Repeated questions Flashcards
What is the first line antihypertensive for 55+ or anyone who is of african/carribean origin?
CCB
2nd line ARB
What are the rules for emergency supplys?
CD 2 / 3 = Not allowed except for Phenobarbital where 5 days is permitted for epilepsy
CD 4 / 5 = 5 days only
30 days for everything else
What is the asthma step up plan for people aged 12 +
Purpose of a clinical audit for ?
Continuous cycle of quality improvement that seeks to improve patient care and outcomes
Symptoms of Scarlet fever?
First sign = flu like symptoms: high temp, sore throat and swollen glands
Rash= small, raised bumps and starts on chest and tummy then spreads. Rash makes your skin feel like sandpaper
Strawberry tongue
Symptoms of chickenpox?
Itchy, spotty rash
Before the rash= high temperature, aches and loss of appetite
Symptoms of molluscum contagiosum?
Only symptom is spots
2-5mm wide and appear together
Raised and dome-shaped with a shiny white dimpled
More common in children but can be seen in adults where the infection is spread through sexual contact
Symptoms of meningitis?
- High temp
- Cold hands and feet
- Vomiting
- Confusion
- Pale, mottled or blotchy skin
- Stiff neck
- Photophobia
Name 3 drugs that can cause hyponatraemia ?
What are the symptoms?
- Diuretic
- SSRI
- Carbamazepine
Symptoms = Fatigue, confusion, dizziness, cramps, difficulty concentrating
What is the meaning of different INR results?
INR is how long it takes the blood to clot
Normal INR is typically 1
INR too high = increased risk of bleeding
INR too low= increased risk of clots
Statins and Myalgia?
Need to confirm muscle damage
Check for raised creatinine kinase as an indicator
Generally for statins do LFTs before, 3 months and 12 months
Stop if ALT is over 3x
Apixaban doses
Apixaban
-2.5mg for VTE prophylaxis
- 10mg treatment of DVT / PE
- 5mg afterwards for 3 months (provoked) or 6 months unprovoked
When would you tend to see a reduced Apixaban doseas 2.5mg BD instead of 5mg ?
Reduced dose when a patient has 2(+) of:
- Aged 80+
- <60kg
- Serum creatinine 133
Insulin types
Rapid acting: Apidra, Fiasp, Humalog
Short acting: Actrapid, Humulin S
Intermediate acting: Humulin I, Insulatard
Biphasic: Humulog Mix, Humulin M3
What can you do if the Responsible Pharmacist in charge is absent?
Cannot sell GSL medicines
Cannot sell P medicines
Cannot hand out pre-bagged and checked medicines
RP can be absent for up to 2 hours
What is required for a signed order?
When a POM is supplied from a registered pharmacy to healthcare professionals, an entry needs to be made in the POM register
Signed order needs to be retained for 2 years
-Needs clear identification of the item being ordered
-Quantity
-Authorised signature
What route are Vinca Alkaloids given? name one
Only ever administered intravenously
Vinblastine, vincristine
Ibuprofen doses for children
3-5 MONTHS = 50mg max TDS
6-11 MONTHS= 50mg TDS - QDS
1-3 YEARS= 100mg TDS
4-6 YEARS= 150mg TDS
7-9 YEARS = 200mg TDS
10 - 11 YEARS = 300mg TDS
COPD guidelines
Vet prescribing cascade
Stages of change model
Pre-contemplation not even wanting to do it
Contemplation = need more info
Action = doing it/asking where to go to do
P value, when is it significant ?
P Value <0.05 = statistically significant
SADMAN drugs
SGLT2inhibitors
ACEinhibitors
Diuretics
Metformin
ARBs
NSAIDs
Prescription requirements for CD2
- Prescriber details
- Patient details
- Drug name, form and strength
- Dose must be CLEARLY stated
- Total quantity in words and figures
- No more than 30 days supply
- Signature and date, valid for dispensing within 28 days
