OSCE Management Flashcards
O2 concentrations in COPD
24-28%
Fluid challenge =
500ml IV saline
Management of ICP in brain tumours
10m dexamethasone oral
0.25-0.5g/kg mannitol IV
Management of Anaphylaxis
Adrenaline 0.5mg 1:1000 IM
Hydrocortisone 200mg IV
Chlorphenamine 10mg IV
Management of Bradycardia
= atropine 500micrograms IV
Management of Tachycardia - SVT
Try vagal manoeuvres
Medical = adenosine 6mg IV
Can give up to 3 times
Management of Tachycardia - Broad
Amiodarone 300mg IV
If unstable use DC cardioversion
Cardiac Arrest =
10ml (100mcg/ml) 1:10000 adrenaline
300mg amiodarone IV
Opioid overdose =
400 micrograms of naloxone
Need to titrate if have taken a toxic dose
Benzodiazepine overdose =
200 micrograms flumazenil
Medication in delirium =
0.5-5mg haloperidol
Management of ACS (6)
GTN - 2 puffs every 5 minutes Aspirin 300mg oral Clopidogrel 300mg oral OR Prasugrel 60mg (depends on whether already on anti-coagulant) Morphine 5-10mg IV Metoclopramide 5-10mg IV High flow oxygen
Prevention of ACS (4)
Aspirin 75mg oral
Clopidogrel 75mg oral
Atorvostatin 40mg oral
Anti-Hypertensives
Starting Dose:
- Amlodipine
- Lisinopril
- Ramipril
Amlodipine = 5mg Lisinopril = 10mg Ramipril = 2.5mg
Management of Torsades de Pointes
IV Magnesium sulphate 2g
+ pacing
Management of Chronic Heart Failure (3)
Furosemide 20-40mg oral OD
ACE-i e.g. lisinopril 10mg or ramipril 2.5mg (starting dose)
Bisoprolol 1.25mg oral
Management of Acute Heart Failure (5)
Sit them up 100% oxygen IV furosemide 40-80mg Consider: IV Morphine 5-10mg IV Nitrates
Treatment of DVT (2 options)
Apixaban 10mg BD 7 days
(maintenance = 5mg BD)
OR
Rivaroxaban 15mg BD 21 days
(maintenance = 20mg OD)
1st Line in T2DM
= metformin 500mg OD
Insulin in DKA
0.1 units/kg/hour of insulin
Given in an IV infusion
Management of Thyroid Storm (3)
Propranolol 40mg PO
Hydrocortisone 100mg IV
Carbimazole 15-25mg PO
Anti-Emetic in Vertigo
Cyclizine 50mg up to TDS
Management of GORD (2 options)
Omeprazole 20mg OD
Lansoprazole 15mg OD
Medication given in Varices
Terlipressin 2mg IV over 5 minutes
Medication given in suspected Peptic Ulcer Disease
Omeprazole 80mg IV
Management of Hyperkalaemia (3)
10mls of 10% calcium gluconate IV
10 units of insulin in 50ml of 50% glucose
5mg salbutamol NEB
Management of Hypokalaemia
40mmol IV potassium
- Rate shouldn’t exceed 10mmol/hour
Codeine Dosing
= 30-60mg 4 hourly
Maximum dose up to 240mg
Tramadol to Morphine Conversion
Divide by 10