Pharmacology Flashcards
Yellow-green tinge in vision
Digoxin
Blue tinge in vision
Sildinafil
Gingival hyperplasia
Phenytoin
Cyclosporin
Calcium channel blockers (esp. Nifedipine)
Varenicline
Nicotinic receptor partial agonist
Bupropion
Noradrenaline and dopamine reuptake inhibitor, and nicotinic antagonist
Salicylate overdose
Respiratory alkalosis
Metabolic acidosis
Haemodialysis if: Serum concentration > 700mg/L Metabolic acidosis resistant to treatment Acute renal failure Pulmonary oedema Seizures Coma
Paracetamol overdose
NAC
Naloxone if hypoxia or respiratory depression
Liver transplant if:
PT >100secs
Creat >300
Grade III or IV encephalopathy
Digoxin toxicity
Hypokalaemia MI Hypomagnesiumaemia Hypoalbuminaemia Hypothermia Hypothyroidism Acidosis
Hypercalcaemia
Hypernatremia
Ethylene glycol toxicity
Fomepizole
Haemodialysis is refractory cases
Cocaine
MI HTN QRS widening and QT prolongation Aortic dissection Hypertonia Hyperreflexia Hyperthermia Metabolic acidosis
Lead poisoning
Abdominal pain Peripheral neuropathy Fatigue Constipation Blue lines on gum margin
Basophilic stippling
Heparin
Activates antithrombin III
Adrenaline
Anaphylaxis: 0.5ml 1:1000 IM
Cardiac arrest 10ml 1:10000 IV / 1ml 1:1000 IV
Therapeutic drug monitoring
Phenytoin - trough levels immediately before dose
Cyclosporin - trough levels immediately before dose
Digoxin - 6hrs post dose at least
Lithium - 12hrs post dose
Palliative care
Breakthrough morphine is 1/6th daily dose of morphine
Metastatic bone pain responds to NSAIDs, bisphosphonates or radiotherapy
Codeine to morphine divide by 10
Tramadol to morphine divide by 5
Morphine to oxycodone divide by 2
PO morphine to SC diamorphine divide by 3
Alpha 1 adrenoceptor antagonist
Doxazosin
Used in HTN and BPH
Alpha 1a adrenoceptor antagonist
Tamsulosin