Pescriptions Flashcards
(19 cards)
What is the most common side effect of opioids?
Constipation
What is an example of a short acting opioid?
Oxynorm (4-6 hours)
How long do fentanyl patches last?
3 days
Where to find opioid conversations when describing?
BNF > Guidance > Prescription in palliative care > Pain management with opioids.
What is the ideal dosage for break through pain?
1/6- 1/10 of the regular daily dose
What are the 4 Rs of fluid prescribing?
Resuscitate Routine maintenance Replacement Redistribution Reasses
What are the electrolyte, glucose and fluid requirements per day?
1 mmol/kg of K/ Na/CL
50-100g glucose a day
25-30 ml/kg per day
What fluid does NICE recommend?
NaCl (0.18%) with glucose (4%) +/- potassium
What is the maximum K+ infusion rate?
10 mmol/hour
How are fluids prescribed for paediatric resuscitation?
1) First 10kg - 100ml/kg
2) Next 10-20kg - 50 ml/kg
3) then >20 kg - 20 ml/kg
What scoring systems should be used for AF ?
CHADS2VASC - benefit for anticoagulation
HAS BLED - risk of bleed from anticoagulation
What are the side effect of LWMH?
HIT
haemorrhage/ bleeds
Hypokalaemia
When are some of the features desirable in unfractionated heparin used?
As S/c infusion with a short half life and reversible with protamine
What acronym should be used for drug management is AKI?
STOP AKI
Sepsis 6
Toxins - NSAIDS, gentamycin etc.
Optimisation of BP - Resuscitation fluids
Prevent harm - Identify and treat cause
When changing O2 prescription, when should an ABG be taken?
1 hour after O2 delivery method has changed
PSA top tips: what is the best way to go about checkin interactions ?
1) Use medicines complete BMF
2) Type in all the medications
3) Select interaction tab
Name drugs from least to most potent topical steroid?
Evidence based dermatology - Eumovate, betnovate, dermovate.
However, must use the generic names!!!!
What does warfarin interact with?
ASSUME EVERYTHING
Where is warfarin found in the BNF?
Under “Oral anti-coagulants”
