Prescribing Flashcards
Why would you stop atorvastatin in a 92 year old?
It reduces CVD risk for another 10 years, but she is quite old already
Why would you stop metformin if someone is acutely unwell?
To prevent lactic acidosis
What else might you consider prescribing in someone in hospital?
VTE prophylaxis
IV fluids
Paracetamol/pain meds
Oxygen
nasal
2-4 L
face mask
5-10L
venturi
Different
non-rebreathe
15L
What do you need to consider insulin prescription?
PRN hypoglycemia treatment e.g. dextrose
PRN?
How do you assess VTE risk?
Thrombosis risk vs bleeding risk
When is VTE TEDs contraindicated?
Peripheral vascular disease
Dalteparin
Check eGFR and weight
What do you need to investigate prior to starting on LMWH?
Weight
full blood count
U&E
What are FlowTrons and when are they used?
Fill up with air and compress legs
Used in stroke patients
Clarithromycin is contraindicated when?
If someone is on warfarin as clari inhibits cytp450.
CONTRAINDICATED
What do you have to check before prescribing clarithro?
INR
What is TDS
Three times a day
Once a night
ON
Stat
Immediately
Once a day
OD
Twice a day
BD
How do you say something is oral?
How is insulin delivered?
Subcut not IM
What do you prescribe instead of clari if someone is on warfarin?
Macrolide antibiotics / second line
Why can all antibiotics potentially mess with INR?
They can wipe out the bugs in gut which are v important for vit k absorption
