Prescriptions

Question 1

Write prescription for acute HF

Answer 1

Furosemide 10mg/ml injections
40mg IV once only

Question 2

If looking for drug which causes hyperkalaemia, what search for on BNF in side effects

Answer 2

Hyperkalaemia and renal impairment

Question 3

What are options for breakthrough analgesia

Answer 3

Fentanyl
- intranasal
- buccal
- sublingual
Morphine
- immediate release oral tablets

Question 4

When are eligible for fentanyl breakthrough analgesia

Answer 4

If on regular strong opioids

Question 5

First line in alcohol withdrawal

Answer 5

Chlordiazepoxide

Question 6

When give phytomeniadone pre surgery if been on warfarin

Answer 6

If day before INR>1.5

Question 7

If on hormonal contraception and take a drug which induces P450, what need to do

Answer 7

Switch to alternate for 4 weeks after stop medication

Question 8

On desogestrel and needs to go on topiramate what do

Answer 8

Induces P450 so switch to alternate for course of treatment and 4 weeks after

Question 9

If on paracetamol for back pain what is next drug

Answer 9

Co-codamol

Question 10

Hypoglycaemia management if IV access

Answer 10

IV glucose 20% 100ml over 15 mins