Chest Pain Flashcards
What are the 8 differentials of swollen ankles?
Cellulitis; Septic arthritis; DVT; Inflammatory arthritis; Gout; Oedema; Sprain/Fracture; Osteoarthritis/Lymphoedemafe
Why is it risky to include an NSAID with an SSRI?
Increased risk of bleeding (gastric erosion)
What is ‘anchoring’?
The human tendency to rely too heavily on the first piece of information offered when making decisions
Where does pancreatitis pain radiate?
The back or left shoulder blade
What is availability bias?
The tendency to let an example that comes to mind easily affect your decision making or reasoning
What does febrile mean?
If a patient is febrile, they have fever. If afebrile, they don’t have fever
What drug should be given to a patient if MI is suspected and you are sending them to hospital?
Aspirin 300mg
What is clopidogrel?
Antiplatelet
What should you consider when prescribing an NSAID?
Contraindications? Alternative available? Already using one (over the counter)? What is the lowest dose and duration that will be effective? Is there reason for closer monitoring? Interactions with other meds?
Which patients should not be given NSAIDs?
Patients with allergies to NSAIDs, severe heart failure (affects renal function), liver cirrhosis/fibrosis, under current treatment for GI bleeds
What gastroprotective drugs can be prescribed alongside an NSAID?
A PPI (preferred), or misoprostol or a histamine2-receptor antagonist
When should a gastroprotective drug be given alongside an NSAID?
All people with osteoarthritis, RA, and anyone with chronic lower back pain 45 years of age and older
What are key drug interactions with NSAIDs?
Aspirin (antiplatelets = worse bleeds) ACEi or ARBs (renal function more affected) Ciclosporin (renal function) Loop diuretics (reduce antiHTN effect) Potassium-sparing diuretics (cases of acute renal impairment)
