Prescribing

Question 1

What do you prescribe in stroke prophylaxis in AF and VTE thrombolysis?

Answer 1

Apixaban 5mg PO BDS - dose reduce in >80yo, <60kg and CrCl <133 to 2.5mg PO BDS
Rivaroxaban 20mg PO OD

Question 2

Wernicke’s encephalopathy

Answer 2

Pabrinex = vitamin B with ascorbic acid
2 pairs TDS IV
1 pair is for prophylaxis –> insufficient for full blown WE

Question 3

What is most appropriate to prescribe for a hospital patient who smokes to prevent nicotine withdrawal as REGULAR prescription?

Answer 3

Nicotine patch - SC –> dose depends on the number of cigarettes they smoke per day - look this up in BNF
Smokers >10/day - high dose patch e.g. 21mg/24hours
Medium strength patch for smokers <10/day

Question 4

Prescription for child with itchy rash on face, hx of eczema, no exudate or evidence of infection, MC&S negative + mother already using emollients.

Answer 4

Hydrocortisone topical cream or ointment
0.5%, 1% or 2.5% - better to start low
1-2 applications per day