Random Flashcards
How do you usually treat torsades de pointes?
IV Mg sulphate
What is the treatment of choice for supra-ventricular arrythmias?
Adenosine - has a very short duration of action (8-10seconds)
What is the interaction between adenosine and dipyridamole?
Duration of action of adenosine is usually very short, its duration is prolonged in those taking dipyridamole
Sympathomimetic decongestants are effective due their vasoconstrictor effect. They should be avoided in patients with what co-morbidity?
Should be avoided in hypertension
A 14 year old requests an emergency supply for insulin. You check the patients records and they have had this before. Can you supply?
Yes - there is no age limit to an emergency supply
How should cluster headaches be treated?
Cluster headaches rarely respond to standard analgesics.
Sumatriptan given by S/C injection is the treatment of choice.
What time of day should flupentixol be taken?
Flupentixol has an alerting effect - do not give after 4pm
As an authorised pharmacist, can you legally supply industrial denatured alcohol (IDA) to a medical practitioner without the MP having being authorised by HM Rev and Customs?
Yes - do not need authorisation
What is the max quantity of industrial denatured alcohol can be supplied without a license/authorisation?
20L
What are the target oxygen saturations in a patient not at risk of hypercapnic respiratory failure?
94-98%
What are the target oxygen saturations in a patient with COPD?
88-92%
Name 3 factors that would put a patient at risk of hypercapnic respiratory failure?
COPD, cystic fibrosis, lung scarring from TB, overdose on benzos or opioids
What is the minimum period the pharmacy record must be kept for?
5 years
A mother enters the pharmacy requesting hydrocortisone cream for her 8 year old son. How do you respond?
Refuse sale - hydrocortisone cream not suitable OTC if <10 years
What is the max duration hydrocortisone cream should be used for OTC?
1 week
What is the interaction between ciprofloxacin and warfarin?
Ciprofloxacin is an enzyme inhibitor, therefore increases the anticoagulant effect of warfarin
At what time after administration should you measure the digoxin plasma conc?
6 hours after dose
Why is it important that tetracyclines are not used after there expiry date?
They become more nephrotoxic after their expiry date
What is the max supply of isotretinoin that can be given to a women under the PPP?
Max 30 days supply
For how long is a prescription for isotretinoin valid for, if the patient is part of the PPP?
28 days
A mother asks for advice. Her daughter has a cough which sounds like barking, and is having difficulty breathing? What do you think the daughter has? What advice do you provide?
Symptoms are typical of croup.
Croup usually gets better on its own at home within 48 hours - advise rest and fluids.
How do the doses of amitriptyline differ between depression and neuropathic pain?
Depression - initially 75mg daily , increased up to 150-200mg.
Neuropathic pain - initially 10mg daily, increased up to 75mg.
What four drugs could be used for hypersecretions in palliative care?
Hyoscine hydrobromide/butylbromide, glycopyronnium or atropine
What are the fat soluble vitamins?
ADEK