prescribing Flashcards
General guidelines for post-operative nausea and vomiting. drugs that you can use
route for vomiting
IV or IM
Drug to be used for postoperative nausea and vomiting with QT prolongation and taking an antipsychotic
cyclizine 50mg/mL injection - IM or IV 3 times daily
What disease does a demarcated vesicular painful rash on face in mandibular region in an immunocompromised patient indicate
shingles
What does the BNF state about the treatment of shingles
antivirals for shingles
aciclovir, valacliclovir, famaciclovir
dose for aciclovir for shingles
800 mg PO 5 times daily
Indication for emergency resuscitation fluid
hypotension, tachycardia, prolonged vomiting, AKI
what in this case indicated emergency resus of fluids
Hypotension: Blood pressure is low at 100/50 mmHg, which can indicate hypovolemia or shock.
Tachycardia: The heart rate of 115/min suggests a compensatory response to hypovolemia or dehydration.
Elevated urea and creatinine: Urea (14 mmol/L) and creatinine (130 µmol/L) levels suggest pre-renal acute kidney injury, likely secondary to dehydration from vomiting.
History of vomiting for 3 days: Prolonged vomiting can lead to significant fluid and electrolyte losses, causing hypovolemia.
IV fluid resuscitation choice
IV fluid resuscitation optimal options
first line drug for type 2 diabetes
metformin dose
500mg tablets
when to give metformin modified release
GI side effects with standard treatment
What is the condition and Which drug to prescribe for this
pulmonary oedema
dose is between 20 - 50 mg. Route is IV once only
what is the treatment for pulmonary oedema - where can you find this info
Diueretics treatment summary
https://bnf.nice.org.uk/treatment-summaries/diuretics/
VTE prophylaxis for majoor orthopaedic surgery
- LMWH or Rivaroxaban
optimal is 40 mg. Route is SC
Where can you find information for VTE prophylaxis
https://bnf.nice.org.uk/treatment-summaries/venous-thromboembolism/
venous thromboembolism treatment summary
LMWH drugs
enoxaparin sodium, Tinzaparin sodium, dalteparin sodium,
DOAC that can be used for VTE prophylaxis in elective hip patients
rivaroxaban 10mg tablets PO
fluid for this?
emergency hypoglycaemia
- need rapid glucose restoration
where to find treatment summary for hypoglycaemia
Hypoglycaemia
https://bnf.nice.org.uk/treatment-summaries/hypoglycaemia/
For inpatients which plasma blood glucose concentration should be treated
< 4 mmol/litre
fluid of choice for emergency hypoglycaemia
- infusion of glucose 10% (150-200ml) or 20% (75-100ml).
- Deliver between 15-20g glucose
- in 15 minutes or less (so can also be 2, 5 or 10 mins)