Prescribing Yourself

Question 1

What is the PRESCRIBER Mnemonic?

Answer 1

P - Patient Details
Re - Reaction - document allergies
S - Sign the front of the chart
C - Contraindications to current drugs?
R - Route for each drug
Iv - Fluids if needed
B - Blood clot prophylaxis if needed
A - Anti-Emetic if needed
R - Pain Relief if needed

Question 2

List 3 treatment options for DVT/PE

Answer 2

Rivaroxaban/Apixaban (DOAC) - 1st line

Dalteparin (LMWH)

Enoxaparin (LMWH)

Question 3

List 3 Treatment Options for Chronic Heart Failure

Answer 3

ACEi - Ramipril, Lisinopril, Enalapril - 1st line

Beta blocker

Spironolactone (used as adjunct with ACEi/BB so is not first line)

Question 4

When should ACEi be given? Why?

Answer 4

At night.

Due to risk of postural hypotension

Question 5

How is Hyperkalaemia managed? (2)

Answer 5

Short acting insulin + 100ml 20% dextrose - Actrapid/Novorapid

Given over 30 mins

Calcium Gluconate - Given to stabilise myocardium

2nd line - Salbutamol 2.5-5mg Nebulised