Pharmacology Flashcards
UK Guideline Recommendation on Alcohol Consumption
No more than 14 units per week
Less than 3 units a day
At least 2 alcohol-free days per week
First Line Treatment for patients with alcohol withdrawal symptoms
1st Line: BDZ (Chlordiazepoxide)
Treatment for Alcohol withdrawal with Hepatic Failure
Lorazepam
How much folic acid would you give in a patient with sickle cell disease or thalassemia or thalassemia trait?
5mg OD for the entire pregnancy
How much folic acid would you give a pregnant who has BMI>30, diabetes, been taking antiepileptics, history of pregnancy with NTD and fam hx of NTD
5mg for the first 12 weeks
How much folic acid to give for healthy pregnant patients?
400mcg OD x 12 weeks
Methotrexate can be given for patients diagnosed with ectopic pregnancy if she satisfies ALL the following criteria:
Not in significant pain
Hemodynamically stable
Adnexal mass <35mm with no fetal heart visible
No intrauterine pregnancy
Serum hCG < 5000 IU/L (ideally < 1500 IU/L)
Able to return for follow-up
Drug of choice for Acute Osteomyelitis
Flucloxacillin for 4-6 weeks PLUS Fucidic acid for the first 2 weeks
Clindamycin for PCN allergy
-PE 3820
pedia Q129
Main complications of rhabdomyolysis
AKI and Hyperkalemia
Lithium, a mood stabilizer, is indicated and was proven effective in treating manic episodes of bipolar disorder. How do you measure lithium?
It is measured 12 hours after the last dose.
It is measured one week after starting the patient on lithium.
Repeat measurement after three months
***Remember that it has narrow therapeutic index.
Pre-hospital setting + suspect meningococcal disease
Management?
IM Benzylpenicillin
Hospital setting + suspect meningococcal disease
IV ceftriaxone (or cefotaxime)
Meningitis caused by listeria
IV amoxicillin and IV gentamicin
Patients > 60 years old/immunocompromised (meningitis)
IV ceftriaxone and IV amoxicillin
Meningitis + hypersensitivity to PCN or cephalosporins
Chloramphenicol
