🦋pt2 Flashcards
Define pharmaceutical care
The responsible provision of drug therapy for the purpose of achieving definite outcomes that improve the patient’s quality of life.
Max duration of pholcodine linctus
5 days
How long should sexually active male patients or their female partners use reliable contraception after cessation of methotrexate treatment?
6 months
Classifications of BMI
Healthy: 18.5-24.9 Overweight: 25-29.9 Obesity I: 30-34.9 Obesity II: 35-39.9 Obesity III: 40 or more
Signs of B12 deficiency
extreme tiredness a lack of energy pins and needles (paraesthesia) a sore and red tongue mouth ulcers muscle weakness disturbed vision psychological problems, which may include depression and confusion problems with memory, understanding and judgement
Blepharitis
sore eyelids.
itchy eyes.
a gritty feeling in the eyes.
flakes or crusts around the roots of the eyelashes.
red eyes or eyelids.
eyelids sticking together in the morning when you wake up.
Which supplement should be avoided in pregnancy?
Cod liver oil
Specified drugs picked up by roadside screening devices
CLASS 1 Cannabis (THC) MDMA (ecstasy) Ketamine Methylamfetamine Cocaine (and a cocaine metabolite, BZE) Lysergic acid diethylamide (LSD) Heroin/diamorphine metabolite (6-MAM)
CLASS 2 Clonazepam Diazepam Lorazepam Oxazepam Temazepam Flunitrazepam Methadone Morphine Amfetamine
Treating extravasation injury
Infusion should be stopped immediately but the cannula should not be removed until after an attempt has been made to aspirate the area (through the cannula) in order to remove as much of the drug as possible.
Corticosteroids are usually given to treat inflammation (hydrocortisone or dexamethasone )
Antihistamines and analgesics may be required for symptom relief.
When to refer burns
• All chemical and electrical burns
• Large or deep burns - any burn bigger than the person’s
hand
• Burns that cause white or charred skin
• Burns on the face, hands, arms, feet, legs or genitals
that cause blisters
• People at greater risk from the effects of the burns, such
as children under 5 yrs old and pregnant women, should
also get medical attention.
Other symptoms of stroke
complete paralysis of 1 side of the body sudden loss or blurring of vision dizziness confusion difficulty understanding what others are saying problems with balance and co-ordination difficulty swallowing (dysphagia) a sudden and very severe headache resulting in a blinding pain unlike anything experienced before loss of consciousness
What is dabigatran?
Direct thrombin inhibitor
Dose of Nystatin for oral candidiasis
100 000 units (1ml) 4 times a day usually for 7 days, and continued for 48 hours after lesions have resolved.
When is the HPV vaccine given?
9-14 years: 2 doses- 1st usually given at 11 years, 2nd 6-24 months after
15-25 years: 3 doses- 2nd given one month after, and 3rd 4-6 months after. All 3 must be completed within 12 month period.
Cut off age for contraception needed for valproate
55
What does RULE in motivational interviewing stand for?
Resist
Understand
Listen
Empower
Graves disease block and replace regimen
Offer carbimazole as a 12–18 month course using either a block and replace regimen (combination of fixed high-dose carbimazole with levothyroxine sodium), or a titration regimen (dose based on thyroid function tests), and review the need for further treatment.
Amiodarone monitoring frequency
LFTs and TFTs 6 monthly
Tamoxifen and pregnancy
Unless being used in the treatment of female infertility, effective contraception must be used during treatment and for 2 months after stopping.
Patients being treated for infertility should be warned that there is a risk of multiple pregnancy (rarely more than twins).
Symptoms of hypercalcaemia
- Loss of appetite
- Nausea and vomiting
- Constipation and abdominal (belly) pain
- The need to drink more fluids and urinate more
- Tiredness, weakness, or muscle pain
- Confusion, disorientation, and difficulty thinking
- Headaches
- Depression
When should theophylline bloods be measured?
4-6hours
When should digoxin bloods be measured?
6hours
Oseltamivir- within how many hours should it be used for treatment of influenza?
48 hours
Side effects of methylphenidate
Tourette syndrome
Growth restriction
Weight loss
Psychiatric symptoms
