Pharmacology Prescribing Flashcards
What does simvastatin interact with?
Clarithromycin (9 statin for 7 days)
What does amiodarone interact with?
Statins (9 statin for 7 days)
What 2 drugs does Thiazide interact with?
- PPI
2. Lithium
What 2 drugs do ACE inhibitors interact with?
- Potassium sparing diuretics
2. Metformin
What 2 drugs does metformin interact with?
- Cimetidine
2. ACE inhibitors
What 9 drugs would you withhold in an AKI?
- Metformin
- Ramipril
- NSAID’s
- Furosemide
- Aspirin
- Gentamicin & Aminoglycosides
- Lithium
- IV contrast
- Cephalosporins
What are the 3 steps to filling out a drug Kardex?
- Ensure front is filled in - patient details, target O2 sats, allergies & reaction, back page name & CHI
- Confirm what drug, what route & frequency (use BNF)
- Do they need thromboprophylaxis? - fill in blue bar
What are 2 things you can prescribe for thromboprophylaxis?
- Enoxaparin 40mg SC
2. TED stockings (dose = 1 pair)
What are 2 important points to check in the BNF when prescribing a new drug?
- Allergies
2. Interactions with regular medications
What does “9” mean on a drug Kardex?
Dose withheld on doctors instructions
What timings would you give when prescribing parenteral thromboprophylaxis (enoxaparin)?
1600-1800
What timings would you give when prescribing TED stockings?
Circle all time durations
What timings would you give when prescribing metformin?
Taken with breakfast at 0700-0900
What timings would you give when prescribing Alendronic acid?
- Taken weekly
- 0700-0900 before breakfast
- Whilst sitting up for 30mins
- Plenty of water
What timings would you give when prescribing statins?
2200-2400 (before bed)
What timings would you give when prescribing diuretics?
0700-0900
What 3 things should you never abbreviate on a drug kardex?
- Micrograms
- UNITS
- Nanograms
List 4 special drugs which have their own separate drug charts?
- Warfarin
- Insulin
- Gentamicin
- Vancomycin
What does NG route mean?
Nasogastric
What does PV route mean?
Per vagina
What does NJ route mean?
Nasojejunostomy
What does TOP route mean?
Topical
What does NEB route mean?
Nebulised
What does ID route mean?
Intradermal