prescribing

What to give in Addisonian crisis

• Hydrocortisone 100mg IM or IV

Choice of ABx for UTI

Nitrofurantoin 50mg PO QDS

• avoid in 3rd trimester of pregnancy as it can cause neonatal haemolysis

What to give for suspected meningitis in community

Benzylpenicillin 1.2g stat once only IM

What to give for suspected meningitis in community If penicillin allergic

Cefuroxime 2g IM

Menopausal HRT overview

Average age of menopause = 51 (45-55)

Clinical diagnosis; no period for 12 months (but if bloods used then FSH high and estrodiol low)

What HRT do you give to a woman who has no womb e.g. post hysterectomy

Oestrogen only

Oral or patch oestrogen (elleste solo) or tibolone

Estrodiol

What HRT do you give to a woman with a womb

Oestrogen + progesterone

E.g. estrodiol 1mg + norethisterone

Estrodiol + drydogesterone 1/10mg

What’s the difference between sequential and continuous HRT

If last menstrual period <1yr ago; Cyclical/sequential. Still having periods, can be monthly or 3 monthly, causes bleeds

If last menstrual period >1yr ago; continuous. No periods, will not cause bleeds

What risks are associated with HRT

Breast cancer

Endometrial cancer

Ovarian cancer

VTE (stop 4-6 weeks before surgery)

Stroke

Coronary artery disease

What emergency contraception is used

If last