Prescribing Speciality

Question 1

Medications causing confusion/delirium in elderly

Answer 1

opiates
corticosteroids
BDZ
Anticholinergics(oxybutynin)
Antidepressants
Anticonvulsants
Antiemetics(metoclopramide)
Antipsychotics
Diuretics (if causes hyponatremia)

Question 2

When eGFR become less than 30 and kidneys are affected, and causing confusion —>

Answer 2

Stop morphine and convert opiate on BNF.

Palliative care summary
Write oxycodone: morphine

Question 3

ANELGESIA

Answer 3

All patients who start strong opiates will require laxatives
Some may require antiemetics( ondansetron, cyclizine, metoclopramide)

!!Metaclopramide can cause many side effects, and is CI in bowel obstruction

Question 4

SIMPLE ANELGESIA

Answer 4

paracetamol or NSAIDS

Question 5

WEAK OPIATES

Answer 5

codeine, dihydrocodeine,tramadol

Question 6

STRONG OPIATES

Answer 6

morphine, fentanyl BEFORE oxycodone, diamorphine

!!If a patient develops side effects from oral morphine eg. nausea vomiting or drowsiness –> switch to oral oxycodone

!!OXYCODONE has DOUBLE POTENCY of MORPHINE

Question 7

Question about INR range and no bleeding, what to do with Warfarin or should we add Vit k

Answer 7

check oral anticoagulants —> hemorrhage

Question 8

Pediatrics - anaphylaxis

Answer 8

we use adrenaline, check age or weight

ADRENALINE IM

Question 9

PEDIATRIC IV FLUID PRESCRIPTION

Answer 9

100 mg/kg/24 hours if less than 10 kg
50 mg/kg/24 hours if between 10-20
20 mg/kg/24 hours if over 20kg

18 kg - (100 ml x 10kg) + (50 kg x 8kg) = 1400 ml

Question 10

seri providing information

Answer 10

may take up to 2-4 weeks to see the response

Question 11

Patient on risperidone, neck spasm and eye pain

Answer 11

TYPE for DYSTONIA —> procyclidine IM/IV

Question 12

Contraindication for COCP

Answer 12

Migraine with aura

Question 13

Missed pills of COCP and POP

Answer 13

Read BNF

Question 14

Simvastatin interaction with … for myopathy

Answer 14

Gemfibrozil

Question 15

Check treatment summaries in MTB