Management & Monitoring

Question 1

what level of Li can cause toxicity?

Answer 1

> 1.5

Question 2

when should Li levels be samples?

Answer 2

12 hours post dose

Question 3

what should be monitored on MTX?

Answer 3

LFTs

FBC

Question 4

what should be monitored for amiodarone?

Answer 4

CXR
TFTs
LFTs

Question 5

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

Answer 5

peak 5-10

trough <2

Question 6

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

Answer 6

peak 3-5

trough <1

Question 7

what should be monitored on digoxin?

Answer 7

creatinine

Question 8

what can digoxin do to ECG?

Answer 8

shorten QR interval

Question 9

when should warfarin dose be omitted for 2 days?

Answer 9

6-8

Question 10

when should vit K be given on warfarin?

Answer 10

> 8

Question 11

Tx for STEMI?

Answer 11

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

Question 12

Tx for NSTEMI?

Answer 12

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

Question 13

VT treatment?

Answer 13

amiodarone

Question 14

SVT treatment?

Answer 14

vagal manoeuvres

adenosine

Question 15

anaphylaxis treatment?

Answer 15

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

Question 16

acute asthma Tx?

Answer 16

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

Question 17

seizure Tx?

Answer 17

lorazepam 2-4mg IV
OR
diazepam/midazolam buccal

Question 18

asthma Tx?

Answer 18

SABA + ICS

LABA

LTRA

Question 19

COPD Tx if FEV1<50%?

Answer 19

LABA + ICS

OR

LAMA (stop SAMA)

Question 20

LAMA example?

Answer 20

tiotropium

Question 21

LABA example?

Answer 21

formeterol

salmeterol

Question 22

SAMA example?

Answer 22

ipratropium

Question 23

DKA managment?

Answer 23

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

Question 24

Features of HONK?

Answer 24

hyperglycaemia
osmolality >340
NO KETONES

Tx same but half fluids

Question 25

Tx of hypo?

Answer 25

snack
IV glucose 100mls 20%
IM glucagon 1mg

Question 26

Tx for hyperkalaemia?

Answer 26

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

Question 27

when is HT treated?

Answer 27

> 150/95 in practice

135/85 at home

Question 28

BP aiming for in HT?

Answer 28

140/85 (>80s <150)

Question 29

drugs used in angina?

Answer 29

Bb

CCB (amlodipine, diltiazem)

Question 30

heart failure Tx?

Answer 30

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

Question 31

who should get rhythm control in AF?

Answer 31

young/symptomatic

<48 hrs since onset

Question 32

what is done for rhythm control in AF?

Answer 32

CV

amiodarone

Question 33

what is given for rate control?

Answer 33

Bb
diltiazem
digoxin

Question 34

when are new drugs added in T2DM tx?

Answer 34

HbA1c >48

Question 35

Tx pathway for T2DM?

Answer 35

metformin
gliclazide (SU)
sitagliptin (DPP4)

Question 36

what drugs are used to treat tonic clonic?

Answer 36

sodium valp

Question 37

what drugs are used to treat absence?

Answer 37

sodium valp

ethosuximide

Question 38

what drugs are used to treat myoclonic?

Answer 38

sodium valp

Question 39

what drugs are used to treat focal?

Answer 39

carbamazepine

lamotrigine