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Yr5 PSA Revision > Part 1-2 Prescribing skills > Flashcards

Part 1-2 Prescribing skills Flashcards

1
Q

neo-naclax is known as

A

bendroflumethiazide

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2
Q

thiazide diuretics cause what electrolyte abnormlaity

A

increasing potassium excretion vi akindeys causing hypokalamia

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3
Q

how to thiazide diruretics work

A

inhibiting the sodium chloride cotransporter (NCC) in the distal convoluted tubules of the kidney
,. Thiazide diuretics inhibit this receptor, causing the body to release NaCl and water into the lumen, thereby increasing the amount of urine produced each day.

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4
Q

high potassium what do you stop

A

ACE and IV fluids

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5
Q

pain regime for prescription reg

A

mild - paracetamol 1g 6hrly PO , sev co-codamol 30/500 6hrly

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6
Q

PRN pain

A

para 1g 6hrly
coiene 30mg6hrly or morphine 10mg orla 6hr

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7
Q

max dose of paracetmaol a day

A

4g

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8
Q

two drugs causing indigestion

A

ibroprofen and prednisilone

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9
Q

cuases of confusion in eledelr

A

tramadol
cyclizine
diazepam

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10
Q

when is methotrexate contraindicated

A

in active infection

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11
Q

loop diuretics to both sodium and potassium

A

both low

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12
Q

side effect of ccb

A

peripheral oedema

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13
Q

half securon is what

A

verapamil

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14
Q

treatment dose of what for DVT

A

apixaban 10mg

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15
Q

maintaince sodiumchloride normal duration for both 500ml and 1l bag

A

500ml - 4-6hours
1000ml 8-12hours

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16
Q

what is the starting dose of a statin for primary prevention of CVD

A

20mg

17
Q

difference between primary and secondary prevention

A

Primary prevention aims to prevent disease or injury before it occurs, while secondary prevention focuses on early detection of disease to prevent it from progressing

18
Q

secondary prevention dose of a statin

A

80mg

19
Q

hyperchplestroamia dose of statin starting

A

10mg

20
Q

two drugs that can causes haematemeis

A

NSAID and aspirin

21
Q

what drugs can cause dehydration

A

diuretics, laxatives and SSSRI

22
Q

how does aspirin cause iron deficiency anaemia

A

Aspirin may also cause subtle, undetected internal bleeding that leads to anaemia
inhibitory effect on production of protective prostaglandins on gastric mucosa

23
Q

what two diabetic drugs cause hypoglycaemia

A

Sulfonylureas: Such as glipizide, glyburide, gliclazide, and glimepiride. Long-acting sulfonylureas like glimepiride are more likely to cause severe, prolonged, or even fatal hypoglycemia.
Thiazolidinediones: Such as rosiglitazone and pioglitazone, when used with sulfonylureas.

24
Q

what drugs cause urinary retention

A

anticholinergics - anti p , anti d , detrusor relax
general anaesthetics
alpha adrenoreceptor
benzos
NSAID
CCB
antihistmaines
alcohol

25
Q

post surgery long QT what antiemetic of choice

A

cyclizine

26
Q

rash on rash painful, vesciluar in mandibular region, history of oncology tx

A

aciclovir 800mg - shingles

27
Q

fluid resusciitation as losing lfuids what do you prescirbe

A

sodium chloride 500ml ( bolus level as need to be as quick as possible no longer than 15min in exam so go for 10min)

could also do hartmans for resus

28
Q

high potassium caused by

A

ciclosporin
eplerenone

29
Q

dyspepsia drugs causing

A

pred
aledronic acid

30
Q

loose stool caused by

A

lansoprazole
aldrendornic acid

31
Q

ankle swelling caused by

A

NSAID
CCB
Phenelzine: Also known by the brand name Nardil
Selegiline: Also known by the brand name Emsam
MAOI - above
pregalbin

32
Q

agitated, extreme upward deviation of the eyes, painful extension and lateral flexion of cervical spine

A

procyclidine 5mg IM

33
Q

exacerbation of COPD what shoudl we do

A

pred oral 30mg

34
Q

what two drugs can you not take in critical or acute limb ischaemia or leg uclers

A

B- adrenoreceptors blockers - peripheral vasoC and worsen
ACEi also in critical limb ischaemia

35
Q

what drugs worsen HF

A

steriods and CCB

36
Q

which medication should be continued through any interucurrent illness

A

pred - as she may have chronic adrenal suppresion and her steriod treatment must not be stopped abruptly

37
Q

low INR explain what clarithymycin will do

A

will raise INR which is why you should not increase warfarin dose if on abx and level slightly beloe - check INR 48hr

38
Q

do you need monitor warfarin whilst on some abx

A

yes every 48rh

39
Q
A

Yr5 PSA Revision (20 decks)

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