Prescription Review - Prescription errors

Question 1

What 4 drugs are commonly prescribed in micrograms

Answer 1

Digoxin
Levothyroxine, tamsulosin, inhaled bronchodilators

Question 2

What 2 drugs are commonly prescribed in units

Answer 2

Insulin
Heparins

Question 3

What 2 medications are commonly prescribed weekly

Answer 3

Methotrexate
Bisphosphonates

Question 4

What 2 medications are commonly administered at night

Answer 4

Statins
Amitriptyline

Question 5

What factors need to be considered when prescribing paracetamol IV?

Answer 5

Children - check specific guidance
Body weight - <50kg guidance is different
Liver disease

Question 6

CVS drugs eliminated by the kidney (2)

Answer 6

Atenolol
Digoxin

Question 7

Neuro drugs eliminated by the kidney (3)

Answer 7

Opioids, gabapentin / pregabalin

Question 8

What psych drug is eliminated by the kidneys (1)

Answer 8

Lithium

Question 9

What abx are eliminated by the kidneys (4)

Answer 9

Penicillin
Aminoglycosides
Tetracycline
Nitrofurantoin

Question 10

What 4 drug classes are nephrotoxic

Answer 10

NSAIDs
Aminoglycosides
Radiograph contrast material
Trimethorpmi - causes raised creatinine due to action on tubules, increase K

Question 11

Sick day rules - which drugs should be held in AKI / risk of volume depletion (5)?

Answer 11

ACEIs/ARBs
Diuretics
NSAIDs
Metformin
Spirinolactone if raisked K with AKI

Question 12

what 2 drugs are hepatotoxic (dose-dependent)

Answer 12

Paracetamol
Methotrexate

Question 13

Analgesics which worsen seizure control

Answer 13

Most opioids, LAs in toxicity, diclofenac, indomethacin, aspirin

Question 14

Antibiotics which worsen seizure control

Answer 14

Isonazid, mefloquine, metronidazole, beta-lactams in toxicity, ciprofloxacin

Question 15

Anti-depressants which worsen seizure control

Answer 15

Bupropion, TCAs

Question 16

Anti-psychotics which worsen seizure control

Answer 16

Most, especially clozapine

Question 17

Bronchodilators which worsen seizure control

Answer 17

Theophylline / aminophyline

Question 18

What antibiotic is not safe in T1?

Answer 18

Trimethoprim

Question 19

What antibiotics are not safe in T2?

Answer 19

Tetracyclines, aminoglycosides, fluoroquinolines

Question 20

What antibiotics are not safe in T3

Answer 20

Nitrofurantoin
Tetracyclines
Aminoglycosides
Fluoroquinolones

Question 21

What anticoagulants are not safe in pregnancy

Answer 21

Warfarin
Hepatin in T3

Question 22

What cardiovascular medications are not safe in T2

Answer 22

ACEIs / ARBs
Statins

Question 23

What AEDs are not safe in T1

Answer 23

Phenytoin
Carbamazepine
Valproate

Question 24

What antipsychotics are not safe in T1?

Answer 24

Benzodiazepines

Question 25

What analgesics are not safe in T1?

Answer 25

Opioids

Question 26

What psychiatric drugs are unsafe in T3

Answer 26

Benzos SSRIs / SNRIs TCAs

Question 27

What analgesics are unsafe in T3

Answer 27

Opioids NSAIDs

Question 28

What drugs should be used with caution in asthma / COPD

Answer 28

NSAIDs B-blockers Adenosine