20 cards Flashcards
Azathioprine SFX
Myelosuppression
opiods of choice for pain relief in palliative care with severe renal impairment
Buprenorphine or fentanyl
Corticosteroids cautions and contraindications
SFX of corticosteroids
Monitoring of corticosteroids
Overview of blood thinners for atrial fibrillation
- Calculate CHADSVASC and HASBLED score
- DOACS if non valvular AF
Dabigatran if CrCl >30, apixaban if crlc >25, rivaroxaban if crcl >15
Warfarin if rheumatic MS or mechanical heart valve
Continue anticoags even if patient on rate and rhythm control.
Overview of blood thiiners for heart valve replacement
Mechanical valve - lifelong 1warfarin +/- aspirin if concurrent atherosclerosis or thrombosis despite warfarin
Tissue valve - aortic 1. warfarin/ aspirin for 3 mo
- Mitral 1. warfarin for 3mo
Overview of blood thinners for TIA
ABCD2 score + statin + BP control
1. Aspirin or clopidogrel or dipyramidole
Overview of blood thinners for ischemic stroke
- IV thrombolysis within 4.5 hours of onset -> alteplase
- aspirin
Long term: antiplatelet (aspirin, clopidogrel, dipyramidole) - if they have AF, give a DOAC instead
+ Statin +BP control
Overview of blood thinners for STEMI acute
- aspirin
- P2Y12 inhibitor
- if having PCI, ticagrelor
- If having thrombolysis, clopidogrel and LMWH
+ morphine +GTN +oxygen
Overview of blood thinners for NSTEMI acute
- Aspirin
- Low risk then a p2y12 inhibitor - low bleeding risk then ticagrelor, high bleeding risk then clopidogrel
Moderate to high risk - if having angiography then ticagrelor + LMWH, if angigraphy delayed then Gp 2b/3a inhibitos plus LMWH
+morphine +GTN +oxygen
Overview of long term management of ACS
BA3SH
Heparin/LMWH for 3-4 weeks
ANtiplatelet that was given in hospital for 12mo
Aspirin lifelong
+BB, ACEI/ARB, statin
