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Prescribing Flashcards

1
Q

What is the mneumoic you use before you think about prescribing something?

A

Prescriber

Patient deatils

REactions

Side effects

Contraindications

Route

IV fluids?

Blood clot prophylaxis?

Emetics, anti-emetics?

Relief from pain?

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2
Q

If the pt has a histroy of peptic ulcers, what drug shouldn’t you prescribe

A

NSAIDS ya dick

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3
Q

What Abx is used for epidlottitis?

A

CefoTAXime

TAX meningits and epiglottitis

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4
Q

whats the difference between SSRI use for depression and anxiety

A

Anxiety typically has a lower dose

Not for shite like citalopram for some reason eh

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5
Q

Management of incontinence

  1. for stess
  2. for urge with myasthenia gravis
  3. for urge without myasthena gravis
A

1 & 2 duloxetine

3 oxybutynin

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6
Q

for urge incontinince, you usually give oxybutynin unless there’s a history of…

A

Myasthenia gravis

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7
Q

If a pt is looking for more pain relief and they’re already on paracetamol & NSAIDs, what do you gice?

A

Codeine

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8
Q

A pt is constipated, and after sticking your fingers up their bum the stool feels nice and soft

What laxative should you prescribe?

A

SENNA

SOFT= SENNA

Senna is a stimulant, things like docusate are stool-softenors, so there’s no need to further soften the fucking shite

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9
Q

if the meds are ‘usually taken at bed time’, what should you write on the chart under frequcny

A

…x nightly

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10
Q

If the case is about a bloke with SOB and they also give you an ECG, what’s the likely problem?

A

AF

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11
Q

what should you give someone with increasing breathlessness with a history of like asthma/COPD

what will you give to stop the breathlessness

A

Salbuatmol NEBS

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12
Q

What is always used for clot (DVT or PE) prophylaxis and treatment

UNLESS it’s an acute stroke

A

Dalteparin SC mate

+

Compression stockings

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13
Q

if a pt has leg ulcers, probs as a result of periphearl arterial disease, can you prescribe a B-blocker?

A

Absolultey no fucking way

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14
Q

if you’re thinking about an anti-emetic, but the pt has parkinsons or acute dystonia, what one can you absolutley not use

A

Metoclopramide

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15
Q

you’re wanting to prescribe an ABx for a UTI

They have an eGFR of <45

What drug can’t you use

A

Nitro

Nitro completley fucks the kidneys

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16
Q

if the pt is vomiting or they ‘can’t take oral fluids’, what route should you use

hard one this bloody hell

A

IV

SC

IM

pick whichever eh, cheers

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17
Q

what do you prescribe for IBS

A

Mebeverine

+

Loperamide (for the diarrhoea lol)

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18
Q

Pain prescribing: what do you give for…

  1. no pain
  2. mild pain
  3. moderate pain
  4. severe pain
  5. neuropathic
  6. TENS is an option
A
  1. just PRN paracetamol
  2. regular pacacetamol + PRN codeine/tramadol
  3. regular cocodamol/codeine + PRN morphine
  4. regular morphone + PRN morphine
  5. amitrytyline (at night)
  6. TENS
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19
Q

For blood clot prophylaxis…

  1. how long do you need to wait after an acute stroke before you can give Dalteparin
  2. when can you not give compression stockings
A
  1. 2 months
  2. PAD (‘can’t feel feet pulses’)
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20
Q

If a pt has some neruopathic sounding pain, when do you need to prescribe the amitriptyline

