Random 2 Flashcards
True or false - verapamil is suitable for the treatment of supraventricular and ventricular arrhythmias?
False - usually effective for suprventricular tachycardias only.
Name two drugs that can lower the seizure threshold
SSRIs, tramadol, tapendalol, ciproflox, TCAs
Patient currently taking sodium valproate reports abdominal pain, nausea and vomiting… what do you do?
Refer to A&E - signs of sodium valproate induced pancreatitis
What schedule CD is clenbuterol?
Schedule 4 (anabolic steroid)
What schedule CD does ketamine belong to?
Schedule 2
What is the maximum duration of treatment which can be given via OTC chloramphenicol?
5 days
How long should signed orders be retained for after supply?
2 years
How long should private prescription records be kept?
2 years
what is nalidixic acid used for?
Urinary tract infections
How long after stopping flucloxacillin can choleostatic jaundice develop?
up to 2 months after stopping
How often should SOPs be reviewed?
every 2 years
Private prescriptions for COC that state ‘repeat’ can be dispensed a total number of times?
can be dispensed a total of 6 times in 6 months
How should daktocort cream be stored? what about ointment?
In fridge
ointment below 30 degrees
Digoxin and quinine interaction
Plasma concentration of digoxin is increased by quinine and so can lead to toxicity
Why should sildenafil and nitrates not be prescribed together?
Can cause a marked hypotensive effect
What three drugs must NEVER be put in a syringe driver?
Diazepam, prochloperazine and chlorpromazine
cyclizine antagonising the effect of what antiemteic?
Metoclopramide - no point giving together
Confusion or memory loss, muscle spasms, numbness and tingling in the hands/feet, depression, hallucinations, weak and brittle nails…are all signs of what electrolyte disturbance?
Hypocalcemia
Loss of appetite, N&V, constipation and abdo pain, increased thirst and frequent urination, muscle pain, confusion and difficultly thinking….are all signs of what electrolyte disturbance?
Hypercalcemia
Signs of hyponatremia
Nausea and vomiting
headache, confusion, loss of energy and fatigue, restlessness and irritability, muscle weakness, crapms, seizures, coma
constipation, palpitations, fatigue, muscle weakness are signs of what electrolyte disturbance?
Hypokalemia
Tiredness or weakness, a feeing of numbness or tingling, trouble breathing, chest pain, irregular heart beats/palpitations are signs of what electrolyte disturbance?
Hyperkalemia
What electrolyte disturbance can mirtazipine cause?
Hyponatremia
Mrs Smith has been taking 800units of ergocalciferol for 2 weeks now because she has a lack of vitamin D.
She develops nausea and has now vomited. What is the likely reason for this?
The vitamin D may have led to an increase in serum calcium causing the symptoms