Clinical Medicine

Question 1

Prescription writing

Superscription

Inscription

Subscription

Sig

Answer 1

• Superscription
  
  • Date, pt info, Rx symbol
• Inscription
  
  • Name and strength of drug
• Subscription
  
  • Directions to pharmacist
• Sig
  
  • Directions to patient

Question 2

Mild Pain

Answer 2

• Ibuprofen 400-600mg every 6 hours as needed
• Tylenol 500mg every 6hrs
• Tylenol #3 Disp 12 tabs, sig 1 tab every 4-6 hrs prn pain

Question 3

Mild to moderate pain

Answer 3

• Day of surgery
  
  • Ibuprofen 400-600mg with Tylenol 500mg every 6 hrs
• After 1st day of surgery
  
  • Ibuprofen 400mg w/ Tylenol 500 mg every 6hrs
  • Naproxen 500 Disp 12 tabs sig 1 tab per pain

Question 4

Mild to moderate pain Narcotic protocol

Answer 4

• Norco 5/325 or 7.5/325 Disp 20 Sig 1 tab 4-6hrs per pain

Question 5

Moderate to severe pain

Answer 5

• Percocet 5/325 Disp 12 tabs sig 1 tab 4-6 hrs per pain
• Percodan 5/325 Disp 12 sig 1 tab 4-6 hrs

Question 6

Antibiotics

Answer 6

• Amoxicillin 500mg Disp 20 1tab/day until finished
• Penicillin allergy
  
  • Clindamycin 150mg Disp 30 Sig 1 tab TID until finished

Question 7

Infective Endocarditis Prophylaxis

Answer 7

• Amoxicillin or Clindamycin 2g 30-60mins before tx

Question 8

Max epi for a healthy pt

Answer 8

O.2mg

or 200mcg

Question 9

Hear pt epinephrine restrictions

Answer 9

Dec epi by 1/5 or 0.04mg or 40mcg

Question 10

Renal and Hepatic dysfunction LA restrictions

Answer 10

Dec LA by 1/2

Question 11

If pt is on Inderal (propranolo) for HTN pts epi restrictions

Answer 11

Limit epi to 0.04mg

Bupvicaine epi 1:200k 4 carps

Lidocaine epi 1:100k 2 carps