Thursday, December 20, 2018

Prescription jargon

DOSES
od /qDonce daily
bd/BID twice daily
tds /TID three times daily
qds/QID four times daily

ROUTES
im intramuscular
inh inhaled
iv intravenous
ivi intravenous infusion
neb via nebuliser
nocte  at night
mane in the morning
prn as required
stat at once
po oral
pr  per rectal
sc subcutaneous
top topical
sl sublingual

5-ASA
SHT
ASCE
AAC
Ab
abdo
ABPM
ACC
ACCP
ACh
ACS
ADP
Ag
AHA
AKI
ALP
ALS
5-aminosalicylic acid
5-hydroxytryptamine (z serotonin)
accident and emergency
antibiotic-associated colitis
antibody
abdomen/abdominal
ambulatory blood pressure monitoring
American College of Cardiology
American College of Chest Physicians
ACE inhibitor
acetylcholine
acute coronary syndrome
adenosine phosphate
atrial fibrillation
antigen
American Heart Association
acute kidney injury
acute lymphoblastic leukaemia
alkaline phosphatase
adult life support (algorithms of European
ALS
ALT
AMTS
ANA
ARB(s)
ARDS
AS
ASAP
assoc
AST
AV
AVM
adult life support (algorithms of European
Resuscitation Council)
alanine(-amino) transferase
acute myocardial infarction
abbreviated mental test score (same as MT S)
anti-nuclear antigens
activate partial thromboplastin time
angiotensin receptor blocker(s)
adult respiratory distress syndrome
aortic stenosis
as soon as possible
associated
aspartate transammase
arteriovenous
arteriovenous malformation
AVN
AZT
BBB
BCSH
BCT
BHS
BIH
BIPAP
BM
BMI
BPH
BTS
c
atrioventricular node
zidovudine
bundle branch block
British Committee for Standards in Haematology
broad complex tachycardia
blood flow
serum blood glucose in mmol/l; see also CBG
British Hypertension Society
benign intracranial hypertension
bilevel/biphasic positive airway pressure
bone marrow (NB: BM is often used, confusingly,
to signify finger-prick glucose; CBG (capillary blood
glucose) is used for this purpose in this book)
body mass index = weight (kg)/height (m)2
blood pressure
benign prostatic hypertrophy
British Thoracic Society
biopsy
constlpatlon
cancer (NB: calcium is abbreviated to Ca2+)
BTS
c
Ca
CAH
CBF
CBG
CCF
CCU
cf
CK
CKD
CLL
CML
CMV
CNS
British Thoracic Society
biopsy
constlpatlon
cancer (NB: calcium is abbreviated to Ca2+)
congenital adrenal hyperplasia
cerebral blood flow
capillary blood glucose in mmol/l (finger-prick testing)
(NB: BM is often used to denote this, but this is
confusing and less accurate and thus not used in
this book)
congestive cardiac failure
Coronary Care Unit
compared with
contraindicated
creatine kinase
chronic kidney disease
chronic lymphocytic leukaemia
chronic myelogenous leukaemia
cytomegalovirus
central nervous system

