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Management Plans > Management Plans > Flashcards

Management Plans Flashcards

1
Q

Acute Heart Failure

A

Sit patient up
O2
IV Furosemide

Consider Opioids

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2
Q

Acute Heart Failure - if inadequate response

A

Isosorbide Dinitrate Infusion
+/- CPAP

ICU transfer

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3
Q

Chronic Heart Failure

A

Lifestyle
ACEi and BBs
Aldosterone Antagonist

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4
Q

Chronic Heart Failure - refer to specialist for

A 
Digoxin 
Ivabradine 
Amiodarone 
Sacubitril + Valsartan 
Hydrasalazine + Long acting nitrate
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5
Q

STEMI

A

Morphine IV 2.5-5mg
O2
Nitrates
Antiplatelet Therapy

PCI

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6
Q

STEMI/NSTEMI Antiplatelet therapy

A

Aspirin 300mg

Ticagrelor 180mg

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7
Q

NSTEMI

A

Morphine IV 2.5-5mg
O2
Nitrates
Antiplatelet therapy

LMWH
PCI

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8
Q

TIA

A

CT head (rule out haemorrhagic stroke)

Aspirin 300mg OD PO until dx established

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9
Q

Ischaemic Stroke

A

CT head (rule out haemorrhagic stroke)

Alteplase 900 micrograms/kg (max 90mg)

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10
Q

Ischaemic Stroke - Alteplase Administration

A

900 micrograms/kg (max 90mg)

Must be given within 4.5 hours of symptom onset over 1 hour

Initial 10% of dose = IV injection
Remaining 90% of dose = IV infusion

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11
Q

Ischaemic Stroke - if Alteplase is not appropriate/after Alteplase

A

Aspirin 300mg OD for 14 days

Initiate 24 hours after thrombolysis
OR
Within 48 hours if no thrombolysis

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12
Q

Stable Angina

A 
Sublingual GTN PRN 
Secondary prevention (Aspirin and Statin)
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13
Q

Stable Angina Initial Treatment Options

A

BB
OR
CCB

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14
Q

Stable Angina Treatment Options if CI

A

Long-acting Nitrate

Refer to specialist if 2 medications fail to control symptoms

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15
Q

AF Rate

A

Atenolol 50-100mg OD
OR
Digoxin

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16
Q

AF Rhythm (<48 hours)

A

Electrical Cardioversion

Chemical Cardioversion with Amiodarone

17
Q

AF Chemical Cardioversion with Amiodarone

A

Amiodarone 5mg/kg (max 1.2g OD)

Given over 20-120 minutes
ECG monitoring

18
Q

AF Thromboprophylaxis

A

CHA2DS2VASc and HASBLED

Offer DOAC if >2 (Apixaban 5mg BD)

19
Q

Asthma Acute Exacerbation

A 
O2 
Salbutamol 5mg Neb
IV Hydrocortisone 100mg OR Prednisolone 40mg 
Ipatropium Bromide 500 Mcg Neb
MgSO4 2g IV 
Aminophylline

ITU Transfer

20
Q

COPD Acute Exacerbation

A 
O2 
Salbutamol 5mg Neb 
Ipatropium Bromide 500 Mcg
Prednisolone 30mg (for 5 days)
Theophylline +/- NIV

ITU transfer

21
Q

PE

A

Wells Score to calculate probability

<4 D-Dimer
>4 CTPA and interim anticoagulation

22
Q

Epileptic Fit

A

Position patient to avoid injury

ABCDE - O2, correct low glucose

23
Q

Seizures >5 minutes

A

IV Lorazepam 4mg

Repeat once after 10 minutes if still fitting.

24
Q

Seizure >5 minutes and no IV access

A

Diazepam 10mg PR

Midozalam Buccal

25
Q

Seizure >5 minutes with 2 BZD doses

A

Start loading dose of phenytoin

ITU

26
Q

Meningitis

A

Admit
Single dose IM Benzylpenicillin 1.2 grams if community and sepsis

Empirical = IV Ceftriaxone
Encephalitis or viral meningitis = IV Aciclovir

27
Q

Upper GI bleed

A

IV Crystalloids - 0.9% NaCl, Hartmann’s, Plasmalyte

Blood transfusion +/- FFP

28
Q

Variceal bleed

A

Terlipressin (dose depends on body weight)

Prophylactic Abx

29
Q

Upper GI bleed - do not routinely give

A

Platelet transfusion

PPI

30
Q

Upper GI bleed - platelet transfusion given ONLY if

A

Actively bleeding

Platelet count <50 x10^9/L

31
Q

Ulcerative Colitis

A

Prednisolone 20-40mg daily until remission

Mesalazine can be used for induction in mild cases/remission

Azathioprine
Ciclosporin
Biologics

32
Q

Crohn’s Disease - Inducing Remission

A

Prednisolone 20-40mg

+/- Azathioprine
+/- Methotrexate
+/- Biologics

33
Q

Chron’s Disease - Maintaining Remission

A

Azathioprine OR Mercaptopurine

+/- Methotrexate

34
Q

Gout - Acute Flare

A

NSAIDs
Colchicine 500 mg

3rd line = Corticosteroids

35
Q

Gout - Prophylaxis

A

Lifestyle

Allopurinol 100mg OD PO (titrate, take after food)

Febuxostat 80mg OD PO (titrate)

Management Plans (3 decks)

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