S11 Flashcards
(16 cards)
Use of this drug may cause the urine of the patient to turn reddish-brown in colour.
Alendronate
Disulfiram
Isoniazid
Isotretinoin
Ketoconazole
Lithium
Rifampicin
Sulfasalazine
Rifampicin
This drug is available as shampoo for the treatment of fungal infections affecting the scalp.
Alendronate
Disulfiram
Isoniazid
Isotretinoin
Ketoconazole
Lithium
Rifampicin
Sulfasalazine
Ketconazole
This drug may be used as an adjunct in the treatment of alcohol dependence.
Alendronate
Disulfiram
Isoniazid
Isotretinoin
Ketoconazole
Lithium
Rifampicin
Sulfasalazine
Disulfiram is used in the treatment of alcohol dependency
A 72-year-old man has been on citalopram 40 mg daily for 6 years. He has been newly prescribed sildenafil 25 mg daily for erectile dysfunction.
Bleeding risk increased
Bradycardia
Constipation
First dose hypotension
Hypertensive crisis
QT interval prolongation
Reduced eGFR
Serotonin syndrome
QT interval prolongation potentiated by SSRI such as citalopram with sildenafil
An 80-year-old man is on the following medication:
isosorbide mononitrate 50 mg m/r daily
aspirin 75 mg daily
amlodipine 10 mg daily
He has been newly prescribed lisinopril 10 mg daily.
Bleeding risk increased
Bradycardia
Constipation
First dose hypotension
Hypertensive crisis
QT interval prolongation
Reduced eGFR
Serotonin syndrome
Isosorbide, amlodipine and lisinopril together would potentiate the first dose hypotension
A 77-year-old woman is on the following medication:
atorvastatin 10 mg daily
aspirin 75 mg daily
digoxin 62.5 mcg daily.
She has been newly prescribed atenolol 10 mg daily.
Bleeding risk increased
Bradycardia
Constipation
First dose hypotension
Hypertensive crisis
QT interval prolongation
Reduced eGFR
Serotonin syndrome
beta blocks like atenolol would increase the risk of digoxin related bradycardia
Mr X has had a cough for the past 2 months and he has used several over-the-counter (OTC) products to no avail. Over the past 2 weeks it has got worse.
Combine several OTC products for greater therapeutic potential
Exercise regularly and eat well
Nothing needs to be done. It will resolve by itself
Recommend an OTC product
Refer the patient to their GP
Try another OTC product for 1 week and if an improvement is not seen within this time then ask them to make an appointment with their GP
Try another OTC product for 2 weeks and if an improvement is not seen within this time then ask them to make an appointment with their GP
Try a herbal remedy
Refer the patient to their GP
A persistent cough that doesn’t subside after 2-3 weeks could be indicative of a serious condition (such as lung cancer). It is a red flag symptom where the patient should be referred to the GP for further investigation, rather than taking more OTC products that may mask the underlying condition.
Mrs X is a regular patient at your pharmacy. She comes in today and tells you that she has a fever. On further inquiry, she also tells you that she has pain in her side and an increased frequency and urgency of urination. This is the second time that this has happened to Mrs X over the past 5 months.
Combine several OTC products for greater therapeutic potential
Exercise regularly and eat well
Nothing needs to be done. It will resolve by itself
Recommend an OTC product
Refer the patient to their GP
Try another OTC product for 1 week and if an improvement is not seen within this time then ask them to make an appointment with their GP
Try another OTC product for 2 weeks and if an improvement is not seen within this time then ask them to make an appointment with their GP
Try a herbal remedy
Refer the patient to their GP
The symptoms described are those of cystitis. Referral to the GP is necessary if there are repeated episodes of cystitis. Referral is also advised in cases where there is haematuria, loin pain, fever, nausea and vomiting, as well as suspected diabetes. In this scenario, Mrs X has loin pain, fever and repeated episodes of cystitis
Mr X usually comes into your pharmacy to pick up his insulin pens. Today he tells you that he has a blister on his foot and would like your advice on which product he should purchase to remove the blister.
