Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Medicine > Management > Flashcards

Management Flashcards

1
Q

Epilepsy medication

A

After 2nd seizure
Generalised: sodium valporate
Partial/focal: carbamazepine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Epilepsy and driving

A

Can’t drive for 6 months following seizure.

Established epilepsy- must be fit free for 12 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Antiepileptics and pregnancy

A

Sodium valproate contraindicated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Epilepsy second line drugs

A

Lamotrigine
Phenytoin
Levetiracetam
Topiramate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Acute management of seizures

A

Usually spontaneously stop but >5 minute= status epilepticus- MEDICAL EMERGENCY must come to hosp. At home can give benzo e.g diazepam (rescue med) rectally, intranasalle/ under tongue.
In hosp: benzos, infusion of antiepileptic or GA.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Antiepileptics and contraception

A

Sodium valproate- if child bearing must be taking contraception.
For all antiepileptics: if COCP given must have 30 micrograms of ethinylestradiol.
They all require high amount of contraception to work.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

AKI treatment

A

Supportive + stop any potentially nephrotoxic drugs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Drugs to be stopped in AKI

A

NSAIDs (except aspirin at cardiac dose e.g. 75mg od)
Aminoglycosides
Angiotensin II receptor inhibtiors
Diuretics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Drugs that may worsen an AKI

A

Metformin
Lithium
Digoxin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Hyperkalaemia treatment

A

IV calcium gluconate to stabilise the cardiac membrane.

Insulin/ dextrose infusion and nebulised salbutamol (beta agonist) to shift potassium from extracellular to intracellular compartment

Calcium resonium
Loop diuretics
Dialysis (if AKI with persistent hyperkalaemia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Animal or human bites

A

Co-amoxiclav

Risk of HIV, hepatitis C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Anthrax

A

Ciprofloxacin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Tetanus wound.

Patient had full course of vaccine, last dose <10 years ago

A

no vaccine or tetanus Ig required.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Tetanus wound:

Patient had full course of vaccine but >10 years ago

A

If tetanus prone wound- reinforcing dose of vaccine

If high-risk wound- reinforcing dose of vaccine + tetanus immunoglobulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Tetanus wound: Patient vaccine history if incomplete or unknown

A

Reinforcing dose of vaccine

If tetanus prone or high-risk wound: add tetanus Ig

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Stress incontinence

A

Pelvic floor exercises
Reduce caffeine
Surgery
Duloxetine

17
Q

Urge incontinence

A

Bladder retraining
Antimuscarinics: oxybutynin (avoid in frail older women), tolterodine, darifenacin
Mirabegron

18
Q

Stevens-johnson syndrome

A

Cease all medications (caused by lamotrigine) obtain IV fluid access and begin fluid hydration

19
Q

TCA overdose

A

Bicarbonates to prevent CV complications.

IV lipid emulsion- binds free drug

20
Q

Benzodiazepine overdose

A

Flumazenil

21
Q

Respiratory depression due to magnesium sulphate

A

Calcium gluconate

22
Q

Paracetamol OD

A

NAC

if <1 hour- actiavted charcoal

23
Q

Salicylate OD

A

IV bicarbonate

haemodialysis

24
Q

Opioids OD

A

Naloxone

25
Q

Lithium OD

A

Normal saline, haemodialysis if severe.

~ Sodium bicarb

26
Q

Warfarin antidote

A

Vitamin K, prothrombin complex

27
Q

Heparin antidote

A

Protamine sulphate

28
Q

Trigeminal neuralgia (neuropathic pain)

A

Carbamazepine

29
Q

Neuropathic pain e.g. diabetic neuropathy, post herpetic neuralgia, prolapsed intervertebral disc

A

Amitriplyline, duloxetine, gabapentin, pregabalin

30
Q

Prostatic hyperplasia

A

alpha blocker e.g. doxazosin, indoramin, prazosin, tamulosin etc

31
Q

Torsades de pointes

A

IV Magnesium sulphate

32
Q

Ethylene glycol (anti freeze) antidote

A

Fomepizole, ethanol, haemodialysis

33
Q

Organophosphate poisoning

A

Atropine

34
Q

Beta blocker OD

A

Glucagon

35
Q

Pelvic Inflammatory Disease

A

Oral ofloxacin + oral metronidazole OR IM ceftriaxone + oral doxycycline + oral metronidazole
If not severe can leave intrauterine device in

36
Q

COPD exacerbation

A

prednisolone. If sputum is purulent or clinical signs of pneumonia–> amoxicillin, clarithromycin or doxycycline

37
Q

What treatment is contraindicated in myoclonic or absence seizures?

A

Carbamazepine

Medicine (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions