05 December 2022 Flashcards
What does CAG stand for?
Coronary artery graft
What is the approximate total dose of an amiodarone loading dose?
10 grams
Where do you find the true infusion rate in ICU?
Under the Intake/Output section of flow sheets
What is a good place to look for plans for medications around surgery?
Operation notes
What is the preferred brand of warfarin in the Northern Territory?
Coumadin
Should IV amiodarone be considered as part of the amiodarone load?
Only if the patient received more than two weeks’ worth of IV amiodarone
When is amiodarone dosed at 400 micrograms ONCE a day?
400 mg daily may be required, especially for ventricular arrhythmias
What are 5 pieces of baseline monitoring for amiodarone?
- Chest X-Ray
- LFTs
- EUC
- TFTs
- ECG
What should you remember about X-Rays in ICU?
Most patients will receive daily chest X-Rays in ICU
What must you always consider after a patient has had a CABG?
Any previous stent which has been bypassed is now obsolete and thus dual antiplatelet therapy is not indicated (provided there are no other stents which require dual antiplatelet therapy).
Which anticoagulant do CTSU prefer?
Heparin
Why may you see salbutamol charted after thoracic surgery?
To aid with deep breathing to prevent pneumonia
What is a factor which may commonly acutely cause false HbA1c readings?
Blood transfusions
What is Waldenstrom macroglobulinemia?
A rare type of cancer that begins in the white blood cells. If you have Waldenstrom macroglobulinemia, your bone marrow produces too many abnormal white blood cells that crowd out healthy blood cells
What is the general approach to treating haematology patients?
Start by giving corticosteroids, then follow with chemotherapy if condition is not sufficiently responsive to steroid therapy.
What are globulins?
Any of a group of simple proteins found in the blood.
What does CTKUB stand for?
CT scan of kidneys, ureters and bladder
What is polyuria?
The syndrome of polyuria is defined by urine volumes exceeding 3-4 L/day
What does JVP stand for?
Jugular venous pressure
Why is methadone frequently used in palliative care patients?
It has good efficacy in neuropathic pain
What is methylnaltrexone?
A subcutaneous injection which antagonises opioid effects without crossing the blood-brain barrier, so it can relieve constipation without inhibiting pain relief
Should patients who are treated with methylnaltrexone still be treated with laxatives?
Yes
What is a good reference for oncology CMIs?
BC Cancer
What is a Movicol Bomb?
8 Sachets of Movicol in a litre of water, consumed over 24 hours
What is the role of lidocaine in palliative care?
Lidocaine infusions can be used to manage refractory neuropathic pain
What is a consideration regarding drug interactions with morphine?
Morphine is a PGP substrate
What ?is a good resource for converting doses of opioids
ANACA app
What is a common risk of metastatic prostate cancer?
Metastatic prostate cancers can undergo transformations, rendering them resistant to treatment.
Where can you find a library of resources for end-of-life care?
The SALHN intranet has an “End of Life Resources” page, which you can search for using the search bar
What should you always consider when withdrawing drugs in a palliative care patient?
You should be selective about what you stop - you should not cease drugs which will help with symptoms; and you should be careful not to induce withdrawal/rebound effects
