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PSA > Prescribing > Flashcards

Prescribing Flashcards

1
Q

Exacerbations of chronic bronchitis

A

Amoxicillin or tetracycline or clarithromycin

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2
Q

Uncomplicated community-acquired pneumonia

A

Amoxicillin (Doxycycline or clarithromycin in penicillin allergic, add flucloxacillin if staphylococci suspected e.g. In influenza)

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3
Q

Pneumonia possibly caused by atypical pathogens

A

Clarithromycin (legionalla)

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4
Q

Hospital-acquired pneumonia

A

Within 5 days of admission: co-amoxiclav or cefuroxime
More than 5 days after admission: piperacillin with tazobactam OR a broad-spectrum cephalosporin (e.g. ceftazidime) OR a quinolone (e.g. ciprofloxacin)

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5
Q

Lower urinary tract infection

A

Trimethoprim or nitrofurantoin. Alternative: amoxicillin or cephalosporin

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6
Q

Acute pyelonephritis

A

Broad-spectrum cephalosporin or quinolone

(ciprofloxacillin)

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7
Q

Acute prostatitis

A

Quinolone or trimethoprim

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8
Q

Impetigo

A

Topical hydrogen peroxide, oral flucloxacillin or erythromycin if widespread

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9
Q

Cellulitis

A

Flucloxacillin (clarithromycin, erythromycin or doxycycline if penicillin-allergic)

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10
Q

Cellulitis (near the eyes or nose)

A

Co-amoxiclav (clarithromycin, + metronidazole if penicillin-allergic)

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11
Q

Erysipelas

A

Flucloxacillin* (clarithromycin, erythromycin or doxycycline if penicillin-allergic)

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12
Q

Animal or human bite

A

Co-amoxiclav (doxycycline + metronidazole if penicillin-allergic)

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13
Q

Mastitis during breast-feeding

A

Flucloxacillin

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14
Q

Throat infections

A

Phenoxymethylpenicillin (erythromycin alone if penicillin-allergic)

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15
Q

Sinusitis

A

Phenoxymethylpenicillin

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16
Q

Otitis media

A

Amoxicillin (erythromycin if penicillin-allergic)

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17
Q

Otitis externa**

A

Flucloxacillin (erythromycin if penicillin-allergic)

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18
Q

Periapical or periodontal abscess

A

Amoxicillin

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19
Q

Gingivitis: acute necrotising ulcerative

A

Metronidazole

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20
Q

Gonorrhoea

A

Intramuscular ceftriaxone

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21
Q

Chlamydia

A

Doxycycline or azithromycin

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22
Q

Pelvic inflammatory disease

A

IM ceftriaxone1g + oral doxycycline + oral metronidazole

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23
Q

Syphilis

A

Benzathine benzylpenicillin or doxycycline or erythromycin

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24
Q

Bacterial vaginosis

A

Oral or topical metronidazole or topical clindamycin

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25
Q

Clostridioides difficile

A

First episode: oral vancomycin
Second or subsequent episode of infection: oral fidaxomicin

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26
Q

Campylobacter enteritis

A

Clarithromycin

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27
Q

Salmonella (non-typhoid)

A

Ciprofloxacin

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28
Q

Shigellosis

A

Ciprofloxacin

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29
Q

Asthma Attack O SHIT ME

A

oxygen
salbutamol 2.5-5mg
IvHydrocortsone 100mg/ prednisolone 40mg PO

Ipratroprium 500mcg

(Senior input)
Theophylline
Mg sulphate
escalate

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30
Q

Urge incontinence after bladder retraing

A

Oxybutynin

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31
Q

Stress incontinence after pelvic floor training

A

duloxetine

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32
Q

Opioid constipation

A

docusate

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33
Q

Emergency contraception within 72hrs

A

levonorgestrel 1.5mg PO Stat

(3mg if BMI>26 or >70kg

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34
Q

Croup

A

Stat Oral DEX 0.15mg/kg

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35
Q

VTE prophylaxis for hospital admission

A

LMWH dalteparin

renal impairment (UFH)

36
Q

Unstable Angina / Nstemi

A

300mg Aspirin
Glyceryl trinitrate 400mcg spray (1-2 sprays)

37
Q

Dyspepsia

A

Check for H.pylori
if negative 4 wks PPI

38
Q

depression and anxiety

A

Sertraline
50mg for depression
25mg for anxiety

39
Q

Common Drug doses (CDD)
Ibuprofen

A

200-400mg tds

40
Q

Codeine CDD

A

30-60mg qds

41
Q

Co-codamol 8/500
Co-codamol 30/500 CDD

A

2 tabs qds

42
Q

Cyclizine CDD

A

50mg tds

43
Q

Metoclopramide CDD

A

10mg tds

44
Q

amoxicillin dose

A

500mg tds

45
Q

clarythrimycin dose

A

500mg bd

46
Q

aspirin and clopdigrel common dose

A

75-300mg od

47
Q

p450 Inhibitors

A

SICKFACES.COM-Group

Sodium valp
Isonizid
Cimetidine
Ketoconazole
Fluconazole
Alcohol(binge)
Chloramphenicol
Erythromycin
Sulfonamides (I fir inhibit)
Ciprofloxacin
OMEPRAZOLE
METRONIDAZOLE
Grapefruit juice

