Data interpretation

Question 1

strong analgesia in the setting of renal impairment/AKI

Answer 1

oxycodone -metabolised in the liver to inactive metabolites

Question 2

morphine caution in AKI

Answer 2

metabolite accumulation

Question 3

whats most important to consider here

Answer 3

AKI - renal impairment and morphine

Question 4

steps to rapidly reverse warfarin bleed/shock

Answer 4

1. Stop Warfarin
2. prescribe vitamin K - phytomenadione (Iv if shock ), but potentially oral too??
3. Dried prothrombin complex

Question 5

INR warfarin reversal management

Answer 5

look this up

Question 6

amiodarone and thyroid relation

Answer 6

Question 7

what should you do with regard to abnormal TFTs with amiodarone

Answer 7

Hypothyroidism - continue amiadorone treatment and add replacement therapy/levothyroxine

hyperthryodiism - withhold amiadorone

Question 8

when should the insulin dose be increased

Answer 8

Question 9

how to monitor if statin working

Answer 9

> 40% reduction in non HDL cholesterol

Question 10

Answer 10

Question 11

what is the minimum time post dose the bloods should be taken post dose

Answer 11

6 hours

Question 12

Answer 12

always check renal function