prescribing Flashcards

1
Q

OM

A

every morning

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2
Q

ON

A

every night

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3
Q

SC

A

subcutaneous

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4
Q

SL

A

sublingual

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5
Q

IO

A

intra-osseous

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6
Q

when are buccal medications often given?

A

when patient has an unsafe swallow or they are vomiting

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7
Q

what is the difference between buccal and sublingual medications?

A

buccal stays in cheek, sublingual is under tongue

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8
Q

what is a transdermal medication and examples?

A

patch that just sits on top of the skin, can last like up to a week
eg painkiller patches, nicotine

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9
Q

what medication if it accumulates you can go deaf?

A

gentomycin

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10
Q

what do you need to measure to give LMWH?

A

body weight

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11
Q

when should you give statins to make them more effective?

A

at night-most cholesterol production happens at night

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12
Q

what is the difference between crystalloid and colloid fluids?

A

crystalloid: NaCl, no big molecules, less SEs (more in line with normal body), give in 500/1000ml bags
colloid: more starchy, big molecules, more SEs (can cause rash), give in 250-500ml bags

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13
Q

What are some common immunosuppressant medications?

A

Methotrexate (and other DMARDs)
Steroids
Azathioprine

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14
Q

what is the hong kong protocol?

A

protocol for IV omeprazole-80mg bolus stat followed by 8mg/h infusion for 72h.

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15
Q

what is teicoplanin?

A

antibiotic used in the prophylaxis and treatment of serious infections caused by gram-positive bacteria, including methicillin-resistant staphylococcus aureus and enterococcus faecalis

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16
Q

what is the antidote to opioid overdose?

A

naloxone

17
Q

what is methyldopa ?

A

centrally acting antihypertensive

18
Q

what is the drug class of spironolactone?

A

potassium sparing diuretic

19
Q

how is spironolactone used?

A

can get hyperkalaemia if too high dose-used in longer term management, lower doses. also good bc protective against HF.

20
Q

what is tamsulosin?

A

treats BPH
andrenoreceptor antagonist-relaxes smooth muscle in prostate-improves flow.

21
Q

what are the different adrenaline doses for adult life support?

A

anaphylaxis: 0.5mg 1:1000 IM
cardiac arrest: 10ml 1:10,000 IV or 1ml 1:1000IV

22
Q

what TB drugs can cause optic neuritis?

A

ethambutol
also isoniazid but not as common

23
Q

what are the most likely side effects of bendroflumethiazide?

A

postural hypotension
electrolyte disturbances, esp hypokalaemia

24
Q

what common drug commonly causes ankle oedema?

A

amlodipine

25
Q

what are the drugs for motion sickness in order of effectiveness?

A

hyoscine >cyclizine >promethazine

26
Q

what is an electrolyte imbalance that PPIs cause?

A

hypomagnesaemia

27
Q

how does metoclopramide work and what is it used for?

A

dopamine D2 antagonist
treats N+V due to: migraines, chemo, radiotherapy, post-op, palliative care.

28
Q

what is a well known more niche side effect of spironolactone?

A

gynaecomastia

29
Q

which metabolic disturbance is a known side effect of metformin?

A

lactic acidosis

30
Q

how do you calculate breakthrough dose of morphine?

A

1/6th normal daily dose

31
Q

what are the metabolic disturbances of salicylate overdose (eg aspirin)?

A

early stimulation of respiratory centre leads to respiratory acidosis first
later direct acid effects of salicylates may lead to metabolic acidosis-in children metabolic acidosis tends to predominate.

32
Q

what important monitoring do you need to do with a patient on hydroxychloroquine?

A

visual acuity testing-can cause severe retinopathy
baseline then every 6-12 months

33
Q

when should patient <25 who are started on an SSRI be reviewed?

A

after 1 week.

34
Q

what sort of anaemia can methotrexate cause and why?

A

megaloblastic macrocytic anaemia due to folate deficiency
because folate (and B12) required for final steps in RBC maturation

35
Q

what is the 1stline treatment for threadworm?

A

mebendazole

36
Q

what does steroid dependency mean in someone with IBD?

A

unable to stop steroids within 3m without recurrent active disease or have relapse needing steroids within 3m of stopping them.

37
Q

what is an important side effect of AchE inhibitors?

A

bradycardia

38
Q

what is the treatment for seborrheic dermatitis?

A

ketoconazole cream once or twice a day for at least 4 weeks, or antifungal shampoo like ketoconazole as body wash

39
Q

What are some side effects of phenytoin?

A

Gingivitis
Coursening of facial features
Hirsutism