Part 1-2 Prescribing skills Flashcards
neo-naclax is known as
bendroflumethiazide
thiazide diuretics cause what electrolyte abnormlaity
increasing potassium excretion vi akindeys causing hypokalamia
how to thiazide diruretics work
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.
high potassium what do you stop
ACE and IV fluids
pain regime for prescription reg
mild - paracetamol 1g 6hrly PO , sev co-codamol 30/500 6hrly
PRN pain
para 1g 6hrly
coiene 30mg6hrly or morphine 10mg orla 6hr
max dose of paracetmaol a day
4g
two drugs causing indigestion
ibroprofen and prednisilone
cuases of confusion in eledelr
tramadol
cyclizine
diazepam
when is methotrexate contraindicated
in active infection
loop diuretics to both sodium and potassium
both low
side effect of ccb
peripheral oedema
half securon is what
verapamil
treatment dose of what for DVT
apixaban 10mg
maintaince sodiumchloride normal duration for both 500ml and 1l bag
500ml - 4-6hours
1000ml 8-12hours
what is the starting dose of a statin for primary prevention of CVD
20mg
difference between primary and secondary prevention
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
secondary prevention dose of a statin
80mg
hyperchplestroamia dose of statin starting
10mg
two drugs that can causes haematemeis
NSAID and aspirin
what drugs can cause dehydration
diuretics, laxatives and SSSRI
how does aspirin cause iron deficiency anaemia
Aspirin may also cause subtle, undetected internal bleeding that leads to anaemia
inhibitory effect on production of protective prostaglandins on gastric mucosa
what two diabetic drugs cause hypoglycaemia
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.
what drugs cause urinary retention
anticholinergics - anti p , anti d , detrusor relax
general anaesthetics
alpha adrenoreceptor
benzos
NSAID
CCB
antihistmaines
alcohol
post surgery long QT what antiemetic of choice
cyclizine
rash on rash painful, vesciluar in mandibular region, history of oncology tx
aciclovir 800mg - shingles
fluid resusciitation as losing lfuids what do you prescirbe
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
high potassium caused by
ciclosporin
eplerenone
dyspepsia drugs causing
pred
aledronic acid
loose stool caused by
lansoprazole
aldrendornic acid
ankle swelling caused by
NSAID
CCB
Phenelzine: Also known by the brand name Nardil
Selegiline: Also known by the brand name Emsam
MAOI - above
pregalbin
agitated, extreme upward deviation of the eyes, painful extension and lateral flexion of cervical spine
procyclidine 5mg IM
exacerbation of COPD what shoudl we do
pred oral 30mg
what two drugs can you not take in critical or acute limb ischaemia or leg uclers
B- adrenoreceptors blockers - peripheral vasoC and worsen
ACEi also in critical limb ischaemia
what drugs worsen HF
steriods and CCB
which medication should be continued through any interucurrent illness
pred - as she may have chronic adrenal suppresion and her steriod treatment must not be stopped abruptly
low INR explain what clarithymycin will do
will raise INR which is why you should not increase warfarin dose if on abx and level slightly beloe - check INR 48hr
do you need monitor warfarin whilst on some abx
yes every 48rh
what two medications are commonly prescribed weekly
bisphosphonates
methotrexate
Approximately what percentage of patients who are allergic to penicillin are also allergic to cephalosporins?
0.5-6.5%
v
Chlorpromazine
anti p
chlorophenamine
anti h
what medications are usually taken at night
statins
amitriptyline
4 domain marks - remeber to put dose route and frequency
A. Drug Clarithromycin 4 / 4
B. Dose, route, frequency 500mg IV BD 0 / 4
C. Date 23/12/24 1 / 1
D. Signature Harry Richardson
for emergency contraception what do you write in duration
STAT
