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41 Cards in this Set
- Front
- Back
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Dental Practitioners Formulary |
Drugs in this list alone can be prescribed within the NHS by dentists |
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Warfarin Drug Interactions |
NSAIDs Carbamazepine Azole , Metronidazole Antifungals Macrolide Antibiotics |
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Myopathy (Drug interaction) |
Statins+ azole/clarithromycin |
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Off label Use |
Licensed drugs recommended to be used outside the terms of their license |
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Prescription format for NHS Prescriptions in Scotland |
GP14 |
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Quick List of Emergency Drugs |
Adrenaline Aspirin Glucagon Glyceryl trinitrate Midazolam oromucosal solution Oral glucose Oxygen cylinder Salbutamol
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Scheduled 3 controlled drug |
Controlled Drug Regulations Save the invoice for 2 years Denatured and placed in a waste container after use Midazolam- because it can cause dependence |
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Anti allergic drug stock |
Cetrizine - 10 mg tablet / Oral solution - 5mg/5ml Chlorpheniramine - 4mg tablets or oral solution 2mg/ 5ml Loratidine tablet or syrup (same as Cetrizine) |
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Anaphylaxis Steps |
1. Assess 2. Call an ambulance 3. Position- to restore airway breathing (feet up, patient flat) 4. Remove source of anaphylaxis 5. Adults and children - administer 100 percent oxygen 15L/ Minute 6. Administer Adrenaline (Dosage Later) |
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Adrenaline Dosage for Anaphylaxis |
0.5ml (1:1000) intramuscular injection Repeat after 5 mins Child 6 months -5 years - 0.15ml 6-11: 0.3ml 12-17: 0.5ml
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Allergy- Incase of a bronchospasm |
Adults : Salbutamol Inhaler 4 puffs 12-17 years: 1 puff via a spacer every 15 s After 4 is over, repeat again in 20 mins |
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Asthma- Signs and Symptoms |
Life Threatening Asthma Cyanosis Respiratory rate <8/min Bradycardia- <50/min Exhaustion, confusion, losing consciousness Severe Difficulty breathing Respiratory rate <25/min Tachycardia - >110 /min
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Acute Coronary syndrome |
Angina/MI Sign: SEVERE CRUSHING PAIN center and front of chest radiate to left shoulder and arm , neck, jaw or back Symptom: shortness of breath, tachycardia, pale skin, cold clammy peripheries, nausea and vomiting, weak pulse, low BP |
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ACS: Steps |
1. Assess 2. 100 percent O 3. GTN: spray- 2 puffs 400microgram per metered dose Sublingual Repeat after 3 mins Call ambulance Aspirin - 300mg oral |
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Steps: EPILEPSY |
Assess Remove harm/ make sure patient won’t injure themselves / DO NOT RESTRAIN 100 percent oxygen > 5 mins : continue oxygen and then 10mg Midazolam (2ml oromucosal solution- Buccal cavity) |
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Allergy- Incase of a bronchospasm |
Adults : Salbutamol Inhaler 4 puffs 12-17 years: 1 puff via a spacer every 15 s After 4 is over, repeat again in 20 mins |
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Asthma Steps |
1. Sit up 2. Oxygen 3. Salbutamol 4 puffs/ 1puff every 15s (If patients own inhaler is there- 2 puffs) |
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Cardiac Arrest Signs |
Consciousness is lost Abnormal breathing Dilated pupils No pulse |
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Steps in CARDIAC ARREST |
Call ambulance BLS Oxygen Defibrillator |
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Mild Allergy |
Cetrizine and Loratidine 10 mg Half the dose for <11 years or body weight less than 30kgs Chlorphenamine- 4mg or 2mg in 5ml 2-5: 1mg 6-11: 2mg More than 11: 4mg |
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Epilepsy Signs and Symptoms |
Tonic; Rigid, Cyanosis Clonic: Jerking movements of the limbs, tongue might get bitten Symptoms : Frothing, urinary incontinence |
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Steps: EPILEPSY |
Assess Remove harm/ make sure patient won’t injure themselves / DO NOT RESTRAIN 100 percent oxygen > 5 mins : continue oxygen and then 10mg Midazolam (2ml oromucosal solution- Buccal cavity) |
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Midazolam |
6-11 months- 2.5mg 1-4 years: 5mg 5-9 years: 7.5mg 10-17: 10mg Not licensed in adults |
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Post Convulsive Movements |
Recovery position |
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Caution to be exercised with Anti allergic medication |
Drowsiness Avoided in Hepatic Impairment/ Epilepsy CH: avoided in obstruction disorders- prostate/renal/hepatic/glaucoma/pyloroduodenal |
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Allergy- Incase of a bronchospasm |
Adults : Salbutamol Inhaler 4 puffs 12-17 years: 1 puff via a spacer every 15 s After 4 is over, repeat again in 20 mins |
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Asthma- Signs and Symptoms |
Life Threatening Asthma Cyanosis Respiratory rate <8/min Bradycardia- <50/min Exhaustion, confusion, losing consciousness Severe Difficulty breathing Respiratory rate <25/min Tachycardia - >110 /min
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Patient position for Asthma |
SIT UPRIGHT |
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Asthma Steps |
1. Sit up 2. Oxygen 3. Salbutamol 4 puffs/ 1puff every 15s (If patients own inhaler is there- 2 puffs) |
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Acute Coronary syndrome |
Angina/MI Sign: SEVERE CRUSHING PAIN center and front of chest radiate to left shoulder and arm , neck, jaw or back Symptom: shortness of breath, tachycardia, pale skin, cold clammy peripheries, nausea and vomiting, weak pulse, low BP |
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ACS: Steps |
1. Assess 2. 100 percent O 3. GTN: spray- 2 puffs 400microgram per metered dose Sublingual Repeat after 3 mins Call ambulance Aspirin - 300mg oral |
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Cardiac Arrest Signs |
Consciousness is lost Abnormal breathing Dilated pupils No pulse |
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Steps in CARDIAC ARREST |
Call ambulance BLS Oxygen Defibrillator |
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FAINT |
Loosen tight clothing around the neck, raise feet Administer oxygen |
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Hypoglycemia |
Oxygen Glucose (10-20g) repeat after 10-15 mins if needed |
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Hypoglycemia |
Oxygen Glucose (10-20g) repeat after 10-15 mins if needed |
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Hypoglycemia- if patient doesn’t regain consciousness after glucose |
Glucagon 1mg intramuscular injection Oral glucose after patient wakes up |
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Stroke |
Administer oxygen Ambulance Resuscitation if cardiac arrest |
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Signs of a stroke |
Facial and arm weakness Eye drooping to one side
Slurred speech is a symptom |
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Aspiration |
Encourage patient to cough vigorously Then give oxygen Salbutamol inhaler |
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Choke |
Remove the foreign body Cough out the foreign body Mid patients conscious- Heimlich manoeuver- back blows plus abdominal thrust
Unconscious- BLS, resuscitation |
