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level: Difficult patients e.g. renal failure

Questions and Answers List

level questions: Difficult patients e.g. renal failure

QuestionAnswer
How should you prescribe for someone with renal failureGenerally need to half dose for someone with renal failure and monitor Factor X function
Antiobiotic prophylaxisParticularly required for immunocompromised patients - penicillin most common Penicillin
What antiobiotic prophy drug works well for anaerobic bacteriaMetronidazole
Drug used if penicillin allergyClindamycin
Antiobiotic for necrotising infectionTetracyclin
What could- causing a stressful situation for a patient who has been on immunosuppression for a while causehormone crisis
What can CKD causeHypocalcaemia
CKD affects on oral tissuesGingival hypertrophy e.g. cyclosporine Xerostomia Dental decay (acids and xerostomia) Ulcers Infections
T-cell immunosuppresantstacrolimus/cyclosporine
anti metabolite drugsmycophenolate
General immunosuppresantsSteroids
3 prophylactic components when treating the immunosuppresedAntibacterial – antibiotics Antifungals – nystatin for candida Antiviral – valgagiclovir
Complications of immunosuppresive drugsCyclosporine – gingivitis, oral ulcers, hirsutism Steroids – bone thinning, increased risk of infection MMF – bleeding gums, halitosis