Prescription Review - Prescription errors Flashcards

1
Q

What 4 drugs are commonly prescribed in micrograms

A

Digoxin
Levothyroxine, tamsulosin, inhaled bronchodilators

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2
Q

What 2 drugs are commonly prescribed in units

A

Insulin
Heparins

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3
Q

What 2 medications are commonly prescribed weekly

A

Methotrexate
Bisphosphonates

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4
Q

What 2 medications are commonly administered at night

A

Statins
Amitriptyline

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5
Q

What factors need to be considered when prescribing paracetamol IV?

A

Children - check specific guidance
Body weight - <50kg guidance is different
Liver disease

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6
Q

CVS drugs eliminated by the kidney (2)

A

Atenolol
Digoxin

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7
Q

Neuro drugs eliminated by the kidney (3)

A

Opioids, gabapentin / pregabalin

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8
Q

What psych drug is eliminated by the kidneys (1)

A

Lithium

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9
Q

What abx are eliminated by the kidneys (4)

A

Penicillin
Aminoglycosides
Tetracycline
Nitrofurantoin

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10
Q

What 4 drug classes are nephrotoxic

A

NSAIDs
Aminoglycosides
Radiograph contrast material
Trimethorpmi - causes raised creatinine due to action on tubules, increase K

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11
Q

Sick day rules - which drugs should be held in AKI / risk of volume depletion (5)?

A

ACEIs/ARBs
Diuretics
NSAIDs
Metformin
Spirinolactone if raisked K with AKI

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12
Q

what 2 drugs are hepatotoxic (dose-dependent)

A

Paracetamol
Methotrexate

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13
Q

Analgesics which worsen seizure control

A

Most opioids, LAs in toxicity, diclofenac, indomethacin, aspirin

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14
Q

Antibiotics which worsen seizure control

A

Isonazid, mefloquine, metronidazole, beta-lactams in toxicity, ciprofloxacin

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15
Q

Anti-depressants which worsen seizure control

A

Bupropion, TCAs

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16
Q

Anti-psychotics which worsen seizure control

A

Most, especially clozapine

17
Q

Bronchodilators which worsen seizure control

A

Theophylline / aminophyline

18
Q

What antibiotic is not safe in T1?

A

Trimethoprim

19
Q

What antibiotics are not safe in T2?

A

Tetracyclines, aminoglycosides, fluoroquinolines

20
Q

What antibiotics are not safe in T3

A

Nitrofurantoin
Tetracyclines
Aminoglycosides
Fluoroquinolones

21
Q

What anticoagulants are not safe in pregnancy

A

Warfarin
Hepatin in T3

22
Q

What cardiovascular medications are not safe in T2

A

ACEIs / ARBs
Statins

23
Q

What AEDs are not safe in T1

A

Phenytoin
Carbamazepine
Valproate

24
Q

What antipsychotics are not safe in T1?

A

Benzodiazepines

25
Q

What analgesics are not safe in T1?

A

Opioids

26
Q

What psychiatric drugs are unsafe in T3

A

Benzos
SSRIs / SNRIs
TCAs

27
Q

What analgesics are unsafe in T3

A

Opioids
NSAIDs

28
Q

What drugs should be used with caution in asthma / COPD

A

NSAIDs
B-blockers
Adenosine