oscestop and passmed last minute revision Flashcards
what to do if INR >1.5 on day of surgery?
1-5mg of oral phytomenadione
which anticoagulant is ideal for VTE prophylaxis post hip replacement?
- rivaroxaban
- LMWH
which drugs should be stopped in AKI?
DAMN drugs
- diuretics/digoxin
- ACEi/ARB
- metformin/ methotrexate
- NSAIDS
if using >25mcg/hr fentanyl patch what can you use for breakthrough pain?
fentanyl nasal spray PRN
what should you make sure to watch out for when taking carbimazole?
- neutropenia, so make sure to do a FBC
what should you monitor when taking a cyclosporin?
creatinine, as it can be nephrotoxic
what is an important risk of clozapine?
agranulocytosis
what is a risk of taking chlorpromazine?
cholestatic jaundice
what are risks of amioderone?
- thyroiditis
- pulmonary fibrosis
- hypokalaemia
how are the effects of heart failure drugs on heart failure monitored?
exercise tolerance
what are features of digoxin toxicity?
- xanthopsia- yellow/orange tinged vision
- gi distress
- arrythmias
which drugs can cause cholestasis and what is cholestasis?
cholestasis is slow in the normal flow of bile from the gallbladder. This causes itching and yellowing of your skin, eyes, and mucous membranes (jaundice)
drugs:
- co-amoxiclav
- clarythromycin/erythromycin
- carbamazepine
- chlorpromazine
- flucloxacillin
- sulfonylureas
how can you remember which drugs cause agranulocytosis?
- carbimazole
- carbamazepine
- colchicine
3 c drugs
which drugs can cause hypothyroidism?
lithium
which drugs are enzyme inducers?
CRAPS- I got the craps- my metabolism is speedy!
- carbamazepine
- rifampicin
- bArbiturates
- phenytoin
- st johns wort
