DRUG LIST Flashcards

Question

Emergency Bronchodilator therapy for child 1-5 years

Answer 1

salbutamol 100 micrograms per actuation, 6 actuations (1 at a time) via pMDI with spacer (and mask, if required); repeat every 20 minutes for the first hour (or sooner if needed) PLUS ipratropium 21 micrograms per actuation, 4 actuations (1 at a time) via pMDI with spacer (and mask, if required); repeat every 20 minutes for the first hour (or sooner if needed).

Answer 2

salbutamol 100 micrograms per actuation, 12 actuations (1 at a time) via pMDI with spacer; repeat every 20 minutes for the first hour (or sooner if needed) PLUS ipratropium 21 micrograms per actuation, 8 actuations (1 at a time) via pMDI with spacer; repeat every 20 minutes for the first hour (or sooner if needed).

Answer 3

who have symptoms requiring salbutamol occurring at least once a week who have had two or more moderate wheezing episodes (requiring emergency-department care or oral corticosteroids) in the last year following any severe wheezing episodes (requiring hospital admission). fluticasone propionate 50 to 100 micrograms by inhalation via pMDI with spacer (and mask if required), twice daily. If unable to take puffer or if they need add on therapy Montelukast 4mg orally (Above six the dose goes up by one to 5mg)

Answer 4

1. Salbutamol 100mg by inhalation pMDI with spacer prn 2. Salbut prn+ Fluticasone proprionate 50-100mcg by inhalation BD pMDI with spacer Can use montelukast 5mg orally if doesnt like MDI 3. SABA + Fluticasone Proprionate **125**mcg by inhalation with spacer (Or Fluticasone/salmeterol 100/50)

Answer 5

1300mg Calcium intake a day esp when taking bisphosponates - three serves of dairy daily. ONLY if intake is insufficient (calcium carbonate 1.25 g orally daily with food.

Answer 6

If lower than 30units OR if osteoporosis and less than 50 Cholecalciferol 25 to 50mcg orally daily 1000-2000 IU

Answer 7

Weight loss is effective for improving reflux symptoms in patients who are overweight; even modest weight loss can be beneficial. Other measures include: eating smaller meals drinking fluids mostly between meals rather than with meals avoiding lying down after eating avoiding eating or drinking for 2 to 3 hours before bedtime or vigorous exercise elevating the head of the bed (if symptoms occur at night) stopping smoking.

Answer 8

ON DEMAND THERAPY an antacid plus alginate preparation 10 to 20 mL orally, as required If not improving add Pantoprazole 40mg orally daily (or eso 20) half to one hour before a meal as required

Answer 9

start with PPI as first line pantop 40mg Preg use antacids and H2 first (ranitidine 150mg)

Answer 10

most people with H. pylori infection are asymptomatic, but infection confers a lifetime risk of peptic ulcer disease of 15 to 20%, and gastric cancer of up to 2%.

Answer 11

Not in reflux predom disease (heartburn/regurg) More **DYSPEPSI**A disease (discomfort, pain, nausea, bloating) These can be tested with **C13 Urea Breath** test (better in preg than other cos not radioactive). If found to be positive then eradication : **Treatment is 7 days BD esomeprazole 20, clarithromycin 500 and Amoxil 1g.** esomeprazole 20 mg orally, twice daily for 7 days PLUS amoxicillin 1 g orally, twice daily for 7 days PLUS clarithromycin 500 mg orally, twice daily for 7 days.

Answer 12

Stridor with no Hib Vaccination Tripod position Drooling Give Ceftx 50mg/kilo IV stat

Answer 13

Salbutamol 100mg pMDI up to 10 separate actuations by inhalation, repeat as needed Ipratropium 21mcg pMDI up to 6 separate actuations by inhalation, repeat as needed Oral prednisolone once daily in the morning for five days IF patient has 1) Increased purulence, colour change 2) Increased volume 3) Fever Oral Doxycycline 100mg daily for five days

Answer 14

0.5-2L to maintain oxygen saturations between 88 and 92 and avoid hypercapnic resp failure.

Answer 15

1. **SABA - Salbutamol 100mcg** **LAMA - Glycopyrronium 50mcg once daily inhalation** **LAMA/LABA - Glycopyrronium 50/ Indacterol 110 once daily** Then if FEV1 is less than 50 or greater than two exacerbations requiring abx and steroids in a year - **Then commence ICS/LABA and a LAMA** **Budesonide/Eformorterol 400/12**

Answer 16

Monoxidil 5% foam, BD for 6- 12 months can get hypertrichosis (

Answer 17

5 Fluorouracil 5% once daily 2-4 weeks for face 3-6 weeks on arms and legs Imiquimod 5% nocte 3 times a week for 3 weeks Ingenol Mebutate 0.015% face or scalp for three days

Answer 18

Benzyoyl peroxide 5%- face gel or cream Wash to back or chest. If mainly comedonal (remember topical retinoids are teratogenic) **Benzoyl peroxide + Adapalene 2.5% + 0.1%** - Daily for six weeks If comedonal and inflammatory **Benzoyl Peroxide 5% + Clindamycin 1%** - Daily for six weeks

Answer 19

Doxy 50mg orally daily for six weeks then review Can swap to Minocycline 50mg daily for 6 weeks or Erythromycin 250 or 500 mg bd for six weeks in girls if needs pill and there are no Contraindications: can swap to OCP ethinyloestradiol 35 + cyproterone acetate 2mg g - daily for first 21 days of 28 day cycle If not improving refer to Derm for isotretinoin

Answer 20

1. Sun Protection 2. Hydroquinone 2% cream, topically bd for 2 to 4 months 3. Or Add Topical tretinoin 0.025% for 4 to 6 months (Note topical tretinoin is teratogenic).

Answer 21

Dry lips,dry skin, dry eyes Teratogenic

DRUG LIST Flashcards

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