Prescribing

Question 1

Drug to prescribe in PE patient?

Answer 1

LMWH - enoxreparin or dalteparin

DALTEPARIN
dose - 15,000 UNITS
route - S/C

Question 2

Drug to prescribe in asthma patient with chronic congestive HF signs (L-bibasal crops + SOB on exertion) (R-raised JVP and peripheral oedema)?

Presented with breathlessness on exertion

Answer 2

ACEi - ENALAPRIL 2.5MG ORAL NIGHTLY

nb. do not give BB as asthma + prescribe ACEi at night

Remember ABAL mnemonic

Question 3

FIRST Drug for stable angina (chest pain on exertion)

Answer 3

GTN spray:

GLYCERYL TRINITRATE
DOSE - 2 SPRAYS
ROUTE - SUBLINGUAL
or 1 tablet oral

Question 4

FIRST drug to treat hyperkalaemia?

nb. can’t find in BNF so learn

Answer 4

ACTRAPID
dose - 10 UNITS IN 100ML OF 20% DEXTROSE, OVER 30 MINS
route - IV

Question 5

Drug to control focal/partial seizure in pregnant lady with slightly low Na+

Answer 5

LAMOTRIGINE
25 ONCE DAILY
ORAL

Question 6

T2 diabetes options? When would you use?

Answer 6

METFORMIN - if overweight (bmi>25)

GLICLAZIDE - if NOT overweight or creatinine >150

Question 7

Drug for T2 diabetic with BMI 18?

Answer 7

GLICLAZIDE
dose - 40MG ONCE DAILLY WITH FIRST MEAL
route - ORAL

Question 8

IV fluids for elderly lady with diarrhoea?

Severely dehydrated (tacky), UO 100ml/24hrs, BUT has AKI, raised Na and K

Answer 8

5% DEXTROSE

volume - 1L
Additive + dose - NIL
durations or rate - 1 HOUR