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PSA > prescription review > Flashcards

prescription review Flashcards

1
Q

what drug to stop if patient has any signs of bleeding (haemoptysis)

A

anitplatelets - aspirin
LMWH - enoxaparin

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2
Q

what to check for and stop if patient has high potassium

A

ace inhibitors - ramipril
any fluids containing K

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3
Q

does co-amoxiclav contain penicillin

A

yes

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4
Q

what to check for if prescribed paracetamol
what is max dose

A

that the dose and frequency is right
Max dose 4g

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5
Q

what can increase warfarin’s effect

A

enzyme inhibitor e.g. erythromycin

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6
Q

side effects of steroids

A

STEROIDS
- stomach ulcers
- thin skin
- oEdema
- right and left heart failure
- osteoporosis
- infection
- diabetes
- Cushing Syndrome

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7
Q

safety consideration with NSAIDs

A

NSAID
- No urine (renal failure)
- Systolic dysfunction (heart failure)
- Asthma
- Indigestion
- Dyscrasia (clotting abnormality)

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8
Q

what can worsen acute heart failure

A

beta blockers
- but they are helpful chronic heart failure

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9
Q

side effects of calcium channel blockers, amlodipine

A

peripheral oedema
flushing

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10
Q

side effects of thiazide diuretics, bendorflumethiazide

A

renal failure
gout

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11
Q

side effect of spironolactone

A

gynaecomastia

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12
Q

dose of cyclizine

A

50mg 8 hourly

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13
Q

dose of metoclopramide

A

10mg 8 hourly

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14
Q

what fluid is prescribed to all patients

A

0.9% saline (crystalloid)

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15
Q

what fluid to give if hypernatraemic or hypoglycaemic

A

5% dextrose instead

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16
Q

if a patient has ascites what fluid to give

A

human-albumin solution

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17
Q

fluid to give if patient shock from bleeding but no blood available

A

crystalloid

18
Q

how much fluid to give if patient tachycardia or hypotensive

A

500mL bolus immediately

19
Q

how much fluid if someone is oliguric and not due to obstruction

A

1L over 2-4 hours and assess

20
Q

what is maximum rate of IV potassium

A

no more than 10mmol/hour

21
Q

do you continue anticoagulants if patient has had recent stroke

A

no

22
Q

when not to give metoclopramide

A

parkinson patient
young women

23
Q

what antiemetics to give if patient is nauseated

A
  • cyclizine 50mg 8 hourly (doesn’t matter route)
  • metoclopramide 10mg 8 hourly IM/IV if heart failure
  • ondansetron 4mg or 8mg 8 hourly IV/oral
24
Q

when not to give cyclizine

A

cardiac cases as it worsens fluid retention

25
Q

what to prescribe for mild pain as required

A

codeine
30mg
every 6 hours
orally

26
Q

what to prescribe regularly for severe pain

A

co-codamol
30/500
6 hourly
oral

27
Q

what to prescribe as required for severe pain

A

morphine sulphate 10mg/5mL
10mg
up to 6 hourly
oral

28
Q

what is first line for neuropathic pain

A

amitriptyline
10mg at night
oral

29
Q

other drugs for neuropathic pain

A

pregabalin
75mg 12hourly
oral

OR

duloxetine
60mg
OD
oral

30
Q

what is maximum dose of paracetamol for patient <50kg

A

500mg 6 hourly

31
Q

affect of ace inhibitor on potassium

A

increases causing hyperkalaemia

32
Q

what is neo-naclex

A

thiazide diuretic

33
Q

affect of thiazide diuretic on potassium

A

hypokalaemia

34
Q

if ramipril and ibuprofen prescribed together what is the risk

A

renal failure

35
Q

what drugs to stop if patient is taking methotrexate

A
  • ibuprofen and other NSAIDs
  • trimethoprim
  • contraindicated in active infection
36
Q

what should not be given with beta blocker

A

calcium channel blocker
e.g. verapamil, half securon SR

37
Q

what to be aware of if someone has asthma

A

beta blockers
NSAIDs - ibuprofen, aspirin

38
Q

what is microgynon

A

COCP
- not to be given if patient has migraine
- check patient age if they are menopausal

39
Q

how is insulin administered

A

sub cut - never IV

40
Q
A

PSA (9 decks)

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