Prescription Mind map: Last minute Revision

[PLABFORUM]

@PLABFORUM

1. Only give PRN: Morphine, Cyclizine, Hyoscine, Midazolam
2. Stop oral drugs: Paracetamol & Atorvastatin

@PLABFORUM

1. Only give PRN: Diamorphine, Cyclizine, Hyoscine, Midazolam
2. Stop oral drugs: Paracetamol & Atorvastatin

@PLABFORUM

1. Syringe Drive Chart: Morphine 30mg in 24 hours SC
   Diluent: water for injection
2. Only PRN: Morphine 5mg SC 4 hourly (max 30mg), Cyclizine, Hyoscine
3. Stop oral drugs: Paracetamol & Atorvastatin

@PLABFORUM

1. Syringe Drive: Diamorphine 20mg in 24 hours SC
   Diluent: water for injection
2. Only PRN: Morphine, Cyclizine, Hyoscine
3. Stop oral drugs: Paracetamol & Atorvastatin

@PLABFORUM

Regular: Dalteparin 5000 U SC 10 days.
Additional information: Review after 10 days.

@PLABFORUM

1. Regular: Daleparin 5000 U SC OD 7 days
   Additional information: Review after 7 days
2. Regular: Amlodipine 10mg PO
3. Regular: Calcichew 1 Tablet PO

@PLABFORUM

1. Regular: Apixaban 10mg PO BD 7 days
   Additional information: Change dose to 5mg BD for 6 months, after 7 days.
2. Hold Aspirin (?-write or skip)

@PLABFORUM

1. Regular: Apixaban 2.5 mg PO BD
2. Regular: Atenolol 50mg PO OD

@PLABFORUM

1. Regular: Apixaban 2.5 mg PO BD
2. Regular: Atenolol 50mg PO OD
3. Stop Dalteparin: In date section: Stopped on (exam date) by Dr (last name) GMC number

@PLABFORUM

1. Regular: Rivaroxaban: 15 mg PO BD
   Additional information: Change dose to 20 mg PO OD after 21 days
2. Hold Aspirin (?-write or skip)

@PLABFORUM

1. Antibiotic: Cefalexin 500mg PO BD 7 days
   Additional information: Review in 48 hours
2. Hold Methotrexate
   Additional information: Hold for one week then resume once a week

@PLABFORUM

1. PRN: Morphine: 5mg PO 4 hourly, Max 30mg, Indication pain
2. PRN? Regular?: Cyclizine 50mg TDS

@PLABFORUM

1. Antibiotic: Clarithromycin: 500mg PO BD 5 days
   Additional information: Review after 48 hours
2. Stop Atorvastatin

@PLABFORUM

1. Once-only: Loading dose: Doxycycline 200mg PO OD Once
2. Antibiotic: Maintenance dose: Doxycycline 100mg PO OD 4 days
   Additional information: Review after 4 days.

@PLABFORUM

1. Antibiotic: Clarithromycin 500mg IV BD 5 days
   Additional information: Review after 5 days
2. O2 Target O2 saturation: Circle 88-92%, Starting Device: Venturi mask, Circle Continuous

UTI: Nitrofurantoin
eGFR >35 Nitrofurantoin 100mg PO BD 3 days

UTI: Trimethoprim
eGFR <30 Trimethoprim 200 mg BD for 3 days (Male 7 days)

UTI: Hyperkalemia: Nitrofurantoin
eGFR >35 Nitrofurantoin 100mg PO BD 3 days
Ramipril: Hold Check Potassium levels

UTI: Postural Hypotension: Nitrofurantoin
eGFR >35 Nitrofurantoin 100mg PO BD 3 days
Amlodipine and Ramipril: Review and adjust dose for postural hypotension

UTI: OPD
eGFR >35 Nitrofurantoin 100mg PO BD 3 days

Cellulitis
Co-trimoxazole 960mg PO BD 7 days
Gentamycin 450mg? (5-7mg/kg) IV OD 7 days OR Metronidazole 400mg? PO TDS 7 days

Lithium
Drug interaction with NSAIDs (Ibuprofen), Paracetamol

PROM

MSRA

@PLABFORUM

1. Antibiotic: BENZYLPENICILLIN SODIUM 575 mg IV 7 days QID
   Additional information: Review in 48 hours
2. Antibiotic: METRONIDAZOLE 172 mg IV 7 days TDS
   Additional information: Review in 48 hours
3. Child Fluid Prescription Chart: Write 3 times, Volume 500 ml, Infusion fluid 0.9% NaCl + 5% DEXTROSE, Additives 10 mmol KCL, Rate 63 ml/hr

Acute Pancreatitis

Pancreatitis/ Cholecystectomy

[Arqam]

When we have to stop drug like in palliative. Do we have to metion the drug like paracetamol in prescription or do we just leave it out aka not write it?

[PLABFORUM]

Leave it out, don’t write it!

[Ansahe]

Just want to ask about quinsy. Can we give oral also?

[PLAB.Nepal]

No coz patient cant eator drink

[Excel4ever]

you are welcome @Ansahe