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year 5 path - week 3 > Prescribing > Flashcards

Prescribing Flashcards

1
Q

Why would you stop atorvastatin in a 92 year old?

A

It reduces CVD risk for another 10 years, but she is quite old already

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2
Q

Why would you stop metformin if someone is acutely unwell?

A

To prevent lactic acidosis

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3
Q

What else might you consider prescribing in someone in hospital?

A

VTE prophylaxis
IV fluids
Paracetamol/pain meds
Oxygen

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4
Q

nasal

A

2-4 L

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5
Q

face mask

A

5-10L

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6
Q

venturi

A

Different

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7
Q

non-rebreathe

A

15L

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8
Q

What do you need to consider insulin prescription?

A

PRN hypoglycemia treatment e.g. dextrose
PRN?

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9
Q

How do you assess VTE risk?

A

Thrombosis risk vs bleeding risk

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10
Q

When is VTE TEDs contraindicated?

A

Peripheral vascular disease

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11
Q

Dalteparin

A

Check eGFR and weight

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12
Q

What do you need to investigate prior to starting on LMWH?

A

Weight
full blood count
U&E

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13
Q

What are FlowTrons and when are they used?

A

Fill up with air and compress legs
Used in stroke patients

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14
Q

Clarithromycin is contraindicated when?

A

If someone is on warfarin as clari inhibits cytp450.

CONTRAINDICATED

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15
Q

What do you have to check before prescribing clarithro?

A

INR

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16
Q

What is TDS

A

Three times a day

17
Q

Once a night

A

ON

18
Q

Stat

A

Immediately

19
Q

Once a day

A

OD

20
Q

Twice a day

A

BD

21
Q

How do you say something is oral?

A
22
Q

How is insulin delivered?

A

Subcut not IM

23
Q

What do you prescribe instead of clari if someone is on warfarin?

A

Macrolide antibiotics / second line

24
Q

Why can all antibiotics potentially mess with INR?

A

They can wipe out the bugs in gut which are v important for vit k absorption

25
Q

Before giving antibiotics, you always need to check

A

Allergies
Renal function

26
Q

What is important to write down when prescribing antibiotics?

A

A clear stop date or review date

27
Q

If someone is on a statin, which antibiotic is contraindicated?

A

Clarithromycin

28
Q

What should be given instead?

A

Azithromycin

year 5 path - week 3 (2 decks)

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