level: Difficult patients e.g. renal failure
Questions and Answers List
level questions: Difficult patients e.g. renal failure
| Question | Answer |
|---|---|
| How should you prescribe for someone with renal failure | Generally need to half dose for someone with renal failure and monitor Factor X function |
| Antiobiotic prophylaxis | Particularly required for immunocompromised patients - penicillin most common Penicillin |
| What antiobiotic prophy drug works well for anaerobic bacteria | Metronidazole |
| Drug used if penicillin allergy | Clindamycin |
| Antiobiotic for necrotising infection | Tetracyclin |
| What could- causing a stressful situation for a patient who has been on immunosuppression for a while cause | hormone crisis |
| What can CKD cause | Hypocalcaemia |
| CKD affects on oral tissues | Gingival hypertrophy e.g. cyclosporine Xerostomia Dental decay (acids and xerostomia) Ulcers Infections |
| T-cell immunosuppresants | tacrolimus/cyclosporine |
| anti metabolite drugs | mycophenolate |
| General immunosuppresants | Steroids |
| 3 prophylactic components when treating the immunosuppresed | Antibacterial – antibiotics Antifungals – nystatin for candida Antiviral – valgagiclovir |
| Complications of immunosuppresive drugs | Cyclosporine – gingivitis, oral ulcers, hirsutism Steroids – bone thinning, increased risk of infection MMF – bleeding gums, halitosis |