Q and A Flashcards
(25 cards)
Prescribe fentanyl (opioid):
available–>
Effentora tabl. buccalis á 100 µg every 6 hours for ten days
Rp.
Effentora 100µg
In tablets
D.t.d No 40 (Forty)
S: One tablet every 6 hours
D: Prescribed forty tablets containing one hundred
micrograms of fentanyl each. Total dose
prescribed;
-Four milligrams of fentanylWhat are the steps of prescribing sirups?
- Find daily dose (if needed)
- Find single dose (If needed)
- Turn single dose from mg to ml using available sirup
- Prescribe the recipe
How much does bottle of sirup usually contain? and what is the single therapeutic dose?
- Bottles usually contain 100-200ml of liquid
- The single therapeutic dose is usually 1-20ml
Prescribe Loratadine;
- For a 4yo, weighing 18kg
- Available sirups are; 10mg/ml of Claritine
- Bottle is 100ml
- Dosage is 5mg/kg/day in 2 equal doses
Rp.
Claritine 0,01mg/ml
In sirups
Lag No.1 a 100ml
S: 4.5ml every 12 hoursHow much does a bottle used for drops contain? and what is the therapeutic dose?
- Bottles usually contain 5-20ml
- Dosage is usually 5-30 drops
What are the steps of prescribing drops?
- Find daily dose (if needed)
- Find single dose (If needed)
- Turn single dose from mg to ml using available drops
- Turn ml into drops
- Prescribe the recipe
Prescribe cetirizine in oral drops for 4 y.o child Av: Oral drops 10mg/ml Bottle: 20ml Dosage: 5mg/day in 2 doses -Children 2-6y.o. 5mg/day in 2 doses
Rp.
Cetirizine 0,01mg/ml
In drops
Lag No. 1 a 20ml
S: Give 5 oral drops every 12 hoursPrescribe haloperidol in oral drops
Av: 2mg/ml
Dosage: 0.5mg twice daily
Rp(N)
Haloperidol 0.0020/ml
Oral drops
Lag No. 1 a 20ml (one bottle)
S: 5 drops every 12h
D: Prescribed in total four hundred milligrams of haloperidolWhat do you write in signature for suspensions?
Fill up the bottle till indicated level with boiled cooled down water, shake properly. Give the child x ml every x hours
What are the steps of prescribing suspensions?
- Find daily dose (if needed)
- Find single dose (If needed)
- Turn single dose from mg to ml using available suspension
- Prescribe the recipe
Prescribe Clarithromycin in suspension for an 8kg child
Av: Klacid, granulate for susp 125mg/5ml, and 250mg/5ml
Dosing 7.5 mg/kg/day in 2 equal doses
Bottle: 60ml
Rp.
Klacid 0.125/5ml
For suspension
Lag No. 1 a 60ml
S: Fill up the bottle till indicated level with boiled
cooled down water, shake properly. Give to the child 1
1.2ml every 12 hours
Prescribe injection of diclofenac 75mg every day i.m. for 10 days
Av:
-Diclofenac 25mg/1ml
-Ampoules a 3 ml
Rp.
Diclofenac 0.025/ml
In amp. a 3ml
D.t.d No. 10
S: Once a day inject content of 1 ampoule i.m.What do you write in signature for vials-containing powder?
Content of x vials (amount of vials/drug name), mix with 3ml of solvent. Give i.m every x hours for x days
Prescribe ampicillin in vials a 500mg (20 vials).
- Use physiological saline as solvent
- Dose: 500mg every 12hrs i.m.
Rp.
Ampicillin 0,5
In vials
D.t.d No 20
#
Sodium chloride 0,9%
In amp. a 5ml
D.t.d No. 20
S: content of 1 ampicillin vial, mix with 3ml of solvent.
Give i.m every 12hrsPrescribe cefuroxime in vials for 20kg child.
Dose: 50mg/kg/day in 3-4 doses for 10 days
Av: Cefuroxime vials of 500, 750, and 1500mg
Rp.
Cefuroxime 0,5
In vials
D.t.d No. 20
#
Sodium chloride 0,9%
In amp. a 5ml
D.t.d No.20
S: Content of 0,5 cefuroxime vials, mix with 3ml of
solvent and inject i.m every 6 hours for 10 daysWhat are the steps of prescribing infusions?
- Find the dose for one minute (if needed)
- Find the dose for the given infusion time
- Turn “mg” into ml using one of the available amp. doses
- Find the infusion volume for every minute
- Convert infusion volume each minute from ml/min to drops per minte
- Prescribe the recipe and use ml from step 3
What do you write in signature for infusions?
Take x ml from dopamine vial and add to the bottle with glucose. Infuse with the speed of x drops/min
Prescribe dopamine for infusion for a patient
- 100kg b.m
- Dose: 3µ/kg/min
- 2hrs infusion time
- 500ml bottle of glucose
- Av: Dopamine 10mg/ml and 40mg/ml, in amps. of 5ml
Rp.
Dopamine 0,01/ml
In amps. a 5ml
D.t.d No. 1
#
5% sol. of glucose
In bottle a 500ml
D.t.d No. 1
S: Take 3.6ml from dopamine vial and add to the
bottle with glucose. Infuse with the speed of
83 drops/minWhat is important to remember incase of drops or ointments for external use?
- They deal with concentrations, so indicate concentration in %
- When there are more than one active drug, do not indicate concentration and you should write the generic name
Prescribe Gentamycin in eye drops
- 0,3% solution
- Bottle of 5ml
Rp.
Gentamycin 0,3% sol
Eye drops
Lag No. 1
S: 1 drop into the left eye every 6hrsPrescribe Dexamytrex in eye drops
-1g contains: 0,3mg Dexamethasone and 5mg Gentamycin
Rp.
Dexamytrex
Eye drops
Lag. No. 1
S: 2x daily one drop into each eyePrescribe Formoterol in capsules containing 12mcg of powder for inhalation
- Av: Boxes a 60 or 120 capsules
- Dosage: 1 capsule 2 times a day
Rp.
Formoterol 12µg
In capsules for inhalation
Lag No. 1 a 60 capsules
S: Insert capsules into device and use for inhalation
twice a dayWhat is important to remember about patches?
Patches should be changed depending on the type of drug
Ex.
-Hormones should be changed every 3-7days
-Opioids should be changed every 72-96hrs
-NSAIDs should be changed every 12hrs
Prescribe diclofenac in patches
- Av: Oyen patches, 140mg each patch
- Prescribe for 7days
Rp.
Oyen patch 0,14
In patches
D.t.d No 14
S: Apply one patch every 12hrs on painful regions
