QuestionMultiA
QuestionChoice
33836
e
Tamsulosin hydrochloride;400mg;oral (PO);Daily
QuestionChoice
33832
a
Citalopram;20mg;oral (PO);Daily
QuestionChoice
33835
d
Paracetamol;1g;oral (PO);6-hourly
QuestionChoice
33837
f
Ramipril;2.5mg;oral (PO);Daily
QuestionChoice
33838
g
Amoxicillin;500mg;oral (PO);8-hourly
QuestionChoice
33834
c
Omeprazole;20mg;oral (PO);Daily
QuestionChoice
33833
b
Colecalciferol (Vitamin D3);800 units;oral (PO);Daily
QuestionComment
Woww fell for the mg/microgram thing again
36896
User
subscriber
Epidermis Abdominal
Concept
Chapter
#### Monitoring

The BNF advises to monitor lung function (in patients with a history of obstructive airway disease).

#### Overdoses

Overdosages with beta-blockers may cause cardiac effects such as bradycardia, hypotension, syncope, conduction abnormalities, and heart failure. Bradycardia is the most common arrhythmia, but some beta-blockers may induce ventricular tachyarrhythmias secondary to prolongation of QT interval (e.g. sotalol) or QRS duration (e.g. propranolol).
Non-cardiovascular effects include central nervous system effects (including drowsiness, confusion, convulsions, hallucinations, and in severe cases coma), respiratory depression, and bronchospasm.

Management
 - Airway protection 
 - Activated charcoal within 1 hour
 - IV Fluids
 
IV glucagon is the first-line management.
 
For symptomatic bradycardia, IV atropine may be used.

2618
2718
Thrombocytopenia & dosing error
Topic
13
Neurosurgery
1. Penicillin (amoxicillin) commonly or very commonly cause thrombocytopenia. PPI and paracetamol also cause thrombocytopenia but are significantly less common
2. Tamsulosin, an alpha blocker that is prescribed for benign prostatic hyperplasia, is given in 400 micrograms daily, not in milligrams.
6785
g
e
Case presentation: A 55-year-old gentleman presents to his GP with repeated episodes of epistaxis. PH Mild depressive episodes, Osteoarthritis of right knee, Vitamin D deficiency, GORD, Benign Prostatic Hyperplasia, HTN. DH His current regular medicines are listed (below).




 **Investigation**
Platelet count 100 x 109/L (Normal value 150-400 x 109/L )


Question 1: Select the ONE prescriptions that are most likely to be contributing to the low platelet count (mark them with a tick in column A)
Question 2: Select the ONE prescription that contains a serious dosing error (mark it with a tick in column B).