5th 20 Flashcards
Patient with high blood pressure in clinic and no other RF, what do you do?
Ambulatory BP to confirm elevated BP
Patient with high blood pressure and QRISK score of 20% (high risk) what do you do?
Commence appropriate anti-hypertensive medication (e.g. ramipril)
Anaphylaxis treatment for adults
500mg IM adrenaline into the anterolateral aspect of the thigh
Most effective indicator of HAART therapy
HIV RNA levels
Aim of HAART therapy
Reduce viral load
How much is max paracetamol per day?
4g
How often should you have alendronic acid?
Once weekly
Stand upright for 30 minutes on an empty stomach
How often should dalteparin be delivered?
OD subcutaneous
Bell’s palsy treatment
Prednisolone 50mg PO
Shooting pain across face
Trigemial neuralgia
Treatment of trigeminal neuralgia
Carbamazepine 100mg PO TDS
Drug causes of hyponatraemia
ACEi
PPI (omeprazole)
Diuretics
Antidepressants
Sulphonyureas
Mirtazepine is an antidepressant, whats its main side effect?
Weight gain
Side effect of alpha-1 blockers (alfuzosin) used for BPH
Orthostatic hypotension
Can even lead to syncope
Need to monitor BP
Management of acute post-operative pain
Paracetamol
Ibuprofen
Morphine
Typical morphine prescription
5mg every 4hr IV
When should you avoid morphine
Renal impairment
Morphine alternative
Oxycodone
Fentanyl
Fishy white discharge
Trichomonas
Treatment of trichomonas
Metronidazole
Things to check with amiodarone
ECG (arrythmia)
CXR (interstitial lung disease)
U&E (hypokalaemia = contraindication)
TFTs
LFTs
What type of drug is fluoxetine?
SSRI
Side effects of SSRI overdose
Nystagmus Hyperthermia
QT prolongation (rare)
Remember serotonin syndrome
Information to give patients starting mirtazepine
If they have a fever or other signs of infection, seek medical advice (risk of agranulocytosis)
Treatment of chlamydia
Erythromycin 500mg oral QDS for 7 days
