More random past paper qs Flashcards
Paediatric paracetamol dosing (under 6)
120 mg/5 mL
2-12 months - 2.5 mL
12-24 months - 5 mL
2-4 years - 7.5 mL
4-6 years - 10 mL
Paediatric paracetamol dosing (over 6)
250 mg/5 mL
6-8 years - 5 mL
8-10 years - 7.5 mL
10-12 years - 10 mL
Paediatric ibuprofen dosing (for general pain/fever)
100 mg/5 mL
3-6 months - 2.5 mL 7-12 months - 2.5 mL up to FOUR times a day 1-3 years - 5 mL 4-6 years - 7.5 mL 6-9 years - 10 mL
Paediatric ibuprofen dosing (post-immunisation pyrexia)
For all children aged 3 and up:
2.5 mL of 100 mg/5 mL, followed by 2.5 mL 6 hours later if required
(If second dose doesn’t work, see GP)
Which administrative route should be avoided when using vinca alkaloids?
Intrathecal
should only be administered via IV
What can be given to treat cellulitis (first-line) if the infection is NOT on the face?
Flucloxacillin
Clarithromycin/doxycycline if pen allergic
Erythromycin if pregnant
What can be given to treat cellulitis (first-line) if the infection IS on the face (near eyes/nose)?
Co-amoxiclav
If unsuitable: clarithromycin with metronidazole
What cautionary label(s) are needed on lansoprazole?
Do not take indigestion remedies 2 hours before or after you take this medicine (2)
Take 30 to 60 minutes before food (22)
Swallow this medicine whole. Do not chew or crush (25) - for GR caps only
What is required on a dispensing label for it to be legal?
Patient name Drug name Instructions for administration Name and address of dispensary Date of dispensing Warning labels KOOSAROC
What drugs interact with emergency hormonal contraceptives?
CYP inducers can reduce their efficacy
Remember: BS CRAP GPS
Barbiturates St John's Wort Carbamazepine Rifampicin Alcohol (chronic) Phenytoin Griseofulvin Protease inhibitors Sulfonylureas/Smoking
Which beta-blockers are hydrophilic? What does this mean for their pharmacokinetics and side-effect profile?
Celiprolol
Atenolol
Nadolol
Sotalol
Renally excreted (doses should be adjusted in renal impairment) Less likely to cross the BBB, and therefore less likely to cause nightmares
How many days after UPSI is levonorgestrel (Levonelle) most effective?
3 days
How many days after UPSI is ulipristal (EllaOne) effective?
5 days
What are some symptoms of hand, foot and mouth disease?
Sore throat
Not wanting to eat
Fever
Followed by mouth ulcers and blisters/rashes on palms and soles of feet
How is hand, foot and mouth disease treated?
Plenty fluids and OTC paracetamol/ibuprofen
Viral infection so NO antibiotics
What are the monitoring requirements for lithium?
Before initiation:
Renal, cardiac and thyroid function
BMI, U&Es, FBC
ECG if pt has CVD/risk factors
Every 6 months:
BMI, U&Es, eGFR, FBC
(more often if evidence of impairment)
Cardiac function - regular
How soon after a lithium dose should levels be taken? What is the target range?
12 hours,
0.4 - 1 mmol/L
What should people taking lithium be aware of?
Look out for: Lithium toxicity Hypothyroidism Renal dysfunction Benign intracranial hypertension
May impair skilled tasks
Why shouldn’t thiazide diuretics and lithium be used together?
Thiazides can
→ increase risk of HYPOkalaemia
→ increase the plasma conc. of lithium
Are faxed Rxs valid?
No - not indelible ink
Pharmacist can use their discretion to mitigate risks and supply, unless CD Sch 2 or 3 (illegal to supply)
What is Zika virus?
A disease spread by mosquitos lasting 2-7 days; mild and not harmful (unless pregnant)
NOT a notifiable disease
What electrolyte balances can loop diuretics cause?
HYPO everything (K, Na, Mg, Ca)
What electrolyte balances can thiazide diuretics cause?
HYPOkalaemia
At higher doses, it can also disrupt:
Na+, uric acid, glucose and lipids
What electrolyte balances can thiazide-like diuretics cause?
HYPERcalacaemia
HYPO K, Na and Mg
