TO DO: Flashcard Pharmacist
Blood Glucose Levels
5-7 Waking
4-7 Fasting
5-9 Dining (after food)
test FOUR times a day
HbA1c Monitoring
- 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
True or False. ICS use in COPD associated with increased risk of pneumonia.
True.
Warfarin - INR high what to do
- 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
When to test INR?
- 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
Length of Abx Courses
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
Laxatives Time to Take Effect
Suppositories - 15-30 mins Bisacodyl - 6-12 hours Senna - 8-12 hours Docusate - 12-72 hours Ispaghula - 2-3 days Lactulose - 2-3 days
CURB 65 Score
Confusion
Respiratory Rate > 30
Blood Pressure < 90 systolic, < 60 diastolic
Over 65
Key Levels of Narrow Therapeutic Index
Carbamazepine = 4-12 Digoxin = 1-2 Phenytoin = 10-20 Theophylline = 10-20 Lithium = 0.4-1 Gentamicin = 5-10 peak, < 2 trough
Abx to take on an empty stomach
Fluclox
Pen V
Oxytetracycline
Ampicillin
Abx take after/with food
Metronidazole
Pivmecillinam
Nitrofurantoin
Abx to take with full glass of water
Doxycycline
Clindamycin
Metronidazole
Abx to avoid indigestion remedies 2 hours before/after
Azithromycin
Doxycycline
Abx to protect skin from sunlight
Lymecycline
Doxycycline
Abx to avoid MILK ANNNND indigestion remedies
Oxytetracycline
Ciprofloxacin
Tetracycline
