Polypharmacy

Question 1

Secondary prevention of MI

Answer 1

ACEI
Beta blocker 
Statin 
Aspirin 
Clopidogrel

Question 2

When do you stop the dual antiplatelet therapy after an MI

Answer 2

1 year

Question 3

If a patient is on quinine what should you question?

Answer 3

If they are on a statin or if they were started on it after starting a statin

Question 4

Describe the use of an ace inhibitor in renal disease

Answer 4

It can raise creatinine so check it after initiating
If >20% increase then stop it, if not then keep it as can decrease proteinuria
If it doesn’t increase creatinine then increase the dose

Question 5

Why is quinine not ideal in patients with cardiovascular disease?

Answer 5

Can increase QT and also can cause electrolyte abn

Question 6

What is the triple whammy drug combo for increasing AKI risk and at risk of nephrotoxicity?

Answer 6

ACEI + Diuretic + NSAID

Question 7

Why are dispersible tablets not good in cardiovascular disease?

Answer 7

Have excess Na

Question 8

Do NOT give NSAIDS in patients who are post

Answer 8

MI

Question 9

What score is used to assess the patients CVD risk?

Answer 9

ASSIGN SCORE

Question 10

Always ask about over the counter

Answer 10

Aspirin use

Question 11

Which is the preferred statin to use?

Answer 11

Atorvastatin as can be used morning or night