Pharmacology Prescribing

Question 1

What does simvastatin interact with?

Answer 1

Clarithromycin (9 statin for 7 days)

Question 2

What does amiodarone interact with?

Answer 2

Statins (9 statin for 7 days)

Question 3

What 2 drugs does Thiazide interact with?

Answer 3

1. PPI

2. Lithium

Question 4

What 2 drugs do ACE inhibitors interact with?

Answer 4

1. Potassium sparing diuretics

2. Metformin

Question 5

What 2 drugs does metformin interact with?

Answer 5

1. Cimetidine

2. ACE inhibitors

Question 6

What 9 drugs would you withhold in an AKI?

Answer 6

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

Question 7

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

Answer 7

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

Question 8

What are 2 things you can prescribe for thromboprophylaxis?

Answer 8

1. Enoxaparin 40mg SC

2. TED stockings (dose = 1 pair)

Question 9

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

Answer 9

1. Allergies

2. Interactions with regular medications

Question 10

What does “9” mean on a drug Kardex?

Answer 10

Dose withheld on doctors instructions

Question 11

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

Answer 11

1600-1800

Question 12

What timings would you give when prescribing TED stockings?

Answer 12

Circle all time durations

Question 13

What timings would you give when prescribing metformin?

Answer 13

Taken with breakfast at 0700-0900

Question 14

What timings would you give when prescribing Alendronic acid?

Answer 14

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

Question 15

What timings would you give when prescribing statins?

Answer 15

2200-2400 (before bed)

Question 16

What timings would you give when prescribing diuretics?

Answer 16

0700-0900

Question 17

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

Answer 17

1. Micrograms
2. UNITS
3. Nanograms

Question 18

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

Answer 18

1. Warfarin
2. Insulin
3. Gentamicin
4. Vancomycin

Question 19

What does NG route mean?

Answer 19

Nasogastric

Question 20

What does PV route mean?

Answer 20

Per vagina

Question 21

What does NJ route mean?

Answer 21

Nasojejunostomy

Question 22

What does TOP route mean?

Answer 22

Topical

Question 23

What does NEB route mean?

Answer 23

Nebulised

Question 24

What does ID route mean?

Answer 24

Intradermal

Question 25

What does SL route mean?

Answer 25

Sublingual

Question 26

What does PR route mean?

Answer 26

Per rectum

Question 27

What does O route mean?

Answer 27

Oral

Question 28

What does PEG route mean?

Answer 28

Percutaneous endoscopic gastrostomy

Question 29

What does IM route mean?

Answer 29

Intramuscular

Question 30

What does RIG route mean?

Answer 30

Radiologically inserted gastrostomy

Question 31

What does ETT route mean?

Answer 31

Endotracheal

Question 32

What does INHAL route mean?

Answer 32

Inhaled

Question 33

What does SC route mean?

Answer 33

Subcutaneous