Part _ communicating information Flashcards
information to communciate to a patient about tamoxifen
tamoxifen reduces the risk of endometrial cancer
tamoxifen reduces efficacy of warfarin
taking tamoxifen at night will reduce sx of hot flushes
Tamoxifen increases your risk of VTE need hosp
what do you need to monitor witj patients taking methotrexate
measure FBC every 1-2 weeks untill stable
what does alcohol do to warfarin
acute alcohol intoxication causes enzyme inhibition whreeas chronic excess causes enzyme induction
if a pt is sick or has diarrhoea with ACEi what should you do
risk of AKI increased so need to communicate risk
if a patient is predicted to be taking a steriod for more than 3 months what should you do
prescribe a bisphosphonate alongside
pt prescribed citalopram what should you be aware of
can cause suicidal thoughts or thoughts of self harm
they can cause dry mouths
ssri can make you more photosensitive and precautions should be taken when in sunlight
it can take up to 6 weeks to see any improvements
it can cause low sodium levels
how does ssri cause low sodium
block androgen receptors keeping levels high which in turn means aldosterone lowers sodium levels - moves more water and salt out of the body
if unwell why does insulin need to be increased
when unwell blood glucose increases therofre higher basal doses are required, failing to do so will increases the risk of diabetic ketoacidosis
conversely if pt reduce their oral intake there is a risk of hypogylcaemia if the insulin intake is not decreased
alendronic is given how often
once a week - needs to be taken upright
should you eat with alendronic acid
no food should be avoided 2 hours after taking alendronic acid as it reduces its absorption
BC risk on HRT higher fro combined or oestrogen only
combined especially conitnuous
risk of breast cancer related to dureation of use and not to the age at which it is started
