Data Interpretation Flashcards

1
Q

Ondansetron is a

A

5HT-3 antagonist

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2
Q

SE ondansetron (chemo related nausea)

A

Long QT
CONSTIPATION

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3
Q

Where are ACEi activated

A

Liver

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4
Q

When can ACEI angioedema start

A

Up to a year later

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5
Q

SE ACEi

A

HYPERKALAEMIA
angioedema
Cough
Hypotension

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6
Q

Moderate asthma attack numbers

A

50-75 PEFR
RR<25
HR<110

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7
Q

Severe asthma numbers

A

PEFR 33-50
Rr > 25
HR >110

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8
Q

Adenosine used to

A

Terminate SVT

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9
Q

Adenosine contraindicated for

A

Asthmatics

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10
Q

MOA adenosine

A

Transient AV block via a1 receptors - reduced cAMP —> reduces K shift

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11
Q

SEs adenosine

A

Flushing
Chest pain
Bronchospasm
Accessory conduction

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12
Q

Acute asthma management

A

O2
Salbutamol
Pred 40-50 daily for 5/7
Ipatropium if not responding
IV MgSo4/aminophylline

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13
Q

Discharge criteria for asthma

A

No nens/o2 for 12-24hr a
Inhaler tech good
PEFR>75

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14
Q

ACS INITIAL MANAGEMENT

A

Aspirin 300mg
Oxygen if <94
Morphine if in pain
Nitrates if hypertensive or in pain

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15
Q

What is a STEMI

A

Symptoms of ACS
persistent >20 mins ECG contiguous leads

2.5mm in v2-3 men under 40
2mm in over 40
1.5mm in women
1mm any other leads
LBBB

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16
Q

When is PCI offered

A

Symptoms <12hrs
AND within 120mins

Or >12hrs still have symptoms

17
Q

When is PCI offered

A

Symptoms <12hrs
AND within 120mins

Or >12hrs still have symptoms

18
Q

Drugs for PCI

A

DUAPT
aspirin plus
Prasugrel (naive)
Clopidogrel (on one)

19
Q

During PCI drugs

A

Radial - unfractipned heparim andGPI
femoral -bivalirudin and GPI

20
Q

What’s given during fibrinolytic

A

Antithrombin

21
Q

When is PCI done after fibrinolytic

A

If ECG same after 60-90 mins

22
Q

What is initial management of NSTEMI

A

Aspirin
Fondaparinux if no PCI

23
Q

Low GRACE NSTEMI management

A

Aspirin and ticagrelor (clopidogrel if high bleeding risk)

24
Q

High GRACE NSTEMI patient

A

PCI drugs and +- fondaparinux

25
Q

Dosing of theophyllines

A

Load 5mg/kg over 20 mins

Maintenance 1g per litre saline monitor plasma