Providing Information

Question 1

What information should you give to a woman about ramipril?

Answer 1

Teratogenic, stop in pregnancy

Question 2

What information should you give to a patient about glicazide?

Answer 2

Eat regularly, don’t skip meals - risk of hypo

Question 3

What information should you give to a patient about long term steroids?

Answer 3

Take bisphosphonates - osteoporosis risk

Don’t stop steroids suddenly!

Question 4

What information should you give to a patient about insulin and illness?

Answer 4

Dose may need to be increased

Question 5

What information should you give to a patient about bisphosphanates?

Answer 5

Take with full glass of water, remain upright for 1 hour. (Oesophagitis)

Question 6

What’s the advice to people taking steroids to alter their dose when unwell?

Answer 6

Sick day rules - double daily dose of steroids when Ill.

Also in surgery they will need increased steroids.

Question 7

Which drug reduce glycemic awareness?

Answer 7

Beta blockers eg atenolol

Question 8

When do antiplatelets need to be stopped prior to surgery ??

Answer 8

7 days prior to surgery

Aspirin

Question 9

Missed pill rules:

Answer 9

1) one pill missed anywhere in the pack take it asap (might mean taking 2 on 1 day) then no extra contraception is needed.
2) 2 or more pills missed - take the last pill you missed now, continue as normal, 7 days of additional contraception. If unprotected sex in past 7 days might need emergency contraception.

How many pills left in pack?
2a) 7 or more - take rest of pack as normal, and usual 7 day break

2b) less than 7 - take rest of pack and omit 7 day gap, move straight onto new pack.

Question 10

Sick rules in diabetes type 1?

Answer 10

Increase insulin requirements (check sugars Reg)

Question 11

Sick rules steriods?

Answer 11

Double dose