Pharmacology Prescribing Flashcards

1
Q

What does simvastatin interact with?

A

Clarithromycin (9 statin for 7 days)

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2
Q

What does amiodarone interact with?

A

Statins (9 statin for 7 days)

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3
Q

What 2 drugs does Thiazide interact with?

A
  1. PPI

2. Lithium

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4
Q

What 2 drugs do ACE inhibitors interact with?

A
  1. Potassium sparing diuretics

2. Metformin

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5
Q

What 2 drugs does metformin interact with?

A
  1. Cimetidine

2. ACE inhibitors

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6
Q

What 9 drugs would you withhold in an AKI?

A
  1. Metformin
  2. Ramipril
  3. NSAID’s
  4. Furosemide
  5. Aspirin
  6. Gentamicin & Aminoglycosides
  7. Lithium
  8. IV contrast
  9. Cephalosporins
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7
Q

What are the 3 steps to filling out a drug Kardex?

A
  1. Ensure front is filled in - patient details, target O2 sats, allergies & reaction, back page name & CHI
  2. Confirm what drug, what route & frequency (use BNF)
  3. Do they need thromboprophylaxis? - fill in blue bar
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8
Q

What are 2 things you can prescribe for thromboprophylaxis?

A
  1. Enoxaparin 40mg SC

2. TED stockings (dose = 1 pair)

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9
Q

What are 2 important points to check in the BNF when prescribing a new drug?

A
  1. Allergies

2. Interactions with regular medications

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10
Q

What does “9” mean on a drug Kardex?

A

Dose withheld on doctors instructions

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11
Q

What timings would you give when prescribing parenteral thromboprophylaxis (enoxaparin)?

A

1600-1800

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12
Q

What timings would you give when prescribing TED stockings?

A

Circle all time durations

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13
Q

What timings would you give when prescribing metformin?

A

Taken with breakfast at 0700-0900

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14
Q

What timings would you give when prescribing Alendronic acid?

A
  • Taken weekly
  • 0700-0900 before breakfast
  • Whilst sitting up for 30mins
  • Plenty of water
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15
Q

What timings would you give when prescribing statins?

A

2200-2400 (before bed)

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16
Q

What timings would you give when prescribing diuretics?

17
Q

What 3 things should you never abbreviate on a drug kardex?

A
  1. Micrograms
  2. UNITS
  3. Nanograms
18
Q

List 4 special drugs which have their own separate drug charts?

A
  1. Warfarin
  2. Insulin
  3. Gentamicin
  4. Vancomycin
19
Q

What does NG route mean?

A

Nasogastric

20
Q

What does PV route mean?

A

Per vagina

21
Q

What does NJ route mean?

A

Nasojejunostomy

22
Q

What does TOP route mean?

23
Q

What does NEB route mean?

24
Q

What does ID route mean?

A

Intradermal

25
What does SL route mean?
Sublingual
26
What does PR route mean?
Per rectum
27
What does O route mean?
Oral
28
What does PEG route mean?
Percutaneous endoscopic gastrostomy
29
What does IM route mean?
Intramuscular
30
What does RIG route mean?
Radiologically inserted gastrostomy
31
What does ETT route mean?
Endotracheal
32
What does INHAL route mean?
Inhaled
33
What does SC route mean?
Subcutaneous