Data interpretation Flashcards
What are test result signs of AKIs that are…
- Pre-renal
- Intrisnic
- Post-renal
.
- Urea > creatinine
- Creatintie > Urea, bladder non-palpable
- Creatinine > Urea, bladder palpable
Morphine shite
How would you go about a question asking to change the type of analgeisa a pt is getting when they’re on both MR and PRN morphine
- Add up the total dose of MR they’re getting
- Add up how much PRN they take in a day
- Combine MR and PRN dosese
- Go to “palliative prescribing” on BNF
- Find the conversion table
- Bob’s your uncle
what do you do if ALT is only slightly raised when on statins
No changes
It’s just a wee raise
what do you do if TSH is high/low when on levothyroxine?
Increase/decrease dose by 25mcg
When to mearure drug concs
- lithium
- gent
- vanc
4.
1 & 4. 6hrs post dose
- between 6-14hrs post dose
- trough levela fter 3-4 doses
Lithium shite
- what drugs can increase blood conc of lithum
- what do you do if blood conc is too high
- ACEi & NSAIDs
- decrease dose by 1/3rd
If BG leveles are high in the evening, what should you do to the insulin dose
Increase long-acting dose in the evening
So they’ll now be sound in the evening, and it’ll last them overnight
what levels of TSH mean you have to…
- increase dose of levo
- keep dose the same
- decrease dose of levo
- <0.5
- 0.5 -> 5
- >5
REMEBER ONLY CHANGE DOSE BY 25 FUCKING MICROGRAMS
what anti-epileptic can cause a low Na
Carbamazapine
What LFT results are signs of…
- Pre-hepatic jaundice
- hepatic jaundice
- post-hepatic jaundice
1. Just high bilirubin
2. high AST/ALT & bilirubin
3. high ALP & bilirubin
hepatic -> AST & ALT
post-hepatic -> ALP
ALP is Last and Lonley
ALP= Post renal
what types of diuretics cause hyper and hypokalemia
Hyper -> K-sparring
Spirnolactone
Hypo -> loop & thiazide
Loop -> furosemide
thiazide -> thiazdie lol
what are the endo causes of high & low K+
High -> addisons
Low -> cushings & conns
What are the causes of increased & decreased…
Neutrophils
Increased
Bacterial infections
Steroids
Decreased
Viral infections
Agranulocytosis -> cloazapine & carbimazole