co
COPD
cox
CPR
CRF
CRP
CSF
CSM
CT
CVA
CVP
CXR
DA
DCT
dfx
cardiac output
chronic obstructive pulmonary disease
cyclo-oxygenase
cardiopulmonary resuscitation
chronic renal failure
C reactive protein
cerebrospinal fluid
Committee on Safety of Medicines
computerised tomography
cerebrovascular accident
central venous pressure
chest X-ray
diarrhoea
dopamine receptor subtype1/2/3
diarrhoea and vomiting
dopamine
distal convoluted tubule
defects
diabetes insipidus
DIC
DIGAMI
DKA
DMARD
dt
DWI
e'lyte
EBV
ECG
ECT
ENT
disseminated intravascular coagulation
glucose, insulin and potassium intravenous infusion
used in acute myocardial infarction
diabetic ketoacidosis
diabetes mellitus
disease-modifying anti-rheumatoid arthritis drug
due to
diffusion weighted (imaging); specialist MRI mostly
used for strokeÆIA
diagnosis
eosinophils
electrolyte
Epstein—Barr virus
electrocardiogram
electroconvulsive therapy
ejection fraction
ear, nose and throat
EPSE
ERC
ESC
ESR
exac
FBC
FFP
FHx
Fi02
FMF
fx
G6PD
GABA
GBS
GCS
GFR
GI
GIK
extrapyramidal side effects
European Resuscitation Council
European Society of Cardiology
erythrocyte sedimentation rate
exacerbates
full blood count
iron
fresh frozen plasma
family history
inspired 02 concentration
familial Mediterranean fever
effects
glucose-6-phosphate dehydrogenase
gamma aminobutyric acid
Guillain—Barré syndrome
Glasgow Coma Scale
glomerular filtration rate
gastrointestinal
glucose, insulin and K + infusion
GFR
GI
GIK
GMC
GTN
GU
HBPM
Hct
HDL
HIV
FILA
HMG-CoA
HONK
hrly
glomerular filtration rate
gastrointestinal
glucose, insulin and K + infusion
General Medical Council (of UK)
glyceryl trinitrate
genitourinary
hour(s)
hypertrophic (obstructive) cardiomyopathy
haemoglobin
heart block
home blood pressure monitoring
haematocrit
high-density lipoprotein
heart failure
human immunodeficiency virus
human leucocyte antigen
3-hydroxy-3-methyl-glutaryl coenzyme A
hyperosmolar non-ketotic state
hourly
HSV
HTN
HUS
IBD
IBS
IBW
ICP
ICU
IHD
IL-2
Inc
inh
INR
IOP
herpes simplex virus
height
hypertension
haemolytic uraemic syndrome
history
inflammatory bowel disease
irritable bowel syndrome
ideal body weight (see p. 268 for details)
intracranial pressure
intensrve care unit
ischaemic heart disease
interleukin-2
intramuscular
including
inhaled
international normalised ratio (prothrombin ratio)
intraocular pressure
immune/idiopathic thrombocytopenic purpura
intensive therapy unit
intravenous
iv
IVDU
ivi
Ix
LA
LBBB
LDL
LF
LFTs
LMWH
LVF
mane
immune/idiopathic thrombocytopenic purpura
intensive therapy unit
intravenous
intravenous drug user
intravenous infusion
Investigation
potassium (serum levels unless stated otherwise)
lymphocytes
long-acting
left bundle branch block
low-density lipoprotein
liver failure
liver function tests
low-molecular-weight heparin
lumbar puncture
left ventricular failure
macrophages
m mormng
MAOI 
MAP 
MCA 
MCV 
metab 
MG 
MHRA 
MI 
MMF 
MMSE 
MR 
MRI 
MRSA 
MS 
MTS 
MUST 
monoamine oxidase inhibitor 
mean arterial pressure 
middle cerebral artery 
mean corpuscular volume 
metabolised 
myasthenia gravis 
Medicines and Healthcare Products Regulatory 
Authority (UK) 
myocardial infarction 
mycophenolate mofetil 
Mini-Nlental State Examination (scored out of 30* ) 
modified release (drug preparation)t 
magnetic resonance magmg 
methicillin-resistant Staphylococcus aureus 
multiple sclerosis 
(abbreviated) Mental Test Score (scored out of 10* ) 
malnutrition universal screening tool 
management 
nausea 
NA 
NBM 
NCT 
NDRI 
neb 
NGT 
NH 
NIDDM 
NIHSS 
NIV 
NMJ 
NMS 
NPIS 
NSAID 
nausea and vomiting 
neutrophils 
noradrenaline (norepinephrine) 
sodium (serum levels unless stated otherwise) 
nil by mouth 
narrow complex tachycardia 
noradrenaline and dopamine reuptake inhibitor 
via nebuliser 
nasogastric tube 
non-Hodgkin's (lymphoma) 
non-insulin-dependent diabetes mellitus 
National (US) Institute of Health Stroke Scale 
non-invasive ventilation 
neuromuscular junction 
neuroleptic malignant syndrome 
National Poisons Information Service 
non-steroidal anti-inflammatory drug 
NSTEMI 
NYHA 
OCD 
ocp 
OD 
OGD 
p'way(s) 
PAN 
PBC 
PCI 
PCOS 
PCP 
PCV 
PDA 
PEA 
PEG 
non-ST elevation myocardial infarction 
New York Heart Association 
obsessive compulsive disorder 
oral contraceptive pill 
overdose (NB: od once daily!) 
oesophagogastroduodenoscopy 
pathway(s) 
polyarteritis nodosa 
primary biliary cirrhosis 
percutaneous coronary intervention (now preferred 
term for percutaneous transluminal coronary 
angioplasty (P T CA), which is a subtype of PCI) 
polycystic ovary syndrome 
Pneumocystis carinii pneumonia 
packed cell volume 
patent ductus arteriosus 
pulmonary embolism 
pulseless electrical activity 
percutaneous endoscopic gastrostomy 

PDA 
PEA 
PEG 
PG(x) 
phaeo 
PHx 
PID 
PML 
PMR 
P04 
PPI 
pr 
prep(s) 
prn 
PSA 
PT 
PTSD 
patent ductus arteriosus 
pulmonary embolism 
pulseless electrical activity 
percutaneous endoscopic gastrostomy 
prostaglandin (receptor subtype x) 
phaeochromocytoma 
past history (of) 
pelvic inflammatory disease 
progressive multifocal leukoencephalopathy 
polymyalgia rheumatica 
by mouth (oral) 
phosphate (serum levels, unless stated otherwise) 
proton pump inhibitor 
rectal 
preparation(s) 
as required 
prostate specific antigen 
platelet(s) 
prothrombin time 
parathyroid hormone 
post-traumatic stress disorder 

