Providing Information

Question 1

What patient advice should be given when administrating alendronic acid?

Answer 1

It is important to inform patient to stop treatment and seek medical attention is heartburn or pain on swallowing develops

They should see their dentist before treatment and have regular check ups during treatment

Question 2

What patient advice should be given when administrating antidepressants?

Answer 2

It is important to educate about how the beneficial effect of antidepressants can take up to 6 weeks to become apparent

Question 3

What patient advice should be given when administrating amiodarone?

Answer 3

It is important to inform them about the risk of phototoxicity and which precautions to take resultantly

Question 4

What patient advice should be given when administrating antipsychotics?

Answer 4

They should not be stopped suddenly due to the risk of rebound psychosis

Question 5

What patient advice should be given when administrating ciprofloxacin?

Answer 5

It is important to inform patients to seek medical advise if they develop ankle/calf pain due to the risk of tendonitis

Question 6

What patient advice should be given when administrating clozapine?

Answer 6

It is important to inform patient that they should seek urgent medical assistance if constipation develops due to the increased risk of intestinal obstruction

Question 7

What patient advice should be given when administrating contraceptives?

Answer 7

It is important to educate about missed pills and emergency contraception

Question 8

What patient advice should be given when administrating corticosteroids?

Answer 8

It is important to inform patients to not stop these drugs suddenly due to the risk of adrenal crisis

Question 9

What patient advice should be given when administrating dexamethasone eye drops?

Answer 9

It is important to inform the patient that they should initially apply the eye drops hourly

Question 10

What patient advice should be given when administrating diazepam?

Answer 10

It is important to inform the patient about how it may impair their ability to drive and perform skilled tasks

Question 11

What patient advice should be given when administrating glyceryl trinitrate?

Answer 11

The first and second dose can be taken at 5 minute intervals and if the pain doesn’t ease after the second dose call an ambulance

Question 12

What patient advice should be given when administrating insulin?

Answer 12

It is important to educate about sick day rules

• They should stop their insulin due to the risk of DKAs
• They should check their blood glucose more frequently
• They should consider checking blood or urine ketones
• They should maintain normal meal patterns if possible
• They should drink at least 3L of fluid a day
• The should seek medical help if they are unable to drink fluids due to nausea and vomiting

Question 13

What patient advice should be given when administrating isotretinoin?

Answer 13

It is important to educate about its teratogenic effects and therefore advise about contraception

They are required to conduct a pregnancy test every month during treatment

They should receive regular blood monitoring of LFTs and serum lipids

There is a risk of neuropsychiatric reactions

Question 14

What patient advice should be given when administrating oral hypoglycaemics?

Answer 14

It is important to educate about hypoglycaemia symptoms

Question 15

What patient advice should be given when administrating latanoprost?

Answer 15

It is important to inform patients that it may cause a change in eye colour

Question 16

What patient advice should be given when administrating methotrexate?

Answer 16

It is important to educate about the teratogenic effects and therefore advise about contraception. The patient should be using effective contraception during treatment and for at least six months after stopping treatment

It should be administered with folic acid - methotrexate Mondays, folate Fridays

They should receive regular blood tests due to the risk of agranulocytosis

Question 17

What patient advice should be given when administrating metronidazole?

Answer 17

It is important to inform patients to not take this medication with alcohol

Question 18

What patient advice should be given when administrating rifampicin?

Answer 18

It is important to educate about contraception. The combined oral contraceptive pill is not appropriate and therefore they should switch to another means of contraception

Question 19

What patient advice should be given when administrating SSRIs?

Answer 19

It is important to inform patients that depression symptoms may worsen in the first 4 weeks

Question 20

What patient advice should be given when administrating tamoxifen?

Answer 20

It is important to inform patients about an increased risk of endometrial cancer

They should also be made aware about the increased risk of venous thromboembolism and report symptoms of calf pain

Question 21

What patient advice should be given when administrating tricyclic antidepressants?

Answer 21

It is important to inform patients to avoid operating heavy machinery if drinking alcohol

Question 22

What patient advice should be given when administrating warfarin?

Answer 22

It is important to educate about what do in the event of a high INR

It is important to investigate unexplained bleeding or a head injury*

When administered antibiotics, their INR should be monitored closely

They should not drink alcohol whilst on warfarin

They should not eat leafy green vegetables whilst on warfarin

It is a teratogenic drug and therefore contraception advice should be offered