Combine several OTC products for greater therapeutic potential
Exercise regularly and eat well
Nothing needs to be done. It will resolve by itself
Recommend an OTC product
Refer the patient to their GP
Try another OTC product for 1 week and if an improvement is not seen within this time then ask them to make an appointment with their GP
Try another OTC product for 2 weeks and if an improvement is not seen within this time then ask them to make an appointment with their GP
Try a herbal remedy
This patient is a diabetic and therefore referral to a doctor is advised in cases of all foot problems
This prescriber would be able to prescribe a treatment for a subconjunctival haematoma but not for tinea corporis.a) Community practitioner nurse
b) Dentist registered in the UK
c) Doctor registered in the UK
d) EEA or Swiss doctor or dentist
e) Nurse independent prescriber
f) Optometrist independent prescriber
g) Pharmacist independent prescriber
h) Supplementary prescriber
Optometrist independent prescriber
A subconjunctival haematoma is an ocular condition and tinea corporis is a dermatological condition. An optometrist independent prescriber would be able to prescribe treatment for the ocular condition but not the dermatological condition.
This prescriber must prescribe a medicine that is available in the UK.
a) Community practitioner nurse
b) Dentist registered in the UK
c) Doctor registered in the UK
d) EEA or Swiss doctor or dentist
e) Nurse independent prescriber
f) Optometrist independent prescriber
g) Pharmacist independent prescriber
h) Supplementary prescriber
EEA or Swiss doctor or dentist
EEA or Swiss doctors or dentists must only prescribe licensed UK medications if seeking to prescribe within the UK.
This prescriber must prescribe items which are subject to clinical competence and included within an agreed clinical management plan.
a) Community practitioner nurse
b) Dentist registered in the UK
c) Doctor registered in the UK
d) EEA or Swiss doctor or dentist
e) Nurse independent prescriber
f) Optometrist independent prescriber
g) Pharmacist independent prescriber
h) Supplementary prescriber
Supplementary prescriber
Supplementary prescribers must prescribe items which are subject to clinical competence and included within an agreed clinical management plan.
If prescribing cocaine for the purpose of treating addiction this prescriber requires a Home Office license.
a) Community practitioner nurse
b) Dentist registered in the UK
c) Doctor registered in the UK
d) EEA or Swiss doctor or dentist
e) Nurse independent prescriber
f) Optometrist independent prescriber
g) Pharmacist independent prescriber
h) Supplementary prescriber
Doctor registered in the UK
Doctors registered in the UK require a Home Office license to prescribe this controlled drug. A dentist would not be treating addiction.
If prescribing controlled drugs, this set of prescribers are only allowed to prescribe a controlled drug that is listed in Schedule 4 or 5.
a) Community practitioner nurse
b) Dentist registered in the UK
c) Doctor registered in the UK
d) EEA or Swiss doctor or dentist
e) Nurse independent prescriber
f) Optometrist independent prescriber
g) Pharmacist independent prescriber
h) Supplementary prescriber
EEA or Swiss doctor or dentist
EEA or Swiss doctor or dentist if prescribing scheduled drugs must only prescribe drugs from schedule 4 or 5.
These prescribers are restricted to only prescribing medicines which are for ocular use and peri-orbital use.
a) Community practitioner nurse
b) Dentist registered in the UK
c) Doctor registered in the UK
d) EEA or Swiss doctor or dentist
e) Nurse independent prescriber
f) Optometrist independent prescriber
g) Pharmacist independent prescriber
h) Supplementary prescriber
Optometrist independent prescriber
Ocular and peri-orbital medications relate specifically to optometrists.
These prescribers are restricted to prescribing dressings, appliances and licensed medicines which are listed in the Nurse Prescribers’ Formulary.
a) Community practitioner nurse
b) Dentist registered in the UK
c) Doctor registered in the UK
d) EEA or Swiss doctor or dentist
e) Nurse independent prescriber
f) Optometrist independent prescriber
g) Pharmacist independent prescriber
h) Supplementary prescriber
Community practitioner nurse
Community Practitioner Nurses must only prescribe dressings, appliances and licensed medicines which are listed in the Nurse Prescribers’ Formulary.