PUO 
PVD 
QT(c) 
RAS 
RBF 
RLS 
ROSIER 
RRT 
RSV 
RTI 
RV 
RVF 
peptic ulcer 
pyrexia of unknown origin 
peripheral vascular disease 
prophylaxis 
QT interval (corrected for rate) 
rheumatoid arthritis 
renal artery stenosis 
renal blood flow 
renal failure 
restless legs syndrome 
recognition of stroke in emergency room scale for 
diagnosis of stroke/TIA 
respiratory rate 
renal replacement therapy 
respiratory syncytial virus 
respiratory tract infection 
right ventricle 
right ventricular failure 
treatment 
SAH 
SAN 
SBE 
SE(s) 
SIADH 
SIGN 
SJS 
sl 
SLE 
SOA 
SOB (OE) 
SPC 
SPP 
SR 
subarachnoid haemorrhage 
sinoatrial node 
subacute bacterial endocarditis 
subcutaneous 
side effect(s) 
second(s) 
syndrome of inappropriate antidiuretic hormone 
Scottish Intercollegiate Guidelines Network 
Stevens—Johnson syndrome 
sublingual 
systemic lupus erythematosus 
swelling of ankles 
shortness of breath (on exertion) 
summary of product characteristic sheet (see page viii) 
specles 
slow/sustained release (drug preparation)
SSRI 
sss 
STEMI 
supp 
SVT 
tl,'2 
TCA 
TEDS 
TEN 
TFTs 
TIBC 
TIMI score 
TNF 
top 
selective serotonin reuptake inhibitor 
sick sinus syndrome 
ST elevation myocardial infarction 
suppository 
supraventricular tachycardia 
half-life 
triiodothyronine/liothyronine 
thyroxine (T/JT4 = hyper/hypothyroid) 
tricyclic antidepressant 
thromboembolism 
thromboembolism deterrent stockings 
toxic epidermal necrolysis 
thyroid function tests 
triglyceride 
total iron binding capacity 
risk score for UA/NSTEMI named after TIMI 
(thrombolysis in MI) trial 
tumour necrosis factor 
topical 
TPMT 
TPR 
ITA(s) 
TT0(s) 
U&Es 
UA(P) 
UC 
URTI 
VE(s) 
Vlt 
thiopurine methyltransferase 
total peripheral resistance 
(drugs) to take away, i.e. prescriptions for inpatients 
on discharge/leave (aka HO) 
see ITA 
thrombotic thrombocytopenic purpura 
urea and electrolytes 
unstable angina (pectoris) 
ulcerative colitis 
upper respiratory tract infection 
urinary tract infection 
ultraviolet 
vomltlng 
ventricular ectopic(s) 
ventricular fibrillation 
vrtamm 
VLDL 
VTE 
vzv 
w/o 
wcc 
wk 
wkly 
WPW 
Wt 
xs 
ZE 
very-low-density lipoprotein 
ventricular tachycardia 
venous thromboembolism 
varicella zoster virus (chickenpox/shingles) 
with 
within 
without 
white cell count 
Wernicke's encephalopathy 
week 
weekly 
Wolff—Parkinson—White syndrome 
weight 
excess 
Zollinger—Ellison syndrome


Preface ▼xiii
About the authors ▼xvii
Contributors ▼xix
ABCD2 scoring system ▼1
ACE inhibitor-induced cough ▼2
Acetylcysteine for nebulisation ▼3
Acute kidney injury ▼4
Addison’s disease ▼7
Adrenaline: nebulised ▼9
Adverse drug reactions ▼10
Anaemias ▼20
Angioedema: drug causes and treatment ▼25
Antibiotic choice ▼27
Antimicrobial allergy management ▼28
Antiphospholipid syndrome ▼30
Antipsychotics: equivalent doses ▼32
Apomorphine ▼33
Appetite stimulation ▼36
Arterial blood gases and acid–base balance ▼38
Artificial saliva ▼39
Asthma ▼41
Atrial fibrillation ▼47
Bariatric surgery ▼54
Benzodiazepines and ‘z’ hypnotics ▼57
Bicarbonate ▼59
Body surface area calculation ▼61
Bronchiectasis (non-cystic fibrosis) ▼65
Calcium ▼68
Carbamazepine ▼71
Chemotherapy-induced nausea and vomiting ▼74
Child–Pugh score ▼75
Chloramphenicol (systemic) ▼76
Chronic obstructive pulmonary disease ▼79
vii
CPPC ftoc.tex V1 - 11/18/2015 1:59 P.M. Page viii ❦
❦ ❦

