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PSA shite > Prescribing > Flashcards

Prescribing Flashcards

1
Q

What is the mneumoic you use before you think about prescribing something?

A

Prescriber

Patient deatils

REactions

Side effects

Contraindications

Route

IV fluids?

Blood clot prophylaxis?

Emetics, anti-emetics?

Relief from pain?

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2
Q

If the pt has a histroy of peptic ulcers, what drug shouldn’t you prescribe

A

NSAIDS ya dick

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3
Q

What Abx is used for epidlottitis?

A

CefoTAXime

TAX meningits and epiglottitis

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4
Q

whats the difference between SSRI use for depression and anxiety

A

Anxiety typically has a lower dose

Not for shite like citalopram for some reason eh

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5
Q

Management of incontinence

  1. for stess
  2. for urge with myasthenia gravis
  3. for urge without myasthena gravis
A

1 & 2 duloxetine

3 oxybutynin

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6
Q

for urge incontinince, you usually give oxybutynin unless there’s a history of…

A

Myasthenia gravis

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7
Q

If a pt is looking for more pain relief and they’re already on paracetamol & NSAIDs, what do you gice?

A

Codeine

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8
Q

A pt is constipated, and after sticking your fingers up their bum the stool feels nice and soft

What laxative should you prescribe?

A

SENNA

SOFT= SENNA

Senna is a stimulant, things like docusate are stool-softenors, so there’s no need to further soften the fucking shite

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9
Q

if the meds are ‘usually taken at bed time’, what should you write on the chart under frequcny

A

…x nightly

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10
Q

If the case is about a bloke with SOB and they also give you an ECG, what’s the likely problem?

A

AF

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11
Q

what should you give someone with increasing breathlessness with a history of like asthma/COPD

what will you give to stop the breathlessness

A

Salbuatmol NEBS

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12
Q

What is always used for clot (DVT or PE) prophylaxis and treatment

UNLESS it’s an acute stroke

A

Dalteparin SC mate

+

Compression stockings

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13
Q

if a pt has leg ulcers, probs as a result of periphearl arterial disease, can you prescribe a B-blocker?

A

Absolultey no fucking way

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14
Q

if you’re thinking about an anti-emetic, but the pt has parkinsons or acute dystonia, what one can you absolutley not use

A

Metoclopramide

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15
Q

you’re wanting to prescribe an ABx for a UTI

They have an eGFR of <45

What drug can’t you use

A

Nitro

Nitro completley fucks the kidneys

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16
Q

if the pt is vomiting or they ‘can’t take oral fluids’, what route should you use

hard one this bloody hell

A

IV

SC

IM

pick whichever eh, cheers

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17
Q

what do you prescribe for IBS

A

Mebeverine

+

Loperamide (for the diarrhoea lol)

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18
Q

Pain prescribing: what do you give for…

  1. no pain
  2. mild pain
  3. moderate pain
  4. severe pain
  5. neuropathic
  6. TENS is an option
A
  1. just PRN paracetamol
  2. regular pacacetamol + PRN codeine/tramadol
  3. regular cocodamol/codeine + PRN morphine
  4. regular morphone + PRN morphine
  5. amitrytyline (at night)
  6. TENS
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19
Q

For blood clot prophylaxis…

  1. how long do you need to wait after an acute stroke before you can give Dalteparin
  2. when can you not give compression stockings
A
  1. 2 months
  2. PAD (‘can’t feel feet pulses’)
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20
Q

If a pt has some neruopathic sounding pain, when do you need to prescribe the amitriptyline

A

at NIGHTIME

same as steroids eh

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21
Q

Paracetamol shite

  1. what is the max dose you can give in a day
  2. what is the usual prescirption
  3. what do you need to look out for
A
  1. 4g
  2. 1g, 6hrly
  3. other shite containing para, like co-codamol
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22
Q

what is the max dose of paracetamol you can prescribe in a day

A

4g

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23
Q
A
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24
Q

when in doubt about what to prescribe, where do you look in the BNF

A

TREATMENT SUMMARIES

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25
Q

Resp ABXs

  1. AECOPD
  2. CAP
  3. atypical pneumonia
  4. Hospital acquired pneumonia
A

1.

Amox or tetra or clarith

2.

Amox

PA = clartih or doxy

staph A likely = fluclox

3.

Clarith

4.

