QuestionQA
QuestionComment
the way this question is written is vague - the dose of the patch IS 9.5mg. A new one is just applied every day
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Tyrosine Outpatient
QuestionComment
2 days as in prescribe for today, tomorrow and the day after, or 2 days as in 48 hrs!!
60776
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Ortho bro
QuestionComment
ughh i totally missed the 2 days 
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CT Kawasaki
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.

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2849
Rivastigmine patch conversations
Topic
74
Elderly Care
Current dose of rivastigmine a day = 12mg
12mg PO OD = 9.5mg/24 hours patch.
Total dose prescribed for 2 days
= 9.5mg x 2
= 19mg
6917
QuestionQAAnswer
19
mg
An 80-year-old gentleman was admitted to the Hyperacute Stroke Unit following an episode of ischemic stroke. He was determined to have an unsafe swallow following SALT assessment and has been kept NBM since. His next SALT review will be in 2 days. PMH Alzheimer’s Disease. DH Rivastigmine 6mg PO BD.

Patients taking 3-6mg PO OD should initially switch to 4.6mg/24 hours patch. Patients taking 12mg PO OD should switch to 9.5mg/24 hours patch.

What is the total dose of rivastigmine patch prescribed for this patient before his next review?