A

at NIGHTIME

same as steroids eh

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21
Q

Paracetamol shite

  1. what is the max dose you can give in a day
  2. what is the usual prescirption
  3. what do you need to look out for
A
  1. 4g
  2. 1g, 6hrly
  3. other shite containing para, like co-codamol
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22
Q

what is the max dose of paracetamol you can prescribe in a day

A

4g

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23
Q
A
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24
Q

when in doubt about what to prescribe, where do you look in the BNF

A

TREATMENT SUMMARIES

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25
**Resp ABXs** 1. AECOPD 2. CAP 3. atypical pneumonia 4. Hospital acquired pneumonia
**1.** Amox or tetra or clarith **2.** Amox PA = clartih or doxy staph A likely = fluclox **3.** Clarith **4.** \<5 days = co-amox \>5 days= pipercillin + Tazobactam (Tazocin)
26
when in doubt, what resp ABX should you guess
Normal -\> amox PA -\> clarith or doxy
27
**Urinary tract ABXs** 1. UTI 2. acute pyleonephritis 3. acute prostatitis
**1.** Normal or low eGFR -\> trimeth Preggers or methotrexate -\> nitro close to term -\> amox **2. & 3** Cipro 3 can also use trimeth
28
29
what do you give for acute pulmonary oedema?
**IV** furosemide
30
For shite like AF, what fo you give in younf & old folk
Young -\> amiodarone (rythm control) Old -\> verampail (rate control)
31
**What should you prescribe for...** 1. chronic HF 2. sevre SOB/AECOPD or asthma 3. chest pian (angina) relief 4. SOB with AF 5. hyperkalemia 6. tumour induced seizure (focal) 7. diabetes 8. dyspepsia 9. severe pneumonia
1. ACEi + B-blocker 2. Salbutamol NEBS 3. GTN 4. veramapil 5. Ca gluconate or insulin 6. carba or lamotrigine 7. metofmrin or glicazide 8. magnesuium carbonate 9. tazocin
32
what is magnesium carbonate used to treat
dyspepsia
33
what do you use to treat hyperkalaemia
protect heart -\> IV Ca gluconate lower K levels -\> 10 units of IV Insulin (actrapid)
34
when do you not use metformin 1st line for diabetets
when liver is fucked \>150 creatinine leevles signs of lactiv acidosis
35
do ya prescribe something orally if a poor bugger is vomiting
fuck off
36
what route do you use if theres already IV access
IV you clown
37
what bit in the BNF do you fing out about how to prescribe HRT
Sex hormones
38
what route is best avoided in kids
IV they might not be best pleased
39
if you need ro prescribe Vit K, what is the druc called used in cases of too much warfarin
phytometidine
40
what is the only route of administratoin for insulin
SC
41
what drug, used to prevent transplant rejection, is one of the very few drugs that is prescribed by it's brand name
tacrolismus
42
steroid treatment for eczema?
topical hydrocortisone
43
if a pt has an alcohol dependence, can you give oral metronidazole
nope if bacterial vaginosis, use an intravaginal cream
44
if it says to prescribe a 'change', what does it mean
prescribe one of the drugs they're already on, but just change the dose like if steroids and unwell, just increase the dose
45
what do you put down for 'route' when prescribing eye drops
occular
46
what cause of macrocytic anaemia is common in pt's with coelaics
b12 defieicny treate with HYDROXOCOBALAMIN
47
when in the bnf do you find stuff on fludis & electrolytes
Fluids & electrolytes you fucking idiot
48
how do you treat chalmydia
azithromycin (only 1 dose needed)-\> DEFFO IF PREGNANY or Doxyxyxline for like 7 days
49
what sti has gram -ve diplodocci and obvs get this discharge after sex
gonorrohea
50
1st line for pain in ankylosing spondylitits
NSAID -\> naproxen
51
scabies is treated with...
permithrin cream
52
how do you find out like specific VTE prophylaxis for certwin operations
go onto the VTE bit control F the type of surgery lol
53
anti-emetic for migraine
prochloperazine
54
what route should morphine be gien by in acute pain
IV obvs
55
what might be going on if you've got abdo pain, N&V and are on long-term steroids for shite like crohns you've also got like low sodium and high K What would you use to treat
Addisoninan (adrenal) crisis give hydrocorisone
56
where do you look up for about emegerncy contreacpetion
just fucking search emegency contraception
57
if you're looking for stuff to describe for STIs, where do you look
Genital system infections
58
noisy breathing in a palliiative pt is probs due to...
secretions
59
for a pessary, what do you put down for route
vaginal
60
what infection often comes after an insect bite
cellulitis

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