QuestionMultiA
QuestionChoice
33789
b
Co-codamol 8-500mg;1 tablet;oral (PO);6-hourly
QuestionChoice
33793
f
Ipratropium bromide;40 micrograms;inhaled (INH);6-hourly
QuestionChoice
33794
g
Nicotine patch;14mg;transdermal (TD);Daily
QuestionChoice
33791
d
Ibuprofen;400mg;oral (PO);8-hourly
QuestionChoice
33792
e
Salbutamol;200 micrograms;inhaled (INH);Daily
QuestionChoice
33788
a
Paracetamol;1g;oral (PO);6-hourly
QuestionChoice
33790
c
Atorvastatin;10mg;oral (PO);Daily
QuestionComment
Ive also learned that Ibuprofen should not really be used in Asthmatics. Is that a thing? 
40134
QuestionComment
Yeah, theoretically at least! NSAIDs are Contraindicated
40168
User
subscriber
Chronic Bladder
User
subscriber
Hallux Ketone
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
2712
Pre-operative medication review & paracetamol dosing error
Topic
13
Neurosurgery
1. Paracetamol 1g 6-hrly is the maximum recommended dose of paracetamol. Hence, it should not be co-prescribed with another medication which contains paracetamol in it (co-codamol).
2. NSAIDs may lead to the worsening of renal function and hence, should be stopped during an AKI. Similarly, codeine (co-codamol) should be avoided in AKI due to the risk of adverse effects with reduced excretion.
6779
a b
b d
Case presentation: A 45-year-old woman on the gynaecology ward is recovering from an elective total abdominal hysterectomy. PH Mild COPD, Polymyalgia rheumatica, Uterine fibroids, Familial hypercholestrolaemia. DH. Her current regular medications are listed (below).




 **Investigation**

||||
|---------------------------|:-------:|--------------------|
|Urea|8.5 mmol/L|2.5 - 7.8|
|Creatinine|145 µmol/L|60 - 120|



Question 1: Select the TWO prescriptions that should not be co-prescribed. (mark them with a tick in column A)
Question 2: Select the TWO prescription that are most appropriate to withhold until her renal function recovers.