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V300 Non-Medical Prescribing > Drug Calculations, Aesthetics & Prescribing Law > Flashcards

Drug Calculations, Aesthetics & Prescribing Law Flashcards

(51 cards)

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1
Q

What is the standard dilution of Botox (Botulinum Toxin Type A) for aesthetic use?

A

Typically 100 units diluted in 2.5 mL saline = 4 units per 0.1 mL

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2
Q

How many units of Botox are in 0.05 mL if diluted at 100 units in 2.5 mL?

A

2 units

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3
Q

What is the maximum recommended dose of Botox for glabellar lines?

A

20 units

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4
Q

What needle size is typically used for Botox injections?

A

30G or 32G 0.5 inch needle

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5
Q

What local anesthetic is commonly used in dermal fillers?

A

Lidocaine 0.3%–2%

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6
Q

What is the safe maximum dose of lidocaine with epinephrine (per adult)?

A

7 mg/kg (max ~500 mg)

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7
Q

What is the reversal agent for hyaluronic acid fillers?

A

Hyaluronidase

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8
Q

How is hyaluronidase typically supplied?

A

1500 units per vial (reconstituted in saline)

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9
Q

How many units of hyaluronidase are used to dissolve 1 mL of filler?

A

Depends on filler

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10
Q

What should you always do before administering hyaluronidase?

A

Perform a patch test for allergy (unless emergency situation)

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11
Q

What are common signs of vascular occlusion?

A

Blanching

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12
Q

What is the initial management of vascular occlusion?

A

Stop injecting

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13
Q

What is the concentration of adrenaline in 1:1000?

A

1 mg/mL

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14
Q

What is the emergency dose of adrenaline IM for anaphylaxis in adults?

A

0.5 mg (0.5 mL of 1:1000)

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15
Q

What gauge needle is typically used for dermal filler injections?

A

27G–30G depending on area

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16
Q

What is the half-life of botulinum toxin A in the body?

A

Approximately 3–4 hours

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17
Q

What is the onset of action for Botox?

A

Usually 3–5 days

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18
Q

What is the recommended waiting period between Botox treatments in the same area?

A

At least 12 weeks

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19
Q

Name a contraindication for Botox.

A

Pregnancy

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20
Q

What is the name of the receptor blocked by botulinum toxin?

A

SNARE complex (prevents acetylcholine release)

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21
Q

What dermal filler material is most commonly used in UK aesthetics?

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A

Hyaluronic acid

22
Q

What enzyme naturally breaks down hyaluronic acid in the body?

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A

Hyaluronidase

23
Q

What is the legal classification of botulinum toxin?

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A

Prescription-only medicine (POM)

24
Q

Is it legal to administer Botox without a face-to-face consultation by a prescriber?

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A

No – it’s a criminal offence under UK law

25
What should be included in a face-to-face consultation?
Full medical history
26
How long must consent be obtained before an aesthetics procedure?
Ideally at least 24 hours before
27
What documentation should be completed after every injectable treatment?
Consent form
28
How should adrenaline be stored in a clinic?
In-date
29
What volume of adrenaline 1:1000 would you give for anaphylaxis in a 60 kg adult?
0.5 mL IM
30
How soon must complications like vascular occlusion be treated?
Immediately — they are time-critical emergencies
31
What is the role of a V300 prescriber in aesthetics?
To assess
32
What is the maximum recommended dose of adrenaline 1:1000 IM in adults?
0.5 mg (0.5 mL)
33
What drug can be prescribed orally post-aesthetics for mild bruising?
Arnica
34
What antihistamine may be prescribed for post-treatment swelling or allergy?
Chlorphenamine or cetirizine
35
Why should aspirin be avoided before dermal filler treatment?
It increases bleeding and bruising risk
36
How long should dermal filler batch numbers be kept in records?
At least 2 years (or as per local policy)
37
What is the purpose of using aspirational technique before injecting filler?
To reduce the risk of intravascular injection
38
Which arteries are of greatest concern in nasal filler procedures?
Dorsal nasal artery and angular artery
39
Name one antibiotic commonly prescribed for biofilm infection post-filler?
Clindamycin or doxycycline
40
What is the clinical sign of a delayed-type filler complication?
Firm nodule
41
What should you do first if your patient has suspected vascular occlusion?
Stop injecting
42
What is the dose range of hyaluronidase used for treating vascular occlusion?
Typically 150–1500 units
43
Name a sign of lidocaine toxicity.
Perioral tingling
44
What is the intralipid protocol used for?
Managing local anaesthetic systemic toxicity (LAST)
45
What is the first-line treatment for severe anaphylaxis in aesthetics?
IM adrenaline 1:1000
46
What should be included in an emergency grab box in an aesthetics clinic?
Adrenaline
47
How often should emergency drugs and equipment be checked in clinic?
Weekly or before each clinic session
48
What is the legal responsibility of a V300 prescriber in a complication?
Full accountability for patient safety
49
What is a Patient Group Direction (PGD) and can it be used for Botox?
PGDs are written instructions for supply/admin by non-prescribers; Botox cannot be given under PGD
50
Can a prescriber delegate Botox administration to a non-clinical staff member?
No
51
What law governs the prescribing of POMs in the UK?
The Human Medicines Regulations 2012

V300 Non-Medical Prescribing (4 decks)

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