4th Year Additions Flashcards
eGFR to use oxycodone?
30-60
eGFR to use fentanyl and alfentanil
<30
anxiety management
midazolam
hand held fan
breathing/relaxation exercises
what to consider when the patient gets unwell after being in hospital for >2 days?
alcohol withdrawal
management of alcohol withdrawal
BZD
thiamine
what can be a cause of heart failure in the elderly?
valvular disease
what can aortic stenosis cause?
syncope
what is sarcopenia?
age-related muscle wasting
what can SSRIs and PPIs cause?
hyponatraemia
diagnosis of falls
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)
what to check in fall + long lie?
creatinine kinase for rhabdomyolysis
medications that can cause constipation?
opioids
anticholinergics
calcium
ferrous fumarate
assessment of constipation
history (frequency, pain, difficulty, normal for them)
Bristol stool chart
fluid intake, diet and exercises
examination in constipation
abdo and DRE
what is lactulose used in?
hepatic encephalopathy
constipation
examples of osmotic laxatives
laxido
lactulose
example of softeners
docusate
examples of stimulant laxatives
senna
biscodyl
what is accrete D3?
vitamin D + calcium
liver impairment tests to look at?
albumin and INR
what weight would the dosage of paracetamol need to be lowered?
<50kg
what needs to be assessed a couple of days after starting dalteparin?
platelets
hyperkalaemia
what should as required medication have on the TPAR?
maximum amount in 24 hours
