3rd 20 Flashcards
What class of drugs in ibuprofen?
NSAID
Chronic NSAID use can cause
Reduced renal perfusion -> chronic kidney disease
Peptic ulceration
0.005% oral solution = how many mg/100ml?
0.005% = 5mg/100ml = 0.05mg/ml
When should levothyroxine be taken?
30 minutes before any other medications or food
Methotrexate monitoring
FBC (anaemia, leukopaenia, thrombocytopaenia)
U&Es
LFTs
Attend the GP if any signs of infection!
Losartan drug class and use
Angiotensin 2 receptor antagonist
Used to reduce blood pressure
When starting atorvastatin, what should you measure at 3mo and 12mo?
Liver function tests.
Statins can cause liver injury and hepatotoxicity
If a patient is on a statin and has muscle pain/weakness what should be checked?
Creatinine kinase
How much K+ should be given per hour?
10mmol
E.g. 1L of 0.9% with 40mmol K+ over 4 hours
Treatment of chylamydia
100mg doxycycline PO twice daily for 7 days
Insuffienct levothyroxine for hypothyroidism (say 100mg), how much to increase it by?
Increments of 25mg
Repeat TSH levels 4 weeks post dose adjustment
If on long term steroids (e.g. prednisolone), what should not be done
DO NOT stop them suddenly, as they can go into adrenal crisis due to the prolonged suppression.
Woman with head locked and looking upwards
Acute dystonic reaction (oculogyric crisis in this case)
Sumatriptan use
Acute treatment of migraine
Metoclopramide use
Antiemetic
Metoclopramide side effects
Extra-pyramidal
Patient on statin, raised ALT and AST by what amount justifies stopping it?
3x upper limit of patients baseline
What should you monitor while infusing insulin-glucose infusion?
Capillary glucose
Treatment of cellulitis
Flucloxacillin, 500mg, PO, QDS, 5-7 days
What should you do if cellulitis with systemic signs?
Refer and admit for IV
Anaphylaxis treatment
Adrenaline, 500mcg, IM
Unresponsive patient with severe hypoglycaemia treatment
200ml 10% glucose IV
