PRESCRIBING Flashcards
1
Q
Unstable angina/NSTEMI
A
- BB - atenolol
- Aspirin 300mg
- Ticagrelor/clopidogrel
- Morphine 5-10mg IV + metoclopramide
- Anticoagulant LMWH (fondaparinux)
- GTN spray (max 3 doses)
2
Q
Acute asthma
A
- Salbutamol nebs + O2
- +/- ipratropium bromide
- Moderate: oral prednisolone
- Severe: IV hydrocortisone
3
Q
Dyspepsia
A
PPI
4
Q
VTE thromboprophylaxis (surgical patients)
A
mechanical - compression stockings/flowtrons
drugs - LMWH or fondaparinux
5
Q
Acute otitis media
A
- Paracetamol/ibuprofen
- Abx only if systemic illness/discharge from ear
- Amoxicillin
6
Q
Epiglottitis
A
Cefotaxime
7
Q
Croup
A
Dexamethasone
8
Q
Reflux (paeds)
A
Mainly resolve without rx
- Alginic acid (gaviscon)
9
Q
Allergies (paeds)
A
- EMERGENCY = adrenaline
- mild = antihistamine - chlorphenamine maleate
10
Q
Depression
A
SSRIs - sertraline, citalopram, fluoxetine, paroxetine
- better in cardiac pls
- fewer SEs and safer in OD
11
Q
Anxiety
A
SSRIs
12
Q
Incontinence (urge, stress, mixed)
A
URGE - bladder training > oxybutinin, tolterodine
STRESS - pelvic floor exercises > surgery > duloxetine
MIXED - bladder + pelvic floor training (then as above)
13
Q
UTIs
A
Nitrofurantoin or Trimethoprim
14
Q
UTIs in pregnancy
A
Always treat asymptomatic bacteriuria
- Nitrofurantoin
- Amoxicillin (no improvement or sensitive)
15
Q
Hypertension
A
- ACEi/ARB
- >55y/afro = CCB
