QuestionMultiA
QuestionChoice
33902
a
Sodium feredetate;2.5ml;Oral (PO);Three times daily
QuestionChoice
33907
f
Tetracycline;500mg;Oral (PO);Twice daily
QuestionChoice
33906
e
Adrenaline;5mg;Nebulised (NEB);Once only
QuestionChoice
33903
b
Macrogol 3350 with potassium chloride, sodium bicarbonate and sodium chloride;1 sachet;Oral (PO);Daily
QuestionChoice
33905
d
Dexamethasone;22.5mg;Oral (PO);Once only
QuestionChoice
33904
c
Paracetamol;180 mg;Oral (PO);6-hourly
QuestionComment
oh cmon
16782
User
subscriber
Jargon Gland
QuestionComment
Are steroids not contraindicated in GORD?
61267
User
subscriber
Retake Prophylaxis 
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
2727
Pediatric dosing error & contraindication
Topic
91
Paediatrics
1. The dose of dexamethasone for croup is 150 micrograms/kg. The girl is 15kg in weight. Hence, the correct dose that should be prescribed is 2.25mg.
2. Tetracycline is contra-indicated in children under 12 years. Tetracycline binds to calcium and gets deposited in growing bone and teeth. Use of tetracycline in children is associated with teeth staining and dental hypoplasia.
6794
d
f
Case presentation: A 3-year-old girl is brought to the emergency department by her mother in the middle of night. The little girl has developed a fever and a sudden-onset seal-like “barking” cough. Her weight is 15kg PH: Constipation, Anaemia, Rosacea, GORD DH: Her current regular prescriptions are listed below


**On examination**: Seal-like barking cough, hoarse cry and an inspiratory stridor when crying

**Vital signs**: Temperature 37.8°C, HR 125, O2 Sat 99% (room air), RR 30
Croup (acute laryngotracheobronchitis) is suspected and treatment is commenced.

Question 1: Select the ONE prescription that contains a serious dosing error. (mark them with a tick in column A)
Question 2: Select the ONE prescription that is contra-indicated. (mark it with a tick in column B)