ACC Flashcards

(21 cards)

1
Q

What is the MOA for neuromuscular blocking drugs REVERSAL AGENTS

A

Acetylcholinesterase inhibitor

Inhibit break down -> more Ach -> compete for post synaptic receptors -> impulse passes

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2
Q

Where to LA work in the cell

A

Block Na channels so stop action potential

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3
Q

Overdose associated with tinnitus

A

Asprin

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4
Q

ABG following aspirin OD

A

Initially respiratory alkalosis then metabolic acidosis

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5
Q

Initial and then long term management of an ischaemic stroke in a pt with af

A

2 weeks of aspirin the DOAC

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6
Q

Management of ischaemic stroke

A

Aspirin (2 weeks) +/- alteplase
Clopidogrel (DOAC if AF) mono therapy
Statin (not started immediately)

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7
Q

CK for rhabdomyolysis

A

> 10000

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8
Q

Treatment of subarachnoid haemorrhage

A

?coils

Nifedipine for prevention against vasospasam

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9
Q

Blood pressure support in acute heart failure

A

Inotrope

Such as dobutamine or ephedrine

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10
Q

What type of drug is noradrenaline

A

VASOPRESSOR (some inotrope action)

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11
Q

What types of drugs are phenylephrine and metaraminol

A

Vasopressors

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12
Q

5 CXR signs of HF

A

Cardiomegaly
Venous diversion

Pulmonary effusion
Fluid in interlobular fissuers
Kerley B lines (fluid in septal lines)

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13
Q

Would you use an inotrope or vasopressor in HF

A

Inotrope as cardiac issue

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14
Q

What is NIHSS

A

Likely clinical outcome in a person having a stroke

score >26 seen as a contraindication to thrombolysis

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15
Q

Score that should be accessed at TIA clinic

A

ABCD2
Likelyhood of going onto have a stroke
Confusion over if recognised by NICE

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16
Q

Imaging of choice in TIA

17
Q

When would a TIA patient be admitted

A

Crescendo TIA
Severe stenosis
Vunerable (no one to watch them)
Anticoagulated

18
Q

BP control guidelines in active stroke

A

Ischaemia: almost never except above 185 and going for thrombolysis

Bleed: above 150, aim for 140 but reach it slowly

19
Q

Only part of heamostatis that should be strictly controlled in a ischaemic stroke

A

BM 4-11

BP only if >185 and thrombolysis

20
Q

How is the majority of heat lost from the body

A

Radiation (40%)

21
Q

First change in anaphylaxis