prescribing

Question 1

overview

Answer 1

1 - patient identifiers
2 - allergies
3 - medicaitons

bleep = #1234

QDS = 0600, 1200, 1800, 0000
BD = 0600, 1800

Question 2

ANAPHYLAXIS(

Answer 2

• 0.5ml(1:1000(adrenaline((IM
• 10mg(chlorphenamine(IV
• 200mg(hydrocorLsone(IV
• Oxygen
• IV(fluids(if(hypotensive

cross off the culprit medication and write in allergies section what it is and what the reaction was. cross through, sign date bleep, reason.

Question 3

asthma

Answer 3

• Salbutamol(5mg(NEB(in(O2(
• Ipratropium(Bromide(500(micrograms(NEB(in(O2(
• HydrocorLsone(100mg(IV(
• Oxygen((high(flow,(15L)(

Question 4

ACS NSTEMI

Answer 4

ACUTE%DRUGS%
• Aspirin(300mg(PO(
• Clopidogrel(300mg(PO(
• Morphine(10mg(IV((
• Metoclopramide(10mg(IV(
• Oxygen((if(O2(sats(

Question 5

COMMUNITY(ACQUIRED(PNEUMONIA(

Answer 5

• AnLbioLcs((trust(guidelines)(CHECK(ALLERGIES(
Benzylpenicillin(1.2g(IV(QDS(
Clarithromycin(500mg(IV(BD(
• Paracetamol(
1g(paracetamol(QDS(
• IV(fluids(
• Oxygen((Ltrate(to(sats)(

Question 6

MAINTENANCE(FLUIDS(
• 77(year(old(man((
• Admifed(with(new(onset(le{(sided(weakness.(CT(
head(shows(right(sided(infarct(
• He(is(currently(nil(by(mouth(awaiLng(a(
swallowing(assessment((
• Bloods:(Na(136,(K(3.6,(U(6.5,(Cr(88(
• Weight(70kg(
• Please(prescribe(24(hours(of(maintenance(fluids(

Answer 6

MAINTENANCE(FLUIDS(
• 70kg(x(30ml(=(2100ml(
– Therefore(2L(fluids(to(be(prescribed((fluid%bags%come%as%
250,%500%or%1L)%

• 70(x(1mmol(=(70mmol(
– Therefore(80mmol(potassium((potassium%containing%bags%
come%as%20mmol%or%40mmol)%
0.9%%sodium%chloride%contains%154mmol%Na%and%Chloride%

• 50-100g(glucose((for(all(weights)(
– Therefore(1L(5%(dextrose%(5%%dex%contains%5g/100ml,%so%IL%
contains%50g)%

result = MAINTENANCE(FLUIDS(
• 1L(5%(dextrose(with(40mmol(K+(over(12(hours(
• 1L(0.9%(sodium(chloride(with(40mmol(K+(over(
12(hours(