Therapeutics

Question 1

Why are children a special group for drugs?

Answer 1

Risk of toxicity increased by reduced rate of drug clearance
Differing target organ sensitivity
Dose usually calculated on body weight or surface area
Some medications should be avoided completely eg:
Aspirin - causes Reye’s syndrome
Tetracycline - interferes with bones and teeth

Question 2

What patient details do you need on a prescription?

Answer 2

Name
Address
NHS number
Age and/ or DOB
DOB compulsory <12 y/o

Question 3

What prescriber details do you need on a prescription?

Answer 3

Name 
Surgery address + phone 
6 digit prescriber number
CCG
Signed and dated

Question 4

Centor criteria

Answer 4

Tonsillar exudate
Cervical lymphadenopathy
Absence of cough
Fever over 38

Question 5

Which abx do you not prescribe in children?

Answer 5

Tetracyclines - teeth staining

Quinolones - tendon damage

Question 6

What should not be given to asthmatics?

Answer 6

Beta blockers - exacerbates bronchoconstriction

Question 7

Common side effects of calcium channel blockers

Answer 7

Headache, flushing, ankle swelling

Question 8

What drugs should be stopped when prescribing clarithromycin?

Answer 8

Statins - greater risk of muscle pain/ damage

Question 9

Which drink should be avoided when taking statins?

Answer 9

Grapefruit juice