Misc

Question 1

PRe - SCR- IBER

Answer 1

PReSCRIBER

P - Patient details
Re - Reactions

S - Signature
C - Contraindications
R - route

I - IV fluid requirement
B - Blood thinners
E - Emesis control
R - Relieve pain

Question 2

Bleeding risk
- Heparin and stroke

Answer 2

Bleeding risk

• Heparin NOT allowed in ischaemic stroke

Question 3

STEROIDS
- ADR acronym

Answer 3

STEROIDS

S - Stomach ulcers
T - Thin skin
E - oedema
R - R&L HF
O - Osteoporosis
I - infections
D - Diabetes
S - Cushing’s Syndrome

Question 4

NSAID
- ADR acronym

Answer 4

NSAID acronym

N - No urine
S - Systolic function
A - Asthma
I - Indigestion
D - Dyscrasia (clotting abnormal)

Question 5

Pain relief Reg/PRN Dosing

• Mild
• Moderate
• Severe
• NSAID
• Neuropathic (& diabetic)

Answer 5

Pain relief guide

• Mild
  1. 1g pctml PRN
• Moderate
  1. 1g pctml 6°
  2. 30mg codeine 6° PRN
• Severe
  1. 30/500 2 tablets 6°
  2. 10mg morphine 6° PRN
• NSAID
  1. Ibuprofen 400mg 8° PRN
• Neuropathic
  1. Amitriptyline 10mg PO ON
  2. Pregabalin 75mg PO 12°
  3. Duloxetine (diabetic) 60mg PO OD

Question 6

Septic patients
- Rheumatology drugs

Answer 6

Septic patients
- Rheumatology drugs

1. Stop immunosuppressants

Question 7

Hypernatraemia
- 4 Ds

Answer 7

Hypernatraemia
- 3 Ds

1. Dehydration
2. Drips (fluid)
3. Drugs
4. Diabetes insipidus

Question 8

Normocytic anaemias (4)

Answer 8

Normocytic anaemias

1. Blood loss
2. Haemolysis
3. Chronic disease
4. Renal failure

Question 9

Cholestasis
- Drug Causes

Forget
Not
Chole-
Sta-
Sis

Answer 9

Cholestasis
- Drug Causes (5)

1. Fluclox
2. Nitrof
3. Co-Amox
4. Steroids
5. Sulfonureas

Question 10

Common antidotes

• Amitriptyline
• Benzos
• Digoxin
• Heparin
• Iron
• Methanol
• Methaemoglobin
• Organophosphates
• Sulphonylureas
• Verapamil

Answer 10

Antidotes

• Amitriptyline : Sodium bicarbonate
• Benzos : Flumenazil
• Digoxin : Digoxin antibodies
• Heparin : Protamine sulphate
• Iron : Desferrioxamine
• Methanol : Ethanol
• Methaemoglobin : Methylene blue
• Organophosphates : Atropine
• Sulphonylureas : Octreotide
• Verapamil : Calcium

Question 11

CHA2DS2- VASc
- Score interpretation

Answer 11

CHA2DS2- VASc
- Score interpretation

AF anticoagulation

0: Low risk
1: Moderate
- Antiplatelet/Anticoag
2+: Medium - high risk
- Anticoagulant

Question 12

CHA2 DS2- VASc
- Score calculation

Answer 12

CHA2DS2- VASc
- Score calculation

C - CHF
H - HTN
A2 - (75?)

D - DM
S2 - Previous stroke/TIA

V - Eg. IHD/PAD
A - 65-74
S (Female?)

Question 13

Thyroid dosing
- Starting treatment
- Monitoring
- Adjusting treatment dose

Answer 13

Thyroid dosing

• Starting treatment
  1. 50-100mcg OD
  2. 25mcg OD in
• Elderly, cardiac disease, severe hyper thyroid
• Monitoring
  0. 8-12 weeks after dose
  1. Normalise TSH
• Adjusting treatment dose
  0. Aim for TSH 0.5-2.5
  1. Adjust by 25mcgs

Question 14

Taper steroids
- Indications
- Method

Answer 14

Taper steroids

• Indications
  1. More than 40mg for a week
  2. More than 3 weeks steroids
  3. Recent repeated courses
• Method
  0. 5mg every 3 days

Question 15

Approaching prescription

• Useful acronym

Answer 15

Approaching prescription

• Useful acronym:

PRe-SCR-IBER