1st 20 Flashcards
1mg = how many mcg?
1000
Tetracycline antibiotics, such as oxytetracycline (for severe acne) 500mg PO 2x daily have what common side effects?
Photosensitivity
Diarrhoea, headache, vomiting
Report any headaches
What important advice do you give when putting someone on an NSAID? Say, naproxen for lower back pain?
Should be stopped if vomiting/diarrhoea or other signs of infection occur.
These are known as sick day rules. Met Forman and ACEi are others. And you stop them to protect the kidneys from AKI.
You should take naproxen after a meal.
Reading of BP 153/92 in clinic. What’s your next step?
Home BP measurement repeat before starting ramipril (depending on flowchart).
Cardiac arrest after pleuritic chest pain and SOB. What drug should you give to target the reversible cause of arrest?
Alteplase, IV bolus
CCB (amlodipine), side effect?
Ankle swelling (peripheral oedema)
Also cause myalgia (muscle aches)
Abdominal pain
Treatment for glaucoma
Latanoprost
Prostaglandin analogue to reduce pressure in the eye
Treatment for acute glaucoma
Acute glaucoma = pilocarpine eye drops
Side effect of latanoprost
Change in eye colour (increases brown pigment)
Contraceptive guidance is from where?
UKMEC
Contraindications for COCP
Hypertension
Because of increased stroke risk
Severe hypoglycaemia and unconscious Mx
10% glucose infusion
Intramuscular if IV access not available or in the community
Long term nitrofurantoin for UTI prophylaxis, what do you need to monitor?
How regularly?
LFTs, risk of hepatic toxicity
Usually every 3-6 months
How regularly should you monitor glucose levels when on insulin?
4x daily
How regularly should you measure glucose levels in a young child on insulin?
5x a day
Treatment of viral conjunctivitis
Self care measures
Emergency contraception 12hr
Levonorgestrel 1.5mg PO once only
3 types of emergency contraception
Copper coil
Levonorgestrel
Ella one
Contraindication of Ella one emergency contraception
Asthma
Normal TSH range
0.5 - 5
What should you measure every 3 months with hypothyroidism?
TSH levels
Raised TSH levels in hypothyroidism treated with levothyroixine indicates?
Inadequate treatment, up the dose and check TSH levels in 4 weeks.
Patient with breakthrough pain on max normal analgesia (paracetamol, ibuprofen, codeine). What can you add?
Oramorph 5mg as required every 4 hours
Also note that you could add capsaicin cream for osteoarthritis
Side effect of morphine
Respiratory depression
HRT replacement therapy side effects
Increased risk of VTE
Macrolide antibiotics side effects
Nausea and vomiting
