Chapter 2

Question 1

Steroids side effects

Answer 1

Stomach ulcers
Thin skin
Eodema
Right and left heart failure
Osteoporosis
Infection
Diabetes
Syndrome cushings

Question 1

Prescriber acronym

Answer 1

Patient details
Reaction (allergies)
Sign
Contra-indications
Route for each drug
IV fluids - if needed
Blood clot prophylaxis - if needed
E anti emetic - if needed
R pain relief - if needed

Question 2

NSAIDS side effects

Answer 2

No urine
Systolic dysfunction
Asthma
Indigestion
Dyscrasia

Question 3

Which fluid?

Answer 3

Normally: saline
Hyponatremic or Hypoglycaemic: 5% dextrose
Ascites: human albumin solution
Bleeding: blood transfusion

Question 4

1. If tachy/hypotensive, or
2. oliguric

Answer 4

fluids if tachy or hypotensive : 500ml bolus
If oliguric: 1L 2-4 hours

Question 5

Which fluid cannot be given more than 10mmol/hour

Answer 5

Potassium

Question 6

How fast can fluids be given

Answer 6

if giving 3L per day - 8 hourly bags
if giving 2L per day - 12 hourly bags

Question 7

Who should not be prescribed anti-coagulants

Answer 7

If patient is bleeding or is at risk of bleeding (recent ischeamic stroke)

Question 8

Who should not have metoclopramide

Answer 8

-parkinsons
-young women

Question 9

Max dose of paracetamol

Answer 9

500mg 6 hourly, max 4g in total