48
Q

P450 inducers

A

CRAP GPS

Carbamazipines
Alcohol (chronic)
Rifampixin
Phenytoin
Griseofulvin
Phenobarbitone
Sulfonylureas (U for indUcer)

49
Q

NSAIDs CI

A

NSAID
N no urine
S Systolic dysfxn (HF)
A asthma
I indigestion
D Dycrasia (abnormal plts)

50
Q

Metoclopromide CI

A

bowel obstruction
Parkinsons

51
Q

Cyclizine CI

A

HF
bc worsens oedema

52
Q

Drugs to increase for surgery

A

steroids

53
Q

Always continue for Surrey

A

CCb and beta blockers

54
Q

Drugs to stop for surgery

A

I LACK OP

insulin
lithium
anticoagulants/antiplatelets ( aspirin 7 days before)
COCP/HRT (4 wks b4)
K sparing duiretics +ACEi (day of)
Ora hypoglycemics (sub w sliding scale insulin)
perindopril and other ACEi

55
Q

Warfarin stooped but INR>1.5 day before surgery

A

phytomedadione (vit K)

1-5mg PO

56
Q

ACEi SE

A

cough
hyperkalaemia
Renal impairment
avoid in PVD

57
Q

Steroids SEs/CI

A

STEROIDS

Stomach ulcers
thin skin
edema
right and ;eft HF
osteoporosis
infection
Diabetes
cushings Syndrome

58
Q

nausea

A

Almost always cyclizine 50mg (Im/IV/PO) 8 hourly

except cardiac cases -
metclopromide 10mg Im/Iv 8 hourly

59
Q

chronic non infectious diarrhoea

A

Loperimide
or codeine which also helps pain

60
Q

Immediate relief indigestion

A

magnesium carbonate 10mg oral

61
Q

AVOID OXYBUTYNIN WHAT CONDITION

A

MG

62
Q

Emergency contraception in 120hrs

CI

When can start COCP

A

EllaOne (ulipristal acetate)

asthma

5 days

63
Q

Emergency contra if ovulated in last 5 days

A

copper coil

64
Q

COCP medical name

how does it work

A

Ethinylestradiol with levonorgestrel

inhibits ovulation,

65
Q

COCP increase which Ca risk

A

increases breast/cervical cancer risk,

66
Q

POP how does it work

A

thickens mucus (+ Cerazette also inhibits ovulation),

67
Q

POP when does it become effective

what about others

A

2d

7d except IUD which is instant

68
Q

Rapid acting insulin

A

insulin aspart (novorapid)

69
Q

Long acting insulin

A

Insulin detemir BD (levemir)

70
Q

Insulin in surgery

A

Give insulin as normal the day before surgery

except for long-acting
insulins (give once daily) then reduce dose by 20%

71
Q

Myasthenia Gravis

A

Pyridostigmine

72
Q

Hypocalcaemia causes and tx

A

blood transfusion

calcium gluconate 10% 10ml IV

73
Q

k+ > 6.5mmol/l

CIGAR

A

CIGAR

Calcium gluconate
Insulin
Glucose
Airway dilator - salbutamol
Remove K+ - furosemide

74
Q

Scarlett fever tx

when can return to school

A

phenoxymethylpenicillin (penV) PO 10 days

24hrs after starting abx

75
Q

Acute dystonic reactions

A

Procyclidine IV

76
Q

COPD tx (no asthmatic fx)

A

SABA PRN

LAMA+LABA

77
Q

COPD Tx w asthmatic fx

A

SABA PRN

LABA + ICS

78
Q

LABA eg

A

salmeterol

79
Q

LAMA eg

A

tiotropium

80
Q

CT contrast with renal impairment

A

give saline

81
Q

when to avoid nitrofurantoin

A

renal impairment

82
Q

neutropenic sepsis (neutrophils < 1)

A

IV Tazocin

83
Q

beware of what with NOACs eg apixaban

A

eGFR

83
Q

anaphylaxis tx

A

wheeze = salbutamol
0.5ml 1:1000 adrenalin IM

IV chlorphenamine
200mg IV hydrocortisone

84
Q

preventing alcohol relapse

A

acamprosate

85
Q

hepatic encephalopathy give?

A

lactulose

PSA (7 decks)

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