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clinical pharm y5 > prescriptions > Flashcards

prescriptions Flashcards

1
Q

Stress related chronic headache with chronic duodenal ulcer

Analgesic

A

Rp Paracetamoli 500 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet 3 times daily
#

ADR: hepatotoxicity, nausea vomiting

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2
Q

Cholelithiasis crisis with obesity

Spasmolytic + analgesic

A

Sol. Butylscopalamini 2% 1ml
D.t.d Nº 5 in amps
S. Take 1 amp i.v. or i.m. twice daily

(nausea, constip)

Rp Sol. Methamizoli 50% 2ml
D.t.d Nº 5 in amps
S. Take 1 amp i.m. twice daily

(agranulocytosis, interstitial nephritis )

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3
Q

Nephrolithiasis with pregnancy.

Spasmolytic + analgesic Spasmolytic + analgesic

avoid opioids due to pregnancy

A 
Rp Sol. Butylscopalamini 2% 1ml
D.t.d Nº 5 in amps
S. Take 1 amp i.v. or i.m. twice daily
#
Rp Sol. Methamizoli 50% 2ml
D.t.d Nº 5 in amps
S. Take 1 amp i.m. twice daily
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4
Q

Toothache caused by peridontitis

NSAID

A

Rp Ibuprofeni 400 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet 3 times daily

ADR: ulcer, nephrotoxicity, asthma, prolonged bleeding

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5
Q

Lumbosacral radiculitis- sciatic pain

NSAID + Corticosteroid + Vit B12

A

Rp Ibuprofeni 400 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet 3 times daily

Rp Sol. Dexamethazoni 4mg 1ml
D.t.d Nº 2 in amps
S. Take 1 amp every 2 days
ADR
- adrenal insuff
-thin skin 
-immunosupression 
-stria
-
Rp Sol. B12 1000µg 1ml
D.t.d Nº 2 in amps
S. Take 1 amp i.m. once daily
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6
Q

Chronic insomnia- more than 1 month

A 
Rp Temazepami 10 mg
D.t.d Nº 30 in tabs
S. Take 1 every evening
-morning drowsiness
-loss of focus
-tolerance and dependance
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7
Q

Arterial hypertension stage II with bronchial asthma

Contraindications:
Beta Blockers- induce

bronchoconstriction
ACE inhibitor- induce dry cough that could exacerbate asthma

A

Rp Valsartani 40 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet in the morning

ADR
flu symptoms,
upper respiratory infection,

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8
Q

Arterial hypertension stage III with diabetes type 2

ACE + thiazide-like diuretic

Contraindications:
Beta Blockers- cause hypoglycaemia
Thiazide diuretic-cause hyperglycaemia

A

enalapril
1tab a day

ADR
-cough

aldactone 25-100mg
1x a day

ADR:

  • hypokalemia
  • Deepening of the voice
  • increased hair growth
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9
Q

Hypertensive disease stage II with enlarged prostate

A

Rp Prazosini 2 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet at bedtime for the first 3 days and then take 1 tablet twice daily
#

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10
Q

Chronic pyelonephritis with secondary hypertension

lipid sol beta blocker

non k sparing diuretic (loop)

A 
Rp Furosemidi 40 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet in the morning
#
hyperkalemia
hyperglycemia
hypercholesterolemia

Rp Bisoprololi 5 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet in the morning

hyperglycemia

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11
Q

Hypertensive stage I disease with pregnancy.

CI:
diuretics- miscarriage
CCB
clonidine

A

Rp methyldopi 250 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet twice daily
#

mother

  • decreased performance (in the kitchen)
  • sleepiness
  • haemolytic anemia

fetus
-liver and blood damage

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12
Q

Hypertensive crisis

alpha2 agonist i.m. to reduce BP slowly. Give a benzodiazepine alongside to calm patient.

A

Rp Sol. Clonidini 0.015% 1ml
D.t.d Nº 2 in amps
S. Take 1 amp i.m.

drrowsiness
irritability
constipation

Rp Sol. Diazepami 0.5 % 2ml
D.t.d Nº 2 in amps
S. Take 1 amp i.m. or i.v.

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13
Q

Heart failure with cardiac hypertrophy

A

enalapril
D.t.d Nº 30 in tabs
S. Take ½ tablet in the morning
#

orr

Rp Nebivololi 5 mg
D.t.d Nº 30 in tabs
S. Take ½ tablet in the morning
#

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14
Q

Congestive heart failure with diabetes
ACE+ potassium-sparing diuretic and thiazide-like diuretic

CI:
beta blocker
thiazide diuretic

A 
Rp Bisoprololi 5 mg
D.t.d Nº 30 in tabs
S. Take ½ tablet in the morning
#
Rp Spironolactoni 25 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet twice daily
#
Rp Furosemidi 40 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet in the morning
#
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15
Q

Chronic congestive heart failure stage II-III with atrial fibrillation.

