QuestionMultiA
QuestionChoice
33805
b
Ibuprofen;400mg;oral (PO);8-hourly
QuestionChoice
33806
c
Omeprazole;40mg;oral (PO);Daily
QuestionChoice
33804
a
Co-amoxiclav;625mg;oral (PO);Three times a day
QuestionChoice
33808
e
Ipratropium bromide;40micrograms;inhaled (INH);6-hourly
QuestionChoice
33810
g
Dalteparin sodium;12500 units;subcutaneous (SC);Daily
QuestionChoice
33809
f
Colecalciferol (Vitamin D3);800units;oral (PO);Daily
QuestionChoice
33807
d
Salbutamol;200 micrograms;inhaled (INH);Daily
QuestionComment
all of these need looking at. ive put the correct answers for both and its marked them wrong.
36684
User
subscriber
Serotonin Dorsal
QuestionComment
my answers got changed as well
38452
User
subscriber
Monoclonal Wilsons
QuestionComment
Omeprazole dose for both GORD and NSAID prophylaxis is 20mg OD,  
39425
User
subscriber
A
QuestionComment
How would you know it is a prophylaxis dose and not a treatment dose? Is it just because he is in hospital?
39802
User
subscriber
Acute DNA
QuestionComment
well salbutamol is wrong surely it should be PRN?
40290
QuestionComment
I thought similarly- with a PMH of severe COPD they're surely not using salbutamol once daily.
40431
User
subscriber
YO
User
subscriber
HarryDM
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
2714
Drugs causing diarrhoea & dosing error
Topic
74
Elderly Care
1. Co-amoxiclav, proton pump inhibitors (omeprazole) commonly cause diarrhea. Oral use of ibuprofen generally do not cause diarrhea.
2. Dalteparin sodium, given for prophylaxis of DVT in medical patients are prescribed at 5000 units daily. 12 500 units is given as treatment dose for a 60kg patient. The indication of dalteparin in this patient is for prophylactic use, not for treatment.
6781
a c
g
Case presentation: A 85-year-old man was admitted to the Acute Medical Unit for infective exacerbation of COPD.


**PH** Severe COPD, Migraine, GORD, Osteoporosis.

**DH** His current regular medications are listed (below). Weight 60kg.

**On Examination**
Patient complained of loose stools over the past 3 days. Dry mucous membrane, peripheral CRT 3s.

Question 1: Select the TWO prescriptions that are most likely to be contributing to his loose stools (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).