March Medication Madness Quiz 1

Explanation
The correct answer is 24 hours because it allows the prescribing doctor enough time to review and sign the medication order. This timeframe ensures that the doctor has ample time to assess the patient's condition, consider any potential contraindications or interactions, and make an informed decision before approving the medication. A longer time frame, such as 48 or 72 hours, could delay the patient's access to necessary medication, while a shorter time frame, such as 2 or 8 hours, may not provide the doctor with enough time to adequately review the order.

Explanation
Red antibiotic agents on the antibiotic control form require ID approval within 24hrs. This statement is true. It means that any antibiotic agents marked as red on the antibiotic control form need to be approved by someone with identification within 24 hours. This is likely a measure put in place to ensure that the use of these specific antibiotics is closely monitored and regulated.

Explanation
Insulin can be stored at room temperature for up to 4 weeks after first use. This is because insulin is stable at room temperature and does not require refrigeration. However, it is important to follow the manufacturer's instructions for proper storage and handling of insulin to ensure its effectiveness and safety.

Explanation
Perindopril erbumine 4mg and Perindopril arginine 5mg are the same medication but in different strengths. The active ingredient in both medications is perindopril, which is an ACE inhibitor used to treat high blood pressure and heart failure. The only difference is the dosage strength, with Perindopril erbumine being available in 4mg and Perindopril arginine being available in 5mg. Therefore, the statement is correct as both medications contain the same active ingredient but in different strengths.

Explanation
Ibuprofen is not considered a high falls risk medication because it does not have a significant impact on balance or coordination. Medications like pregabalin, fentanyl, oxazepam, prazosin, isosorbide mononitrate, amitriptyline, and haloperidol can cause dizziness, drowsiness, or changes in blood pressure, which can increase the risk of falls. Frusemide is a diuretic that can cause dehydration, which may also contribute to falls. However, ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) commonly used for pain relief, but it does not have the same side effects that can increase falls risk.

Explanation
Dabigatran and apixaban are both oral anticoagulant medications that are used to prevent blood clots. Renal clearance refers to the process by which a drug is eliminated from the body through the kidneys. In this case, the statement suggests that dabigatran is more effectively eliminated through the kidneys compared to apixaban. This means that dabigatran is more dependent on renal function for its clearance from the body. This information is important because it suggests that patients with impaired kidney function may require dosage adjustments or alternative medications to avoid potential drug accumulation and related side effects.

Explanation
Cephazolin is the correct answer because it does not require an antibiotic control form. Antibiotic control forms are typically used to monitor and regulate the use of certain antibiotics that may have a higher risk of resistance or adverse effects. Cephazolin is a commonly used antibiotic that does not fall into this category, so it does not require a control form.

Explanation
Irbesartan does not have an oral extended release (SR) version. Nifedipine, metoprolol, and hydromorphone all have extended release versions that are designed to slowly release the medication into the body over an extended period of time. However, irbesartan is not available in an extended release formulation.

Explanation
The correct answer is f) Both C and E. This means that the approximate equivalent dose of 1mg subcutaneous hydromorphone is either 15mg oral morphine or 3mg oral hydromorphone. This suggests that both oral morphine and oral hydromorphone can be used as alternatives to subcutaneous hydromorphone, with the appropriate dose adjustments.

Explanation
The correct answer is Tuesday and Friday before 10am because Ward S8 and S4d medications need to be ordered from the pharmacy on these specific days and before 10am. This ensures that the medications will be available in a timely manner for the ward.