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4th yr- CAD- Oral surgery > Prescribing in ADC and oral surgery > Flashcards

Prescribing in ADC and oral surgery Flashcards

1
Q

What does ADC stand for

A

Acute dental care

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2
Q

How should you write a prescription

A

Legibly in ink stating the :

  1. Date
  2. Name
  3. Address of patient and the practice
  4. Age and DOB preferable
  5. Name of drug clearly using approved title only
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3
Q

When is It a legal requirement to write the age and DOB of a patient on a prescription

A

When the medication is for a patient under 12

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4
Q

What information about the drug should you write on the prescription

A
  1. Dose
  2. Frequency
  3. Quantity to be supplied
  4. Minimum dose interval
  5. Max amount per day
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5
Q

What does nocte stand for on a prescription

A

At night

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6
Q

What does mane stand for on a prescription

A

Morning

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7
Q

What does bid/bd stand for on a prescription

A

Twice a day

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8
Q

What does tid/tds stand for on a prescription

A

Thrice a day

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9
Q

What does pm stand for on a prescription

A

As needed/ required

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10
Q

Give some examples of bacterial infections in dentistry

A
  1. Dental abscess
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11
Q

What is the first treatment we carry out for a dental abscess

A

Drainage of the tooth or extraction

Can try and attempt to drain soft tissues by incision

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12
Q

When are antibiotics appropriate to use for a dental abscess

A

When there is evidence of systemic or spreading infection such as cellulitis, lymphadenopathy, swelling etc

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13
Q

Which antibiotic do we prescribe for bacterial infections

A
  1. Phenoxymethylpenicillin 500mg

2. Amoxicillin capsules 500mg

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14
Q

How many Phenoxymethylpenicillin tablets do we give to a patient and what instructions do we give with that

A

40 tabs

2 tabs 4 times a dat

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15
Q

How much Phenoxymethylpenicillin can we give to a 6month-1 year old

A

62.5mg QDS

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16
Q

How much Phenoxymethylpenicillin can we give to a 1-5 yr old

A

125mg qds

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17
Q

How much Phenoxymethylpenicillin can we give a 5-11 yr old

A

250mg QDS

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18
Q

How many Amoxicillin capsules do we give to a patient and what instructions do we give with that

A

15 capsules

1 capsule 3 times a day for 5 days

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19
Q

How much Amoxicillin can we give to a 6month-1 year old

A

125mg TDS 5 days

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20
Q

How much Amoxicillin can we give to a 1-4 yr old

A

250mg tds

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21
Q

How much Amoxicillin can we give a 5-17 yr old

A

500mg TDS

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22
Q

What can we give to a patient with bacterial infection who has a penicillin allergy

A

Metronidazole tablets 400mg

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23
Q

How many Metronidazole tablets do we give to a patient and what instructions do we give with that

A

15 TABS

1 tablet 3 time a day for 5 days

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24
Q

How much Metronidazole can we give a 1-3 yr old

A

50mg tds for 5 days

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25
Q

How much Metronidazole can we give a 3-6 yr old

A

100mg bd for 5 days

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26
Q

How much Metronidazole can we give a 7-9 yr old

A

100mg tds for 5 days

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27
Q

How much Metronidazole can we give a 10-17 yr old

A

200mg tds for 5 days

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28
Q

List the second line antibiotics for dental abscess

A
  1. Clindamycin capsules 150mg
  2. Co amoxiclav 250-125mg
  3. Clarithromycin tablets 250mg
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29
Q

How many Clindamycin capsules do we give to a patient and what instructions do we give with that

A

send 20 capsules

1 capsule 4 times a day for 5 days

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30
Q

How many Co amoxiclav tablets do we give to a patient and what instructions do we give with that

A

15 tablets

1 tablets 3 times a day for 5 days

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31
Q

How many Clarithromycin tablets do we give to a patient and what instructions do we give with that

