4th Year Additions Flashcards

1
Q

eGFR to use oxycodone?

A

30-60

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2
Q

eGFR to use fentanyl and alfentanil

A

<30

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3
Q

anxiety management

A

midazolam
hand held fan
breathing/relaxation exercises

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4
Q

what to consider when the patient gets unwell after being in hospital for >2 days?

A

alcohol withdrawal

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5
Q

management of alcohol withdrawal

A

BZD

thiamine

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6
Q

what can be a cause of heart failure in the elderly?

A

valvular disease

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7
Q

what can aortic stenosis cause?

A

syncope

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8
Q

what is sarcopenia?

A

age-related muscle wasting

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9
Q

what can SSRIs and PPIs cause?

A

hyponatraemia

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10
Q

diagnosis of falls

A
check vision and hearing
polypharmacy review
BP
cognition assessment
home hazards intervention (OT)
check for peripheral neuropathy and foot drop
ECG
FBC (anaemia, TFT, B12, folate and glucose)
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11
Q

what to check in fall + long lie?

A

creatinine kinase for rhabdomyolysis

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12
Q

medications that can cause constipation?

A

opioids
anticholinergics
calcium
ferrous fumarate

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13
Q

assessment of constipation

A

history (frequency, pain, difficulty, normal for them)
Bristol stool chart
fluid intake, diet and exercises

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14
Q

examination in constipation

A

abdo and DRE

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15
Q

what is lactulose used in?

A

hepatic encephalopathy

constipation

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16
Q

examples of osmotic laxatives

A

laxido

lactulose

17
Q

example of softeners

A

docusate

18
Q

examples of stimulant laxatives

A

senna

biscodyl

19
Q

what is accrete D3?

A

vitamin D + calcium

20
Q

liver impairment tests to look at?

A

albumin and INR

21
Q

what weight would the dosage of paracetamol need to be lowered?

A

<50kg

22
Q

what needs to be assessed a couple of days after starting dalteparin?

A

platelets

hyperkalaemia

23
Q

what should as required medication have on the TPAR?

A

maximum amount in 24 hours