Management & Monitoring Flashcards

1
Q

what level of Li can cause toxicity?

A

> 1.5

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2
Q

when should Li levels be samples?

A

12 hours post dose

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3
Q

what should be monitored on MTX?

A

LFTs

FBC

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4
Q

what should be monitored for amiodarone?

A

CXR
TFTs
LFTs

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5
Q

what are the levels for gentamicin in peak (1hr) and trough?

A

peak 5-10

trough <2

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6
Q

what are the endocarditis levels for gentamicin in peak (1hr) and trough?

A

peak 3-5

trough <1

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7
Q

what should be monitored on digoxin?

A

creatinine

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8
Q

what can digoxin do to ECG?

A

shorten QR interval

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9
Q

when should warfarin dose be omitted for 2 days?

A

6-8

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10
Q

when should vit K be given on warfarin?

A

> 8

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11
Q

Tx for STEMI?

A
aspirin 300mg
morphine IV
metaclopramide 10mg IV
GTN
PCI
Bb (not asthma/LVF)
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12
Q

Tx for NSTEMI?

A
aspirin 300mg
morphine IV
metaclopramide 10mg IV
GTN
clopidogrel 300mg and heparin
Bb (not asthma/LVF)
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13
Q

VT treatment?

A

amiodarone

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14
Q

SVT treatment?

A

vagal manoeuvres

adenosine

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15
Q

anaphylaxis treatment?

A

adrenaline 500mcg of 1:1000
chlorphenamine 10mg
hydrocortisone 200mg

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16
Q

acute asthma Tx?

A

salbutamol 5mg neb
hydrocortisone 100mg/pred 50mg
ipratropium 500mcg neb
theophylline

17
Q

seizure Tx?

A

lorazepam 2-4mg IV
OR
diazepam/midazolam buccal

18
Q

asthma Tx?

A

SABA + ICS

LABA

LTRA

19
Q

COPD Tx if FEV1<50%?

A

LABA + ICS

OR

LAMA (stop SAMA)

20
Q

LAMA example?

A

tiotropium

21
Q

LABA example?

A

formeterol

salmeterol

22
Q

SAMA example?

A

ipratropium

23
Q

DKA managment?

A
1L stat (then over 2, 4, 8 hours..)
sliding scale insulin
24
Q

Features of HONK?

A

hyperglycaemia
osmolality >340
NO KETONES

Tx same but half fluids

25
Q

Tx of hypo?

A

snack
IV glucose 100mls 20%
IM glucagon 1mg

26
Q

Tx for hyperkalaemia?

A

actrapid 10 units in 100mls of 20% dextrose
over 30 mins
calcium gluconate
salbutamol

27
Q

when is HT treated?

A

> 150/95 in practice

135/85 at home

28
Q

BP aiming for in HT?

A

140/85 (>80s <150)

29
Q

drugs used in angina?

A

Bb

CCB (amlodipine, diltiazem)

30
Q

heart failure Tx?

A

mild - ARB
moderate to severe - hydralazine/isosorbine mononitrate (afro carribean)
moderate to severe - spiro

31
Q

who should get rhythm control in AF?

A

young/symptomatic

<48 hrs since onset

32
Q

what is done for rhythm control in AF?

A

CV

amiodarone

33
Q

what is given for rate control?

A

Bb
diltiazem
digoxin

34
Q

when are new drugs added in T2DM tx?

A

HbA1c >48

35
Q

Tx pathway for T2DM?

A

metformin
gliclazide (SU)
sitagliptin (DPP4)

36
Q

what drugs are used to treat tonic clonic?

A

sodium valp

37
Q

what drugs are used to treat absence?

A

sodium valp

ethosuximide

38
Q

what drugs are used to treat myoclonic?

A

sodium valp

39
Q

what drugs are used to treat focal?

A

carbamazepine

lamotrigine