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PSA > Common Treatments > Flashcards

Common Treatments Flashcards

1
Q

Tx of Acne (any severity)

A

Topical Adapalene with benzoyl peroxide
Topical tretinoin with clindamycin

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2
Q

ACS Acute Tx

A

Morphine - 5mg slow IV injection (1mg/min)
Oxygen - depending on sats
GTN
Aspirin - 300mg chewed or in water
Ticagrelor - 180 mg PO (Clopidogrel - 300mg PO)

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3
Q

What drug is needed if pt doing for PCI?

A

Unfractionated Heparin

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4
Q

Secondary prevention of ACS?

A

ACEi - Ramipril 2.5mg PO OD for 2 weeks (before incr)
BB
CCB
Aspirin - 75mg PO
Ticagrelor - 90mg BD PO (Clopidrogrel 75 mg PO)
Statin - Atorvastatin 80mg PO

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5
Q

What is given during an adrenal crisis?

A

Hydrocortisone blous - 100mg IV/IM followed by infusion of 200mg/24hrs
Crystalloid fluids (e.g. 0.9% NaCl)

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6
Q

Addisons Tx

A

Hydrocortisone (10mg, 5mg, 5mg PO)
Fludrocortisone (50 - 300mcg PO)
Sometimes pred / dex are given

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7
Q

What is given in alcohol withdrawal?

A

Long actins benzos (e.g. chlordiazepoxide hydrochloride - 10mg PO QDS / diazepam)

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8
Q

Delirium Tremens Tx

A

Oral lorazepam (first line)
Parenteral loraz / haloperidol

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9
Q

Pharmaceutical Alcohol Withdrawal

A

Acamprosate calcium / naltrexone hydrochloride

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10
Q

Wernickes prevention

A

Thiamine / Pabrinex

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11
Q

Suspected Wernickes Tx

A

Pabrinex

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12
Q

Fe deficiency anaemia tx

A

Oral Fe (dried Fe Sulfate usually)
Often given with folic acid

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13
Q

Tx to minimise Sickle Cell crisis

A

Hydroxycarbamide

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14
Q

Vaginal Thrush Tx

A

PO Fluconazole 150mg
PV Clotrimazole cream 5g or pessary 200mg for 3 nights

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15
Q

Oral Thrush Tx (kids and adults)

A

Fluconazole PO
< 11yrs - 3mg/kg for 7 days
> 12 - 50mg for 7 days

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16
Q

Tinea Pedis / Corporis Tx

A

Fluconazole PO 50mg for 14 days

17
Q

Name 3 antihistamines

A

Cyclizine
Cinnarizine
promethazine teoclate

18
Q

Tx of slow AF of > 48 hours

A

Verapamil hydrochloride

19
Q

Tx of acute asthma attack

A

Oxygen
Salbutamol (+/- ipratropium bromide)
Prednisolone

Mg sulphate and aminophylline with senior input

20
Q

Tx of Chronic asthma in adults

A
  1. SABA
  2. SABA + ICS
  3. SABA + ICS + LTRA
  4. SABA + ICS + LABA (+/-LTRA)
  5. SABA + MART with ICS
21
Q

Tx of Chronic asthma in children

A
  1. SABA
  2. SABA + low dose ICS
  3. SABA + low dose ICS + LTRA
  4. SABA + low dose ICS + LABA
  5. SABA + MART with low dose ICS
22
Q

Tx of meningococcal septicaemia

A

Benzylpenicillin sodium
Cefotaxime if allergy

23
Q

Tx of acute hypocalcaemia / tetany

A

Calcium Gluconate injection 10%
Concurrent hypomg should be corrected with magnesium sulfate

24
Q

Tx of hypercalcaemia

A

Correct dehydration with 0.9% NaCl
Bisphosphantes (e.g. Pamidronate Disodium)
Stop Thiazides and VitD compounds which promote hypercalcaemia

25
Q

Tx of aspirin OD

A

Activated charcoal within 1 hr

26
Q

Tx of Opioid OD

A

Naloxone hydrochloride

27
Q

Tx of Paracetamol OD

A

Acetylcysteine within 24hrs (preferably 8hrs)

28
Q

Tx of UTI

A

Men / Women - Nitrofurantoin or Trimethoprim
Pregnant women - Nitrofurantoin

29
Q

Tx of Oral Candidas

A

Miconazole Oral gel

30
Q

Tx of skin candidas

A

Topical Clotrimazole +/- Hydrocortisone 1%
Oral Fluconazole

31
Q

Tx of Chlamydia

A

Non pregnant - Doxycycline 100mg BD / 7 days
Pregnant - Azithromycin 1g single dose then 500mg OD / 2 days (or erythromycin / amoxicillin)

32
Q

Tx of Gonorrhoea

A

Ceftriaxone 1g IM
(Ciprofloxacin 500mg oral if antimicrobial susceptibility known)

33
Q

Mild Eczema Flare Tx

A

Emollient (250 - 500g / week)
Mild topical corticosteroid (hydrocortisone 1%)

34
Q

Moderate Eczema Flare Tx

A

Emollient (250 - 500g / week)
Betamethasone valerate 0.025% or Clobetasone butyrate 0.05%
Sensitive areas - Hydrocortisone 1%

35
Q

Severe Eczema Flare Tx

A

Emollient (250 - 500g / week)
Potent topical steroid (Betamethasone valerate 0.1%)
Sensitive areas - Betamethasone valerate 0.025% or Clobetasone butyrate 0.05% max 5 days

36
Q

Mild to mod acne Tx

A

Topical benzoyl peroxide with topical clindamycin

37
Q

Mod to severe acne Tx

A

Topical adapalene with benzoyl peroxide + oral doxycycline

38
Q

Mild to mod allergic reaction tx (no systemic reaction)

A

Fast acting anti histamine e.g. chlorphenamine (can be given 4mg oral, IV or 10mg IM)

39
Q

Anaphylactic reation tx (skin, GI, resp, cardiovasc, neuro)

A

Over 12 yo
- 500mcg IM adrenaline
- 10mg chlorphenamine IM or slow IV
- 200mg hydrocortisone IM or slow IV

6 - 12 yo
- 300mcg IM adrenaline
- 5mg chlorphenamine IM or slow IV
- 100mg hydrocortisone IM or slow IV

Inhaled/IV bronchodilators can be used (e.g. salbutamol)

PSA (7 decks)

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