fluoxetine
tcas amitryptilline and imipramine
avoid maois and sjw

68
Q

Discuss breast feeding and antidepressants

A

lowest levels in breast milk noted with sertraline
highest levels in breast milk associated with citalopram and fluoxetine

69
Q

Which antihypertensives are used in pregnancy

A

labetalol or methyldopa
avoid ace and arb and diuretics

70
Q

Which antihypertensives are recommended in breast feeding

A

labetalol or methyldopa
avoid amlodipine, diuretics, arb, acei. catopril or enalapril may be used in mothers breastfeeding older infants

71
Q

What is the tx for pre existing diabetes in pregnancy

A

continue metform
stop other antidiabetics

72
Q

What is gestational diabetes

A

fbg >5.6 or 2 hours plasma level >7.8

73
Q

what is the tx for gdm

A

diet and lifestyle for 2 weeks
metformin
gliblenclamide in 2nd and 3rd trimester
insulin and metofrmin
stop after birth

74
Q

How is diabetes managed in breastfeeding women

A

metformin, insulin
increased risk of hypo if breast feeding, meal or snack before or during feeds helps to prevent thi

75
Q

What is given to pregnant women with epilepsy

A

folic acid 5mg od

76
Q

Which drugs have the lowest teratogenic potential in epilepsy

A

lamotrigine and levetiracetam

77
Q

Which antibiotics should be avoided in pregnancy

A

tetracyclines, aminoglycosides, quinolones, azithromycin, clarithromycin, high dose metronidazole

78
Q

Which antibioitcs are safest in pregnancy

A

penicillins, cephalosporins and erythromycin

79
Q

What is pre-eclampsia

A

hypertension and proteinuria

80
Q

What are the risk factors for pre eclampsia

A

first pregnancy, mum over 40, bmi over 35, multiple pregancy, ckd, diabetes

81
Q

What is given to high risk of pre eclampsia

A

prophylaxis with aspirin 75-150mg daily from 12 weeks until birth
treat with antihypertensives or induciton of labour

82
Q

When can iuc be used post partum

A

<48 hours of delivery or +28 days after

83
Q

when can po implant be pp

A

any time

84
Q

When can chc be used pp

A

vte assessment
not breastfeeding +21 days
bf +42 days