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past mistakes gphc exam > counselling points > Flashcards

counselling points Flashcards

1
Q

Aminosalicylates (mesalazine, olsalazine, sulfasalazine)

A

Blood disorders- report any unexplained bruising/ bleeding/ sore throat/ fever/ malaise

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2
Q

Specific for sulfasalazine

A

may stain soft contact lenses

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3
Q

Ispaghula husk (fybogel)

A

swells in contact with water- take with water,
do not take right before bed
full effect may take a few days

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4
Q

Prucalopride

A

dizziness and fatigue may affect your ability to drive

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5
Q

liquid parafin

A

do not take immediately before bed

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6
Q

glycerol suppositories

A

moisten suppository with water prior to insertion

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7
Q

Pancreatin

A

ensure adequate hydration esp if high dose

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8
Q

Ursodeoxycholic acid

A

avoid excessive cholesterol and calories

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9
Q

Betamethasone with clioquinol

A

stains clothing

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10
Q

Antiarrythmics

A

ay affect ability to drive

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11
Q

AMIODARONE

A

Phototoxicity reactions- shield skin from sun damage during treatment and for severe months after discontinuation
Corneal micro deposits - blurred vision may affect ability to drive

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12
Q

Amiodarone with sofosbuvir

A

recognise signs and symptoms of bradycardia and heart block- seek immediate medical attention if SOB, lightheadedness, palpitations, waiting, tiredness and chest pain

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13
Q

Dronedarone

A

Heart failure- seek immediate med attention for weight gain, dependent oedema, dyspnoea
Hepatic disorders- signs and symptoms of liver disorder- seek immediate attention for abdominal pain, anorexia, nausea, vomitting, fever, malaise, itching, dark urine, jaundice

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14
Q

apixaban, edoxaban, rivaroxaban

A

Alert card should be kept on person at all times

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15
Q

Dabigatran

A

contact doctor if GI symptoms like dyspepsia
Alert card- keep on person at all times
Missed dose= 6h late - skip and take next dose at normal time

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16
Q

Warfarin

A

anticoagulation book should be issued and include advice for patients on anticoagulant treatment and INR monitoring readings
alert card should be kept on you at all times

17
Q

Phenindione

A

may turn urine pink/ orange
anticoagulant card kept on person at all times

18
Q

Clonidine, methyldopa

A

drowsiness may affect ability to drive,
effect of alcohol may be enhanced

19
Q

ACEis

A

take first dose before bedtime

20
Q

Riociguat

A

smoking cessation is advised- as smoking can reduce efficacy

21
Q

Iloprost

A

increased risk of diziness- may affect ability to drive

22
Q

Midodrine

A

report symptoms of supine hypertension (like chest pain, palpitations, SOB, headache, blurred vision) immediately. Risk of supine hypertension at night may be reduced by raising the head of the bed

23
Q

Colesevelam, colestipol, colestyramine

A

avoid taking other drugs at the same time

24
Q

Statin

A

Report promptly Andy unexplained muscle pain, tenderness or weakness

25
Q

Nicorandil

A

Do not drive or operate machinery until its effect is established that performance isn’t impaired

26
Q

Epipen

A

advise on use before supply
At the first signs of anaphylaxis- use epipen, call 999 and say ‘anaphylaxis’,
use second epipen if no improvement after 5 mins
lie down or sit up with legs elevated if struggling to breath and lie down asap
do not leave person alone

27
Q

Cilostazol

A

report unexplained bleeding/ bruising. sore throat/ fever

28
Q

Ipratropium bromide (atrovent)

A

avoid contact with eye as can cause ocular toxicity
increased risk of dizziness and vision disorders can affect ability to drive

29
Q

Tiotropium (braltus, spiriva)

A

Respimat inhaler carftrige is reusable and can be replaced 6 times before needing a replacement
Remind that capsules are not for oral administration

30
Q

Beta 2 adrenoreceptor agonists
(formoterol, olodaterol, salmeterol, salbutamol, terbutaline)

A

dose, frequency, and max doses in 24 hours should be explained
seek medical attention if prescribed dose is not provided relief as indicated worsening of symptoms

31
Q

Salmeterol

A

Not for acute attacks- do not exceed prescribed dose

32
Q

Salbutamol, terbutaline

A

should provide relief for about 3 hours
do not exceed prescribed dose- especially important for news as doses are much higher than inhaler

33
Q

ICS

A

Steroid emergency card for
- adrenal supression
- belometasone dose higher than 100mcg/ day
- fluticasone 500mcg/ day

34
Q

Montelukast

A

Neuropsychiatric reactions- seek medical attention if changes in speech or behaviour occur

35
Q

Antihistamines

A

Drowsiness may affect ability to drive
sedating antihistamines- effect enhanced by alcohol

36
Q

Ivacaftor

A

6h= missed dose- skip and onto next at normal time
dizziness may affect ability to drive

37
Q
A

past mistakes gphc exam (4 decks)

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