A

14 tablets

2 tablet a day for 7 days

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32
Q

What does ANUG stand for

A

Acute necrotising ulcerative gingivitis

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33
Q

What is the first course of treatment for ANUG

A

Scaling and OHI

34
Q

When can antibiotics be prescribed for ANUG

A

If there is systemic involvement in pericoronitis

35
Q

Which antibiotics would we use to treat systemic involvement in ANUG

A
  1. Metronidazole tablets 400mg

2. Amoxicillin capsules 500mg

36
Q

How many Amoxicillin capsules do we give to a patient WITH ANUG and what instructions do we give with that

A

9 caps for ANUG

1 capsule three times day for 3 days

37
Q

How many Metronidazole tablets do we give to a patient WITH ANUG and what instructions do we give with that

A

9 tablets for ANUG

1 tab three times day for 3 days

38
Q

How many Amoxicillin capsules do we give to a patient WITH PERICORONITIS and what instructions do we give with that

A

15 caps for pericoronitis

1 capsule three times day for 5 days

39
Q

How many Metronidazole tablets do we give to a patient WITH PERICORONITIS and what instructions do we give with that

A

15 tablets for pericoronitis

1 tab three times day for 5 days

40
Q

What is the first treatment for sinusitis

A

Local measures such as steam or methanol inflation (not suitable for children

41
Q

What can we prescribe to patients with sinusitis

A
  1. Ephedrine nasal drops 0.5%
    2, Phenoxymethypenicillin 500mg
  2. Doxycycline capsules, 100mg
42
Q

How much Ephedrine nasal drops do we give a patient and what instructions for give with that

A

10ml

1 drop into each nostril up to 3 times a day

43
Q

How many Phenoxymethypenicillin 500mg capsules do we give to a patient and what instructions do we give with that

A

40 capsules

2 capsules 4 times a day for 5 days

44
Q

How many Doxycycline 500mg capsules do we give to a patient and what instructions do we give with that

A

8 capsules

2 first day then 1 daily

45
Q

How do we usually treat dry sockey

A

Rinse the socket with a moneject syringe with warmed saline

Advise the patient to carry on with this and return if they have any problems

46
Q

Are dry sockets always treated with antibiotics

A

No only indicated if there is soft tissue infection and evidence of systemic spread such as lymphadenopathy

47
Q

When should fungal infections be referred and why

A

Chronic hyperplastic candidosis should be referred as it is potentially premalignant

48
Q

What is the first line of treatment for fungal infections

A

Local measures used in the first instance

Advise patients who use a corticosteroid inhaler to rinse out their mouth and brush teeth after using

49
Q

Give examples of fungal infections that may require antibiotics

A
  1. Pseudomembranous / Erythematous Candidosis

2. Angular Cheilitis

50
Q

What can we prescribe to patients with Pseudomembranous / Erythematous Candidosis

A

1, Fluconazole capsules, 50mg

2. Miconazole oromucosal gel, 24mmg/ml

51
Q

How many Fluconazole 50mg capsules do we give to a patient with Pseudomembranous / Erythematous Candidosis and what instructions do we give with that

A

7 capsules

Take 1 daily for 7 days

52
Q

How much Miconazole oromucosal gel 24mmg/ml do we give to a patient with Pseudomembranous / Erythematous Candidosis and what instructions do we give with that

A

18g tube

Apply pea sized amount 4 times a day after food

53
Q

What can Fluconazole and miconazole no the used. with

A

Warfarin and statins

54
Q

What can we prescribe is Fluconazole and miconazole are contra indicated

A

Nystatin oral suspension, 100,000 unit/ml

55
Q

How much Nystatin oral suspension, 100,000 unit/ml do we give to patients and what instructions do we give them

A

30m/s

1ml after food 4 times a day for 7 days

56
Q

List some antibiotics we can prescribe for Angular Cheilitis

A
  1. Miconazole cream, 2%
  2. Sodium Fusidate ointment, 2%
  3. Miconazole(2%) and Hydrocortisone(1%) cream or ointment
57
Q

How much Miconazole cream do we give to patients and what instructions do we give with it

A

20g tube

Apple to angles of mouth twice a day Advise patient to use 10 days after lesions have healed.

