masterclass 2 Flashcards

1
Q

raised urea and normal creatine indicates

A

blood loss

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2
Q

Raised urea and creatinine indicates

A

kidney injury

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3
Q

in a major blood loss with little time what do you do

A

give type O blood

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4
Q

what is hartmanns solution

A

sodium chloride and potassium

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5
Q

what to give to stop GI bleed recurrance

A

Pantoprazole IV

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6
Q

what drug must you stop in a large GI bleed

A

ACE inhibitor

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7
Q

why do you stop ACEI in a GI bleed

A

to reduce the risk of a GI bleed

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8
Q

which cox is induced in inflammation

A

cox 2

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9
Q

what is the CLO test for

A

H pylori

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10
Q

what is a CLO test

A

campylobacter like organism test

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11
Q

how else can you test for H pylori

A

stool test

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12
Q

erradication therapy

A

Lansoprazole
Clarithromycin
Metronidazole

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13
Q

Simvastatin cant be given with

A

clarithromycin

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14
Q

what antibiotic cant you drink alcohol with

A

metronidazole

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15
Q

why cant you mix metronidazole with clarithromycin

A

disulfiram interaction

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16
Q

what is disulfiram interaction

A

they become flushed and have GI upset

17
Q

what investigation to do if you suspect a bowel perforation and why

A

upright chest x ray, air under the diaphragm

18
Q

risk of prednisolone

A

cushings

19
Q

what happens if prednisolone is stopped too abruptly

A

risk of addisonian crisis

20
Q

Azathioprine class

A

purine anologue

21
Q

what is Azathioprine broken down into

A

mercaptopurine

22
Q

infliximab class

A

anti TNF alpha

23
Q

what is aspirin

A

NSAID and antiplatelet

24
Q

why do you have to monitor the patient when you give naloxone

A

has a shorter half life than the opiates so you have to check the problem wont reccur

25
Q

a high level of what electrolyte can cause constipation

A

calcium

26
Q

what should you prescribe along side an opiate

A

laxative

27
Q

whats in an epidural

A

opiates and local anaesthetic

28
Q

drugs used for neuropathic pain

A

amitriptyline/gabapentin/pregabalin

29
Q

Bupivacaine use

A

local anaesthetic

30
Q

what is in deep heat

A

Capsaicin