TO DO: Flashcard Pharmacist

Question 1

Blood Glucose Levels

Answer 1

5-7 Waking
4-7 Fasting
5-9 Dining (after food)

test FOUR times a day

Question 2

HbA1c Monitoring

Answer 2

• 48 = diet/single drug
• 53 = prone to hypos/more than a single drug
• 58 = intensify treatment

stable = monitor every 6 months 
unstable = 3-6 months

Question 3

True or False. ICS use in COPD associated with increased risk of pneumonia.

Answer 3

True.

Question 4

Warfarin - INR high what to do

Answer 4

• INR 5-8 + NO BLEED = miss 1 or 2 doses & reduce maintenance
• INR 5-8 + BLEED = stop & IV phytomenadione
• INR > 8 + NO BLEED = stop & ORAL phytomenadione
• INR > 8 + BLEED = stop & IV phytomenadione + dried prothrombin

Question 5

When to test INR?

Answer 5

• daily/alternate until INR in range
• twice a week for 1-2 weeks
• weekly INR until within range twice
• then longer - up to 12 weeks at a time

Question 6

Length of Abx Courses

Answer 6

COPD & Asthma = 5 days 
UTI Females = 3 days 
UTI Complicated = 7 days 
Acute Prostitis = 14 days 
H Pylori = 7 days 
Cellulitis = 7 days 
Animal Bites = 5 days
C Diff = 10 days

Question 7

Laxatives Time to Take Effect

Answer 7

Suppositories - 15-30 mins 
Bisacodyl - 6-12 hours 
Senna - 8-12 hours 
Docusate - 12-72 hours 
Ispaghula - 2-3 days 
Lactulose - 2-3 days

Question 8

CURB 65 Score

Answer 8

Confusion
Respiratory Rate > 30
Blood Pressure < 90 systolic, < 60 diastolic

Over 65

Question 9

Key Levels of Narrow Therapeutic Index

Answer 9

Carbamazepine = 4-12 
Digoxin = 1-2 
Phenytoin = 10-20
Theophylline = 10-20
Lithium = 0.4-1
Gentamicin = 5-10 peak, < 2 trough

Question 10

Abx to take on an empty stomach

Answer 10

Fluclox
Pen V
Oxytetracycline
Ampicillin

Question 11

Abx take after/with food

Answer 11

Metronidazole
Pivmecillinam
Nitrofurantoin

Question 12

Abx to take with full glass of water

Answer 12

Doxycycline
Clindamycin
Metronidazole

Question 13

Abx to avoid indigestion remedies 2 hours before/after

Answer 13

Azithromycin

Doxycycline

Question 14

Abx to protect skin from sunlight

Answer 14

Lymecycline

Doxycycline

Question 15

Abx to avoid MILK ANNNND indigestion remedies

Answer 15

Oxytetracycline
Ciprofloxacin
Tetracycline

Question 16

Abx that discolours urine

Answer 16

Nitrofurantoin

Metronidazole

Question 17

Methotrexate Monitoring

Answer 17

FBCs
LFTs
U&Es

Resp Issues - cough etc
Liver toxicity - jaundice etc
Blood Disorders

Question 18

Which GLP-1s are weekly ?

Answer 18

Dulaglutide
Semaglutide
Exenatide MR

Question 19

Hypoglycaemia

Answer 19

FAST ACTING CARBS = 10-20g

• 3-6 glucose tabs
• two tubes glucose gel
• 60-80 ml glucose liquid
• 2-4 tsp of sugar
• 200mL fruit juice

REPEAT AFTER 15 MINS

Question 20

HRT to give if had hysterectomy

Answer 20

OESTROGEN ONLY

Oestrogen & Progesteone those still with womb as progesterone decreases risk of endometrial cancer

Question 21

SU, Pioglitazone, GLP-1 mechanisms of action

Answer 21

SU - stimulates pancreatic insulin production
Pioglitazone - reduces peripheral insulin resistance
GLP-1 - slows gastric emptying, suppresses glucagon secretion & increases insulin secretion

Question 22

Which anti diabetics cause weight GAIN

Answer 22

Pioglitazone

Sulfonylureas

Question 23

SSRI, SNRI, Mirtazipine Contraindications

Answer 23

SSRIs - poorly controlled epilepsy
SNRIs - uncontrolled hypertension
Mirtazapine - under 18s

Question 24

Hypertension Stages

Answer 24

Stage 1: 140/90 - 160/100
Stage 2: 160/100 - 180/20
Stage 3: 180/120

Question 25

Absorption/Administration of Levo

Answer 25

BEFORE FOOD - 30-60 mins before

Food that reduces absorption

• caffeine
• soya, milk
• dietary fibre
• coffee

Question 26

Hypertension Targets

Answer 26

Type 1s: < 130/80

Under 80 & Type 2s: < 140/90

Over 80: < 150/9p