Section 2: Prescription review

Question 1

If a patient is bleeding, what kind of drug(s) should you stop?

Answer 1

Anticoagulants

Antiplatelets

Question 2

If a patient is hyperkalaemic, what kind of drug(s) should you stop?

Answer 2

Potassium sparing diuretics eg spirinolactone

ACEis eg Ramipril

ARBs? eg losartan

Potassium containing fluids

Question 3

If a patient is allergic to penicillin, what kinds of drug(s) do you stop?

Answer 3

Penicillins of course

eg Co-Amoxacillin!

also, Tazocin!

any other Antibiotic ending in -cillin

Question 4

Common Contraindications.

Answer 4

1. Drugs that cause bleeding -x-> bleeding
2. Steroids -x-> side effects and Cx: “STEROIDS”
3. NSAIDS -x-> Side effects and Cx: “NSAID”
4. Hypotensives

Question 5

Common side effect of ACEi’s?

Answer 5

Dry cough

Question 6

Common side effect of beta blockers?

Answer 6

Wheeze in asthamtics, acute HF exacerbation

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Althought helpful in chronic HF

Question 7

Common side effects of CCBs?

Answer 7

Peripheral oedema, flushing

Question 8

Common side effect of diuretics?

Answer 8

Renal failure

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Loop diuretics can cause gout

Potassium sparing diuretics can cause Gynaecomastia

Question 9

Common side effect of spirinolactone?

Answer 9

Gynaecomastia

Also renal failure, as with all diuretics

Question 10

Common side effect of furosemide?

Answer 10

Gout

Also renal failure, as with all diuretics

Question 11

Contraindications to steroids?

Answer 11

“STEROIDS”

Question 12

Contraindications to NSAIDs?

Answer 12

“NSAID”

Question 13

When not to give Beta blockers of CCBs as hypotensives?

Answer 13

Bradycardia

Question 14

When to not give compression stockings?

Answer 14

In peripheral vascular disease