Common Tings Flashcards
What is the standard thromboprophylaxis prescription?
5000 units of deltaparin SC/OD
+TED stockings
What are the options for prescribing an antiemetic?
- cyclizine 50mg 8 hourly IM/IV/oral
- metoclopramide 10mg 8 hourly IM/IV/oral
What needs to be taken into consideration when prescribing an antiemetic?
- cyclizine may cause fluid retention so avoid in cardiac disease
- metoclopromide is a D2 antagonist so avoid in parkinsons as worsens Sx
What medications, regular and PRN, would you prescribe for a patient with no pain as of yet?
- regular - nil
- PRN - 1g of paracetamol up to 6 hourly
What medications, regular and PRN, would you prescribe for someone with mild pain?
- Regular - 1g paracetamol 6 hourly oral
- PRN - 30mg codeine up to 6 hourly oral
What medications, regular and PRN, would you prescribe for someone with severe pain?
- regular - 30/500mg codeine, 2 tablets 6 hourly
- PRN - Morphine sulphate 10mg up to 6 hourly
What is the first line treatment for neuropathic pain (stabbing, shooting, burning)?
- amitriptyline 10mg ON oral
- pregabalin 75mg BD oral
- diabetic neuropathy - 60mg OD oral
What drugs cause kidney failure?
- ACE-i
- NSAIDS - prostaglandin inhibition causes reanal artery diameter to decrease
What causes microcytic anaemia?
- Iron deficiency anaemia
- thalassaemia
- sideroblastic anaemia
What causes normocytic anaemia?
- Anaemia of chronic disease
- Acute blood loss
- haemolytic anaemia
- chronic renal failure
What causes macrocytic anaemia?
- B12/folate deficiency
- excess alcohol
- liver disease
What causes high neutrophils?
- bacterial infection
- tissue damage
- steroids
What causes low neutrophils?
- viral infections
- chemo/radiotherapy
- clozapine (psychosis tx)
- carbimazole (hyperthyroid tx)
What causes high lymphocytes?
- viral infection
- lymphoma
- CLL
What causes low platelets?
reduced reduction:
- infection
- drugs (penicillamine, RA tx)
Increased destruction:
- heparin
- hypersplenism
- DIC
- ITP