<5 days = co-amox

>5 days= pipercillin + Tazobactam (Tazocin)

26
Q

when in doubt, what resp ABX should you guess

A

Normal -> amox

PA -> clarith or doxy

27
Q

Urinary tract ABXs

  1. UTI
  2. acute pyleonephritis
  3. acute prostatitis
A

1.

Normal or low eGFR -> trimeth

Preggers or methotrexate -> nitro

close to term -> amox

2. & 3

Cipro

3 can also use trimeth

28
Q
A
29
Q

what do you give for acute pulmonary oedema?

A

IV furosemide

30
Q

For shite like AF, what fo you give in younf & old folk

A

Young -> amiodarone (rythm control)

Old -> verampail (rate control)

31
Q

What should you prescribe for…

  1. chronic HF
  2. sevre SOB/AECOPD or asthma
  3. chest pian (angina) relief
  4. SOB with AF
  5. hyperkalemia
  6. tumour induced seizure (focal)
  7. diabetes
  8. dyspepsia
  9. severe pneumonia
A
  1. ACEi + B-blocker
  2. Salbutamol NEBS
  3. GTN
  4. veramapil
  5. Ca gluconate or insulin
  6. carba or lamotrigine
  7. metofmrin or glicazide
  8. magnesuium carbonate
  9. tazocin
32
Q

what is magnesium carbonate used to treat

A

dyspepsia

33
Q

what do you use to treat hyperkalaemia

A

protect heart -> IV Ca gluconate

lower K levels -> 10 units of IV Insulin (actrapid)

34
Q

when do you not use metformin 1st line for diabetets

A

when liver is fucked

>150 creatinine leevles

signs of lactiv acidosis

35
Q

do ya prescribe something orally if a poor bugger is vomiting

A

fuck off

36
Q

what route do you use if theres already IV access

A

IV you clown

37
Q

what bit in the BNF do you fing out about how to prescribe HRT

A

Sex hormones

38
Q

what route is best avoided in kids

A

IV

they might not be best pleased

39
Q

if you need ro prescribe Vit K, what is the druc called

used in cases of too much warfarin

A

phytometidine

40
Q

what is the only route of administratoin for insulin

A

SC

41
Q

what drug, used to prevent transplant rejection, is one of the very few drugs that is prescribed by it’s brand name

A

tacrolismus

42
Q

steroid treatment for eczema?

A

topical hydrocortisone

43
Q

if a pt has an alcohol dependence, can you give oral metronidazole

A

nope

if bacterial vaginosis, use an intravaginal cream

44
Q

if it says to prescribe a ‘change’, what does it mean

A

prescribe one of the drugs they’re already on, but just change the dose

like if steroids and unwell, just increase the dose

45
Q

what do you put down for ‘route’ when prescribing eye drops

A

occular

46
Q

what cause of macrocytic anaemia is common in pt’s with coelaics

A

b12 defieicny

treate with HYDROXOCOBALAMIN

47
Q

when in the bnf do you find stuff on fludis & electrolytes

A

Fluids & electrolytes you fucking idiot

48
Q

how do you treat chalmydia

A

azithromycin (only 1 dose needed)-> DEFFO IF PREGNANY

or

Doxyxyxline for like 7 days

49
Q

what sti has gram -ve diplodocci and obvs get this discharge after sex

A

gonorrohea

50
Q

1st line for pain in ankylosing spondylitits

A

NSAID -> naproxen

51
Q

scabies is treated with…

A

permithrin cream

52
Q

how do you find out like specific VTE prophylaxis for certwin operations

A

go onto the VTE bit

control F the type of surgery lol

53
Q

anti-emetic for migraine

A

prochloperazine

54
Q

what route should morphine be gien by in acute pain

A

IV obvs

55
Q

what might be going on if you’ve got abdo pain, N&V and are on long-term steroids for shite like crohns

you’ve also got like low sodium and high K

What would you use to treat

A

Addisoninan (adrenal) crisis

give hydrocorisone

56
Q

where do you look up for about emegerncy contreacpetion

A

just fucking search emegency contraception

57
Q

if you’re looking for stuff to describe for STIs, where do you look

A

Genital system infections

58
Q

noisy breathing in a palliiative pt is probs due to…

A

secretions

59
Q

for a pessary, what do you put down for route

A

vaginal

60
Q

what infection often comes after an insect bite

A

cellulitis

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