from PSA mocks Flashcards
VTE prophylaxis if using enoxaparin
enoxaparin sodium 100mg/ml injection - 40mg SC
drug to relieve breahtlessnees and PO and cardiomegaly in HF
Furosemide - 10mg/ml injection IV
hypoglycaemia treatment
glucose 10% IV - infusions are 100ml-200ml delivering around 10-20g of glucose.
infusion needs to be delivered within 20 mins - essentially this is stat so as quick as possible - so more like 10 mins
- if this not avialble glucoe 20% can be done -
acne pt wants something oral after trying everythign topical - retinoid you have to have topical
sp oral
lymecycline 408mg PO daily
three medications contributing to hyperkaelemia
dalteparin
ramipril
tacrolimus
how long are antiplatelets like aspirin stopped prior surgery
1 week
what drugs should not be allowed in AKI of these
allopurinol
amitrip
aspirin
BB
candesartan
candesaratan - ARB
allopruinol - can accumulate dose needs to be 100 or less
cna prednisilone and glycopyrronium cause hypeglycaemia
yes - very uncommon in glyco
low sodium
thiazide
citalopram
levythroyine taken weekly or daily
daily
should you use the same drug for regular and breakthrough pain
yes usually advised
is pt recieving at least 25mcg of transdermal fentayl per hour what do you use for breakthrough
nasal fentanyl - max two sprays per - 4hr between
if egfr 41 and allergic to amox and sensitive to trimethorpim what abx
trimethorpim
pt on warfarin before surgery INR is low at 1.6 but still above 1.5 what do you do
Reversal of anticoagulation prior to elective surgery (after warfarin stopped)
for phytomenadione
if over 1.5 with IV vit K 2g po
SSRI what needs to convey before you start
suidicidal ideation may worsen first in 4 weeks before getting better
things that dont matter at start are like about wthdrwaal sx
should rivaroxaban be taken with food
yes
if on topiramatae and contraception what should you do
change to another method of contraception until 4 weeks after she has ceased taking topiramate
BB se - ive hd
ED
flucloxacillin can cause
jundice after start
what other depresive tx drug when combined with dabigatran can cause gi bleeding
citalopram
is a small rise in creatinine expected when starting an ACEi
yes under 20% but not over 30
how do we know if furosemide is working for HF
if weight reduces
what marker would show that ACEi is working
and what marker would show that ACEi needs to be stopped
exercise tolerance will improve in HF on ACEi
creatinine will rise and therefore may need to be stopped
most serious side effects of ciclopsporin
nephrotoxic - renal
hypertension
both mediated by vasoConstrictive effects on renal arterioles
renal function should be monitored every 2 weeks until stable
if someone is admitted in hospital should their insulin regime be adjusted
not normall best to keep on exisiting regime
transiet rise in blood glucose level - maybe due to steriods how should this be managed
an increase in inuslin by about 10%
aim of statin tx and you know working when
over 40% reduction in not hdl cholesterol over 3 months
when should you measure gent levels
6-14hr
