mind the bleep Flashcards
constipated patient feeling bloated what is management
Senna
example of osmotic laxative
lactulose
example of stimulant laxative
Senna
water maintenance fluids
25-30ml/kg/day
glucose maintenance
1L 5% dextrose
maintenance fluid when dehydrated
sodium chloride 0.9% / potassium chloride 0.3%
rate: 500ml over 4-6 hours
or
1L over 8 hours
if patient has had 2NaCl fluids what is next
1000mL 5% dextrose
what is potassium requirement each day
1mmol / kg
how much glucose does a patient need each day
50g-100g
max potassium rate
no more than 10mmol/hour
drugs that can cause GI upset
steroids
ibuprofen
what drug interacts with tuna, salmon
isoniazid
maintenance fluid child
100ml /kg for first 10kg
50ml/kg next 10kg
20ml/kg for weight over 20kg
what to type in to BNF to get common side effects of drugs
appendix 1 interactions
drugs that cause ototoxicity
gentamicin
bumetanide
furosemide with rapid IV administration
vancomycin
what are the 4C’s that cause c.diff
co-amoxiclav
clindamycin
cephalosporin
ciprofloxacin
what can’t you give with simvastatin
clarithromycin
patient on SSRI with exaggerated reflexes, agitation, hallucinations what is likely diagnosis
serotonin syndrome
what drug can cause serotonin syndrome
citalopram and tramadol
what to type into BNF for overdose
poisoning
what can haloperidol cause
Parkinsonism
treat with procyclidine hydrochloride
how to treat drug induced Parkinsonism
procyclidine
neuroleptic malignant syndrome management
bromocriptine
dantrolene
neuroleptic malignant syndrome symptoms
hyperthermia
fluctuating levels of consciousness
muscle rigidity
fever
tachycardia
sweating
what antipsychotics cause weight gain, diabetes, rise in serum lipids
olanzapine
quetiapine
ciprofloxacin can cause
tendon rupture
DONT put them on steroids
what eGFR do you stop metformin
<30
eye infection management
chloramphenicol drops