58
Q

How much Sodium Fusidate ointment do we give to patients and what instructions do we give with it

A

15g tube

Apply to angles of mouth four times daily (no more than 10 days)

59
Q

What reginme can we give to patients with unresponsive Angular Cheilitis

A

Miconazole(2%) and Hydrocortisone(1%) cream or ointment

60
Q

How much Miconazole(2%) and Hydrocortisone(1%) cream or ointment do we give to patients and what instructions do we give with it

A

30g tube
Apply to angles of mouth twice a day
Do not use more than 7 days)

61
Q

What do we advise patients with herpes simplex infection

A 
Local measured to be used eg
Avoidance of dehydration 
Soft diet
Adequare analgesia 
Antibactieral mouthwash
62
Q

Which antibiotics can we prescribe to patients with herpes simplex infection

A

Chlorhexidine mouthwash, 0.2%

Hydrogen Peroxide mouthwash, 6%

63
Q

What is herpes labialise

A

Cold sores

64
Q

What can we prescribe to patients with Herpes Labialis

A

Aciclovir cream, 5%

65
Q

What would prescribe a patient with mild to moderate odontogenic pain

A

Paracetamol tablets

Ibuprofen tabslets

66
Q

What would you prescribe a patient with moderate inflammatory or post operative pain

A

Diclofenac Sodium tablets, 50mg
15 tablets
take 1 3 times a day

67
Q

What would you prescribe a patient with mild to moderate inflammatory pain

A

Aspirin dispersible tablets 300mg

68
Q

If a patient has a history of stomach problems what would you prescribe along side NSAID

A
  1. Lanzoprazole capsules, 15mg

2. Lanzoprazole capsules, 15mg

69
Q

What would you do if you diagnosed a patient with trigeminal neuralgia

A

Control quickly and make an urgent referral to GMP for FBC and liver function tests

70
Q

What do we prescribe patients with trigeminal neuralgia

A

Carbamazepine tablets,100mg

71
Q

How much Carbamazepine tablets,100mg do we give patients and what instructions do we give

A

20 tablets

1 tablet per day

72
Q

Name the premedication we give to patients prior to oral sedation

A

Diazepam tablets, 5mg-10mg depending on patient’s anxiety and weight

73
Q

Who should we not give

Diazepam tablets

A

Do not use in patients who are hypersensitive to benzodiazepines, pregnancy, caution in
renal Impairment.

Advise patient to be accompanied and not to drive.

74
Q

Who should we avoid giving penicillin

A

Avoid in patients with

a history of anaphylaxis, urticaria or rash immediately after administration.

75
Q

What should patients taking Metronidazole avoid

A

Alcohol

76
Q

What can Erythromycin cause

A

Nausea
Vomitng
Diarrhoea

77
Q

What should we avoid giving patients taking Erythromycin

A

Avoid warfarin and statin

78
Q

Who should we avoid giving Clindamycin

A
  1. avoid in persons with diarrhoea state
  2. Pregnancy
  3. Nursing mothers
  4. Liver or kidney impairment
  5. Patients taking warfarin and statins
79
Q

What can Doxycycline cause

A 
nausea 
Vomiting 
diarrhoea, 
dysphagia, 
photo sensitivity
80
Q

Who should avoid giving Fluconazole and miconazole

A

Avoid in patients on warfarin and statin

81
Q

Who should we avoid giving ibuprofen

A 
Avoid in
1. patients with allergy to NSAIDs and aspirin 
2. Asthmatics 
3. patients on low dose aspirin, 
4. previous or
active peptic 
5. ulceration.
82
Q

Who should we be cautious giving Lanzoprazole and Omeprazole

A

Caution in liver disease, pregnancy and birding mothers

4th yr- CAD- Oral surgery (8 decks)

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