Minor ailments - GI and respiratoru Flashcards
Psyllium
Bulk Forming laxative
Sterculia
Bulk Forming laxative
Lactulose
Osmotic laxative
Sorbitol
Osmotic laxative
Macrogol 3350
Osmotic laxative
Magnesium salts
Osmotic laxative
Senna
Stimulant laxative
Bisacodyl
Stimulant laxative
Sodium picosulfate
Stimulant laxative
Docusate
Stool softener laxative
Poloxamer
Stool softener laxative
Liquid paraffin
Stool softener - not recommended
Mebendazole
antihelminthic (>2 y.o., NO pregnancy)
Pyrantel
antihelminthic (>12 m.o., OK pregnancy)
Lidocaine
Local anaesthetic for haemorrhoids
Lignocaine
Local anaesthetic for haemorrhoids
Cinchocaine
Local anaesthetic for haemorrhoids
Zinc
Astringent in ointment for haemorrhoids
Aluminium
Astringent in ointment for haemorrhoids
Hydrocortisone
Topical corticosteroid for haemorrhoids
Shark oil
Protectant for haemorrhoids - no evidence
Chlorhexidine
Antiseptic used for haemorrhoids - no evidence of usefulness
List 3 bulk forming laxatives
Ispaghula, psyllium, sterculia
List 4 osmotic laxatives
Lactulose, sorbitol, macrogol 3350, magnesium salts
List 3 stimulant laxatives
senna, bisacodyl, sodium picosulfate
List 2 stool softeners
docusate, poloxamer
What percentage body weight is lost in mild to moderate dehydration
3-9%
List 6 clinical signs of mild to moderate dehydration
Capillary refill >2 s, skin recoil <2 s, increased respiratory rate, irritability, mildly sunken eyes, reduced urine output
What percentage body weight is lost in severe dehydration?
> 9%
List 6 clinical signs of severe dehydration
Capillary refill >3 s, skin recoil >2 s, increased respiratory rate and deep respiration, lethargy, deeply sunken eyes, minimal or absent urine output
What symptoms indicate bacterial gastro?
Blood and mucus in stool, fever and chills
What are 4 less common causes of sore throat and their distinct features
Scarlet fever (5-15 yo, fever>38.5, rash), Epstein-Barr virus (severe sore throat, fatigue, nausea, enlarged lymph nodes)
Hand, foot and mouth (mucosal ulcers around mouth and throat, rash and skin lesions, loss of appetite)
Herpes (fever, mouth and lip blisters, poor appetite)
What simple analgesics can be used for a sore throat?
Paracetamol, ibuprofen, aspirin (>16yo)
What local anaesthetics can be used in sore throat?
lidocaine, benzocaine
What local anti-inflammatory agents can be used in a sore throat?
Benzydamine, flurbiprofen
What antibacterial agents are used in sore throat?
Chlorhexidine, cetylpyridinium chloride, benzalkonium chloride
What is the active ingredient in Betadine?
Povidone iodine
What 2 oral decongestants are used in cold?
Pseudoephedrine, phenylephrine
What nasal decongestants are used in cold?
Oxymetazoline, Xylometazoline, Phenylephrine, Tramazoline
What sedating antihistamines are used for nasal congestion in colds?
Promethazine, chlorpheniramine
Give 3 examples of antitussives
Pholcodine, dextromethorphan, dihydrocodeine
Which antitussive should not be used in combo with serotonergic medicines?
Dextromethorphan
Which conditions should antitussives not be used in?
Asthma, COPD
Which expectorant has most evidence?
Guaifenesin
Give an example of a mucolytic
Bromhexine
What condition should bromhexine not be used in?
Chronic bronchitis, COPD
Give example of a CAM demulcent?
Honey
Give an example of an illogical cough medicine combo
Antitussive and expectorant (dihydrocodeine and Guaifenesin)
What is the first line therapy for moderate to severe allergic rhinitis?
Intranasal corticosteroids
Give examples of intranasal corticosteroids
beclomethasone, mometasone, fluticasone, budesonide, triamcinolone
What is the first line treatment for mild intermittent allergic rhinitis?
Second generation oral antihistamines
Give examples of second generation oral antihistamines
Fexofenadine, cetirizine, loratadine, desloratadine, levocetirizine
Give examples of nasal antihistamines
azelastine, levocabastine
What muscarinic antagonist can be used intranasally to treat rhinorrhoea?
ipratropium
What mast cell stabiliser can be used prophylactically for allergic rhinitis?
cromoglycate