A 
Rp Digitoxini 0.1mg 
D.t.d Nº 30 in tabs
S. Take 1 tablet in the morning
#
arrythmogenic 
intoxici
ty
Rp Spironolactoni 25 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet twice daily
#
Rp Furosemidi 40 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet in the morning
#
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16
Q

Chronic congestive heart failure stage II-III with chronic renal failure

loop

lipophilic betablocker

A 
Rp Metoprololi 50 mg
D.t.d Nº 30 in tabs
S. Take ½ tablet twice daily
#
Rp Furosemidi 40 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet in the morning
#
17
Q

Acute angina pectoris.

A 
Rp Sol. Isoketi spray 15 ml
D.t.d Nº 1 flac
S. Use 1 spray sublingually in case of angina attacks
#
-flushing
-headache
Rp Nebivololi 5 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet in the morning
#
Rp Trimetazidini 35 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet twice daily
#
Rp Aspirini Protect 100 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet daily
18
Q

Chronic attack of angina pectoris

patient is over 60, use long lasting nitrates or calcium channel antagonist

Isodiniti 10mg- last tablet should be at 6pm as they need 12 hour gap until next tablet in order to avoid tolerance

A 
Rp Isodiniti 10 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet 3 times daily
#
Rp Trimetazidini 35 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet twice daily
#
Rp Aspirini Protect 100 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet daily
#
19
Q

Ischaemic heart disease. Prinzmetal stenocardia

A

Rp Verapamili 40 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet 3 time
s daily

  • HF
  • bradyK
  • av block
Rp Trimetazidini 35 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet twice daily
#
Rp Aspirini Protect 100 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet daily
20
Q

Ischaemic heart disease. State after myocardial infarction

beta blocker as it reduces contractilit

A 
Rp Propranololi 10 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet 3 times daily
#
Rp Trimetazidini 35 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet twice daily
#
Rp Aspirini Protect 100 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet daily
21
Q

Ischemic heart disease. Stable angina pectoris. Bronchial asthma

long lasting nitrate + anti-anginal metabolic +antiplatelet

Beta Blocker contraindicated as it might cause an asthma attack

A 
Rp Isodiniti 10 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet 3 times daily
#
Rp Trimetazidini 35 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet twice daily
#
Rp Aspirini Protect 100 mg
D.t.d Nº 30 in tabs
S. Take 1 tablet daily
#
22
Q

Acute ulcer disease.

A

Rp Omeprazoli 20mg
D.t.d Nº 30 in caps
S. Take 1 capsule twice daily (or 2 capsules around 10pm)
omeprazole at night as Vagus nerve is most active and acid secretion will be the higher.

Rp Butylscopalamini 10mg
D.t.d Nº 30 in tabs
S. Take 1 tablet three times daily
#
Rp Sucrafalti 500mg
D.t.d Nº 30 in tabs
S. Take 1 tablet twice a day

ADR constipation

23
Q

Peptic ulcer disease with H.pylori

Proton pump inhibitor + Spasmolytic + Mucosal protective agent + Macrolide + chemotherapeutic antiprotozoal + beta-lactam

A 
Rp Omeprazoli 20mg
D.t.d Nº 30 in caps
S. Take 1 capsule twice daily (or 2 capsules around 10pm)
#
Rp Butylscopalamini 10mg
D.t.d Nº 30 in tabs
S. Take 1 tablet three times daily
#
Rp Sucrafalti 500mg
D.t.d Nº 30 in tabs
S. Take 1 tablet twice a day
#
Rp Clarithromycini 500mg
D.t.d Nº 30 in tabs
S. Take 1 tablet every 12 hours
#
Rp Metronidazoli 250mg
D.t.d Nº 30 in tabs
S. Take 1 tablet every 12 hours
#
avoid alcohol antabus rxn

Rp Amoxicillini 1000mg
D.t.d Nº 30 in tabs
S. Take 1 tablet every 12 hours
#

24
Q

acute asthma attack

A

rp salbutamol spray 10ml
DTD no 1 in flacc
s inhalation during attack

25
Q

bronchial asthma medium /moderate paroxysmal

A

rp salmetrolol spray 10 ml
DTD no 1 in flacc
inhalation 2x / day

brp beclomethasoni

26
Q

COPD and chronic bronchitis

A

rp atroventi sprray 10ml
DTD no 1 in flacc
s inhal during COPD attack 3x/day

rp ultibro spray 10ml
DTD no 1 in flac
s inhal 3x/day

clinical pharm y5 (22 decks)

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