MFE Flashcards
If someone cant tolerate Alendronate what is second line?
Risendronate or etidronate
If someone cant tolerate bisphosphonates what can be used?
Denosumab - preferred in most cases
Strontium Ranelate
What laxatives are used in Hard Stool Constipation
Osmotic
Softeners
List some osmotic laxatives
Laxido - up to 6 sachets a day
Lactulose - 2x daily - takes 48 hours to work
Stool softener laxative
Docusate - very gentle on the bowels - used a lot in palliative care
List some stimulant laxatives
Senna 15mg
Biscodyl - can cause cramping and urgency
If constipation is resistant to pharmacological and lifestyle measures what can be tried?
PR manual excavation
Glycerine Suppository
Phosphate Enemas
Managment of someone undergoing end of life care with hiccups?
Chlorpromazine
Haloperidol
Grade 1 pressure ulcer
Non blanching erythema
Grade 2 pressure ulcer
Partial thickness - epidermis or dermis lost
Abrasion or a blister
Grade 3 pressure ulcer
Extends down to the fascia
Grade 3 pressure ulcer
Extends down to the fascia
Grade 4 pressure ulcer
Muscle or bone involvement
Management of pressure ulcers
Most wound healing is best
Avoid antibiotics unless clinical signs of infection
Don’t routinely wound swab
Surgery is required for more severe ulcers
What bloods should be taken as part of a confusion screen?
Vit B12 and folate
TFTs
Glucose
Bone profile - Hypercalcaemia