Ciclosporin: management and monitoring ▼83
Cigarette smoking: calculation of pack-years ▼86
Cigarette smoking –drug interactions ▼87
Clozapine ▼88
Cognitive assessment
CPPC ftoc.tex V1 - 11/18/2015 1:59 P.M. Page ix ❦
❦ ❦

Falls: pharmaceutical care ▼173
Ferinject ▼176
Fluid balance ▼177
Food–drug interactions ▼182
Gastrointestinal bleeding risk management ▼184
Gentamicin ▼185
Glasgow Coma Scale ▼190
Glucosamine ▼192
Grapefruit juice –drug interactions ▼194
Human immunodeficiency virus treatment ▼197
Hyperosmolar hyperglycaemic state ▼208
Hypodermoclysis ▼211
Hypopituitarism ▼213
Ideal body weight ▼216
Immunoglobulin (normal) for intravenous administration ▼216
Inflammatory bowel disease ▼219
Inhaler devices in respiratory disease ▼223
Insulins ▼224
Insulin: variable-rate intravenous insulin infusion ▼231
Interstitial lung disease ▼233
Iron: guidance on parenteral dosing and administration ▼238
Kidney stones (renal calculi) ▼241
Lactose-free medicines ▼243
Learning disability: caring for people with learning disability and
other vulnerable patients ▼244
LipidRescue ▼248
Lithium: management and monitoring ▼249
Liver disease (chronic) ▼253
Liver function tests ▼259
Low-molecular-weight heparin ▼262
Magnesium ▼264
Medicines reconciliation ▼268
Methotrexate: calcium folinate rescue regimen ▼270
Monofer ▼272
Mouth ulcers and sore mouth ▼273
Multiple sclerosis: symptomatic management ▼274
Nausea and vomiting ▼278
Neuroleptic malignant syndrome ▼279
Neutropenic sepsis ▼280
CONTENTS ix
CPPC ftoc.tex V1 - 11/18/2015 1:59 P.M. Page x ❦
❦ ❦

Nicotine replacement therapy ▼282
‘Nil-by-mouth’: management of long-term medicines during
surgery ▼284
Nutraceuticals for eye health ▼289
Omeprazole: parenteral administration ▼292
Oncological emergencies ▼296
Opioid comparative doses ▼297
Opioid misuse management ▼298
Opioid partial agonists ▼303
Osteoporosis ▼303
Oxygen ▼308
Pain management ▼311
Palliative and end-of-life care ▼318
Pancreatitis ▼327
Parenteral nutrition: a practical overview ▼331
Patient consultation ▼334
Patient-controlled analgesia ▼339
Phaeochromocytoma ▼341
Pharmacocultural issues ▼343
Phenytoin: management and monitoring ▼345
Phosphate ▼349
Postoperative nausea and vomiting ▼352
Potassium ▼355
Prescription charge exemptions and prepayment certificates ▼360
Protamine ▼361
Prothrombin complex concentrates ▼362
Pulmonary function tests ▼363
Pulmonary hypertension and pulmonary arterial
hypertension ▼368
Quinine for muscle cramps ▼373
Rapid tranquillisation ▼375
Renal disease: assessment of renal function ▼379
Renal disease: dosing in renal impairment and renal replacement
therapy ▼382
Renal disease: chronic kidney disease ▼386
Renal replacement therapy: haemodialysis ▼393
Renal replacement therapy: haemofiltration ▼396
Renal replacement therapy: peritoneal dialysis ▼398
Rheumatoid arthritis: drugs suppressing the disease process ▼400
x CONTENTS
CPPC ftoc.tex V1 - 11/18/2015 1:59 P.M. Page xi ❦
❦ ❦

Rockall score for gastrointestinal bleed ▼411
Sarcoidosis ▼412
Sclerosants for the management of malignant pleural
effusions ▼415
Serotonin syndrome ▼416
Systemic inflammatory response syndrome due to sepsis scoring
system ▼418
Sodium ▼420
Sterile larvae ▼422
Stroke and transient ischaemic attack ▼424
Suppositories ▼433
Surgical pharmacy ▼434
Synacthen (tetracosactide) tests ▼440
Syndrome of inappropriate secretion of antidiuretic hormone ▼442
Syringe pumps ▼443
Theophylline ▼447
Thunderclap headache ▼450
Thyroid function ▼450
Tinzaparin dosing in pulmonary embolism and deep-vein
thrombosis ▼454
Tobramycin: monitoring and management ▼455
Travel recommendations ▼458
Tuberculosis ▼459
Vancomycin ▼470
Venofer ▼474
Vitamins and minerals ▼474
von Willebrand disease ▼484
Warfarin treatment and monitoring ▼486
Wells score for deep-vein thrombosis ▼494
Wells score for pulmonary embolism ▼495
Yellow Card scheme ▼497
Zinc

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