Example sets
These tables show an example set for each card. However, more sets are possible.
Disclaimer: this resource is for educational use only and does not constitute or replace medical advice.
DECK 1 - Puffing and Pumping
| DRUG | INDICATION | MECHANISM | WATCH OUT |
|---|---|---|---|
| adenosine | arrythmia | breaks re-entry circuit | avoid in asthma |
| amiodarone | arrythmia | reduces ventricular rate | avoid in heart block |
| digoxin | atrial fibrillation | Na+/K+-ATPase inhibitor | therapeutic drug monitoring |
| atropine | bradycardia | muscarinic receptor antagonist | constipation |
| rivaroxaban | prevent / treat blood clots | direct factor Xa inhibitor | interaction with warfarin |
| warfarin | prevent / treat blood clots | vitamin K antagonist | take in the evening |
| enoxaparin | prophylaxis of VTE | low MW heparin | bleeding |
| aspirin | prophylaxis of CVD | COX-1/2 inhibitor | gastrointestinal discomfort |
| clopidogrel | prevent blood clots | P2Y12 receptor antagonist | check pharmacogenetics |
| bisoprolol | heart failure | β1-adrenoceptor antagonist | avoid in asthma |
| ipratropium | asthma/COPD | short-acting antimuscarinic | dry mouth |
| salbutamol | reversible airway disease | β2-adrenoceptor agonist | emergency medicine adult 5mg |
| any drug | any indication | any mechanism of action | any side effect |
DECK 2 - More Puffing, More Pumping
| DRUG | INDICATION | MECHANISM | WATCH OUT |
|---|---|---|---|
| amlodipine | angina | calcium channel blocker | peripheral oedema |
| spironolactone | hypertension | aldosterone antagonist | hyperkalaemia (discontinue) |
| furosemide | oedema | NKCC2 inhibitor | hypotension |
| indapamide | hypertension | NaCl transport inhibitor | contraindicated with adrenaline |
| simvastatin | reduce cholesterol | HMG CoA synthase inhibitor | muscle complaints |
| glyceryl trinitrate | angina | NO donor | hypotension |
| ramipril | hypertension | ACE inhibitor | dry cough |
| losartan | chronic kidney disease | angiotensin receptor blocker | avoid OTC anti-inflammatories |
| adrenaline | CPR | adrenoceptor agonist | emergency medicine adult 0.5 mg |
| alteplase | ischaemic stroke | plasminogen activator | exclude intracranial haemorrhage |
| fluticasone | asthma/COPD | inhaled corticosteroid | oral candidiasis |
| montelukast | asthma / allergic rhinitis | leukotriene receptor antagonist | respiratory tract infection |
| any drug | any indication | any mechanism of action | any side effect |
Sources
The following information sources were consulted:
- The Top 100 Drugs, Hitchings, Lonsdale, Burrage, Baker, Churchill Livingstone, 2015
- Audi S, Burrage DR, Lonsdale DO, Pontefract S, Coleman JJ, Hitchings AW, Baker EH. The 'top 100' drugs and classes in England: an updated 'starter formulary' for trainee prescribers. Br J Clin Pharmacol. 2018 Nov;84(11):2562-2571. doi: 10.1111/bcp.13709. Epub 2018 Aug 10.
- BNF (British National Formulary) available at bnf.nice.org.uk and on the BNF app
- (Emergency drug doses | Prescribing information | Angio-oedema and anaphylaxis | CKS | NICE)
- Andrew W. Hitchings, Monitoring drug therapy, Medicine, Volume 40, Issue 7, 2012, Pages 376-381, ISSN 1357-3039, https://doi.org/10.1016/j.mpmed.2012.04.001.
- (Drug Interactions Checker - Medscape Drug Reference Database)