Planning management Flashcards
How do you manage these drug poisonings
(Whats the antidote)
- Opioids
- Benzos
- TCAs
- Warfarin
- B-blockers
- Digoxin
- Naloxone
- Benzos
- IV bicarb
- Vit K
- Atropine
- Digibind (digoxin specific antibody)
Warfatin shite
What do you hvae to do if…
INR is low
INR is high
You’ve just had a major bleed
Low -> increase dose
High -> decrease dose or stop or give Vit K
Just had a major bleed -> stop it & give Vit K +. prothrombin complex
A high INR means you’re more or less likely to bleed
MORE
If it says the pt “hasn’t collected their prescription” and they’re getting like symptoms, what do you do to the dose
Fuck all changes
It’s just cause they’re not taking the drugs
can you kick off methotrexate if you have abnormal LFTs
absolutley not
Paracetamol OD
- When do you NOT give NAC
- When do you give NAC
- When should paracetamol levels be measured
1.
Below treatment line
2.
Not sure when OD happened
Above treatment line
Staggered dose
Not got a blood result yet
3.
4hrs post OD
if pt is sick, what do you always do to the fucking dose of steroid
double it mate
if a pt is now on their 2nd bout of C.diff, what is 1st line
Oral vanc
Clearly metro didn’t work first time lol
For DKAs, what…
- rate of insulin do you give
- do you do to short acting insulin
- do you do to long acting insulin
- fixed rate
- stop it
- continue
if someone isn’t on any analgeisa, regardless of the type of pain, what is the 1st thing to give
para
For surgey, what drugs should you…
- continue
- increase dose
- stop
- anti-hypertensives (B-blockers & CCBs)
- steroids
- I LACK OP
I LACK OP
Insulin
Lithium
Anti-coagulants
COCP & HRT
K-sparring diuretics
Oral hypoglycemixs
Perindopil + ACEi
For the drugs in the I LACK OP meumonic, which ones should you stop…
- 4 weeks before
- day before
- on the day
- COCP & HRT
- lithium
- K-sparring diuretcics & ACEi
For the drugs in the I LACK OP meumonic, what should you do the drugs…
Insulin -> sliding scale & houlry BGs
Lithium -> day before
Anti-coags -> depends lol
COCP & HRT -> 4 weeks before
K-sparring diuretics -> on the day
Oral hypoglycemics -> sliding scale
Perinopril (ACEis) -> on the day
what is like the main sign that somebody is unwell for anything
tachycardia
bmp >125
what is the 1st line anti-emetic to pretty much always use
what type of SEs can you get
Cyclizine
SEs
Constipation
Dry mouth
If someone has an exacerbation of asthma, what shoudl you do to their inhaler
STOP it
Start NEBULISED salbuatmol
How do you manage these common symptoms
- fever
- insomnia
- diarrhoea
- constipatoin
- paracetamol
- zopiclone
- loperamide + codeinie props
- senna, lactulose, docsuate, isphagula husk
Constipation management
- stool softoners
- bulking
- stimulants
- osmotic
- docusate
- isphagula husk
- senna
- lactulose