Data interpretation Flashcards

1
Q

What are test result signs of AKIs that are…

  1. Pre-renal
  2. Intrisnic
  3. Post-renal

.

A
  1. Urea > creatinine
  2. Creatintie > Urea, bladder non-palpable
  3. Creatinine > Urea, bladder palpable
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2
Q

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

A
  1. Add up the total dose of MR they’re getting
  2. Add up how much PRN they take in a day
  3. Combine MR and PRN dosese
  4. Go to “palliative prescribing” on BNF
  5. Find the conversion table
  6. Bob’s your uncle
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3
Q

what do you do if ALT is only slightly raised when on statins

A

No changes

It’s just a wee raise

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4
Q

what do you do if TSH is high/low when on levothyroxine?

A

Increase/decrease dose by 25mcg

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5
Q

When to mearure drug concs

  1. lithium
  2. gent
  3. vanc

4.

A

1 & 4. 6hrs post dose

  1. between 6-14hrs post dose
  2. trough levela fter 3-4 doses
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6
Q

Lithium shite

  1. what drugs can increase blood conc of lithum
  2. what do you do if blood conc is too high
A
  1. ACEi & NSAIDs
  2. decrease dose by 1/3rd
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7
Q
A
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8
Q

If BG leveles are high in the evening, what should you do to the insulin dose

A

Increase long-acting dose in the evening

So they’ll now be sound in the evening, and it’ll last them overnight

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9
Q

what levels of TSH mean you have to…

  1. increase dose of levo
  2. keep dose the same
  3. decrease dose of levo
A
  1. <0.5
  2. 0.5 -> 5
  3. >5

REMEBER ONLY CHANGE DOSE BY 25 FUCKING MICROGRAMS

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10
Q

what anti-epileptic can cause a low Na

A

Carbamazapine

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11
Q

What LFT results are signs of…

  1. Pre-hepatic jaundice
  2. hepatic jaundice
  3. post-hepatic jaundice
A

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

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12
Q
A
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13
Q

what types of diuretics cause hyper and hypokalemia

A

Hyper -> K-sparring

Spirnolactone

Hypo -> loop & thiazide

Loop -> furosemide

thiazide -> thiazdie lol

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14
Q

what are the endo causes of high & low K+

A

High -> addisons

Low -> cushings & conns

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15
Q

What are the causes of increased & decreased…

Neutrophils

A

Increased

Bacterial infections

Steroids

Decreased

Viral infections

Agranulocytosis -> cloazapine & carbimazole

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16
Q

What are the causes of increased & decreased…

Lymphocytes

A

Incresaed

Viral infections

CLL

Decreased

No clue mate

17
Q

What are the causes of increased & decreased…

Platelets

A

Increased

Fe deficiency

heamolysis

inflammation

ibd

decreased

Viral infections

Heparin

Penicallamine (RA drug)

DIC & ITP

18
Q

What can viral infections do to…

  1. neutrophils
  2. lymphocytes
  3. platletes
A

1 & 3 decreased

  1. increased
19
Q

What are the causes of increased & decreased…

Salt (Na)

A

Increased -> Ds

Dehydration

Drugs

Diabetes inspidus

Drips (too much IV fluids)

Decreased

Hypovolemia

SIADH

Hypothyroid

Heart & renal failure

20
Q

what are the causes of increased urea

A

Dehydration

AKI

GI bleed

21
Q

What are the causes of increased & decreased…

Potassium (K+)

A

Increased -> DREAD

Diuretics (K-sparring)

Renal failure

Endo (addisons)

ACEi

DKA

Decreased -> DIRE

Diuretics (loop & thiazide)

Inadequate fluid

Renal tubular acidosis

Endo (conns & cushings)

22
Q

if a pts T4 is sky high and TSH very low, what is probs going on

What shoudl you do with amiodarone

A

Thyroxicosiss

Stop it

23
Q

what part of the BNF do you find about INR, bleeding and what to do about all this shit

A

ORAL ANTICOAGULANTS

24
Q

How do you work out what to do with like gent doses

A

check out if the peak or trough levels or too high

If peak too high -> decrease dose

If trough too high -> increase interval time

25
Q

what levels of plasma lithium conc should you aim for

A

0.4 -> 1mmol

If too much -> reduce dose

If too little -> increase dose

fucking easy eh

26
Q

whats the range for normal TSH results

A

0.5-5.0

Anything above -> decrease by 25mcg

Anything below -> increase by 25mcg

27
Q

for asthma exacerbations, what % decrease in PEFR merits urgent treatment

A

33-50% of best

Also a RR above 25

28
Q

whats the Hb threshold for blood transfusion

A

70

29
Q

if someone on the cOCP comes with a high BP and very fat, what should you do

A

stop it mate