Pharmacology Hub
Clear, evidence-based medication guides aligned with NICE guidance and the BNF — built for UK student nurses on every ward.
Medication & Clinical Guides
Atrial Fibrillation — Anticoagulation, Rate & Rhythm Control
Recognise AF, calculate stroke risk with CHA₂DS₂‑VASc, and monitor DOACs, warfarin, and rate‑control drugs safely.
View Guide → atrial fibrillation AF anticoagulation warfarin DOAC apixaban rivaroxaban dabigatran edoxaban CHA2DS2-VASc HAS-BLED bisoprolol digoxin diltiazem verapamil amiodarone stroke prevention NICE NG180GORD & Peptic Ulcer Disease — PPIs, H2 Blockers & H. pylori
Acid suppression, triple therapy eradication, long‑term PPI risks, and red flags needing urgent investigation.
View Guide → GORD reflux heartburn peptic ulcer gastric duodenal H. pylori PPI omeprazole lansoprazole pantoprazole esomeprazole ranitidine famotidine cimetidine triple therapy clarithromycin amoxicillin metronidazoleGout — Acute Management & Allopurinol Prophylaxis
NSAIDs, colchicine, and why you never start allopurinol during a flare — plus target levels and patient education.
View Guide → gout hyperuricaemia uric acid NSAID ibuprofen naproxen colchicine allopurinol febuxostat prednisolone prophylaxis renal dose urate crystals joint painMental Health Meds — Lithium, Antipsychotics & SSRIs
Therapeutic ranges, toxicity signs, movement disorders, and spotting serious reactions before they escalate.
View Guide → lithium olanzapine risperidone quetiapine haloperidol sertraline citalopram fluoxetine venlafaxine mirtazapine valproate carbamazepine clozapine NMS serotonin syndrome toxicity levels TSH renal functionSteroid Safety & Adrenal Insufficiency
HPA axis suppression, sick‑day rules, recognising adrenal crisis, and tapering steroids safely.
View Guide → steroid prednisolone dexamethasone hydrocortisone adrenal insufficiency HPA axis crisis sick day rules taper withdrawal fludrocortisone Addison infection stress doseAlcohol Withdrawal — CIWA‑Ar & Management
Screening, scoring, chlordiazepoxide regimens, and protecting against Wernicke’s encephalopathy and DTs.
View Guide → alcohol withdrawal CIWA-Ar chlordiazepoxide diazepam lorazepam Wernicke’s thiamine Pabrinex delirium tremens DTs seizure benzodiazepineHigh-Alert Medications & Controlled Drugs
Never Events, independent double-checking, CD storage, witnessing, and legal duties — what every student nurse must know.
View Guide → high alert medications controlled drugs Never Events insulin potassium heparin morphine diamorphine fentanyl Schedule 2 Misuse of Drugs Act CD cupboard register witnessing double checking MHRA NPSA medication safetyCOPD — Inhalers, Oxygen & Exacerbations
Oxygen targets, bronchodilators, steroids, and antibiotics — what to give, how to give it, and what to watch.
View Guide → COPD salbutamol ipratropium tiotropium salmeterol fluticasone budesonide prednisolone amoxicillin doxycycline oxygen 88-92% inhaler technique spacer LABA LAMAHeart Failure — Four Pillars of Therapy
ACEi/ARNI, beta‑blockers, aldosterone antagonists, SGLT2 inhibitors — plus diuretics and fluid management.
View Guide → heart failure lisinopril perindopril losartan candesartan sacubitril valsartan bisoprolol carvedilol furosemide spironolactone dapagliflozin empagliflozin BNP NT-proBNP fluid weightStroke — Recognition, Prevention & Acute Care
FAST assessment, thrombolysis windows, antiplatelets, and safe anticoagulation timing after stroke.
View Guide → stroke FAST alteplase tenecteplase aspirin clopidogrel dipyridamole warfarin DOAC atorvastatin blood pressure TIAAcute Kidney Injury — Drug Stewardship & Protection
Staging, nephrotoxic drugs to hold, dose adjustments, and managing hyperkalaemia on every shift.
View Guide → AKI creatinine eGFR urea NSAID gentamicin vancomycin contrast ACEi ARB furosemide hyperkalaemia calcium resonium insulin dextrose salbutamol dialysisPain — WHO Ladder & Opioid Safety
Multimodal analgesia, step‑by‑step prescribing, and recognising/reversing opioid toxicity with naloxone.
View Guide → pain paracetamol ibuprofen codeine tramadol morphine oxycodone fentanyl buprenorphine naloxone respiratory depression constipation PCA breakthroughSepsis — Recognition & The Sepsis Six
Screening, the one‑hour bundle, antibiotic timing, fluids, and lactate monitoring — every minute counts.
View Guide → sepsis NEWS2 lactate antibiotics IV fluid tazocin co-amoxiclav gentamicin noradrenaline Sepsis SixChronic Kidney Disease — Prescribing & Protection
eGFR‑based dose changes, nephroprotection, and managing anaemia, bone health, and fluid balance.
View Guide → CKD creatinine anaemia erythropoietin iron phosphate binder vitamin D calcitriol dialysis fluid restriction