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Planning management Flashcards

1
Q

How do you manage these drug poisonings

(Whats the antidote)

  1. Opioids
  2. Benzos
  3. TCAs
  4. Warfarin
  5. B-blockers
  6. Digoxin
A
  1. Naloxone
  2. Benzos
  3. IV bicarb
  4. Vit K
  5. Atropine
  6. Digibind (digoxin specific antibody)
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2
Q

Warfatin shite

What do you hvae to do if…

INR is low

INR is high

You’ve just had a major bleed

A

Low -> increase dose

High -> decrease dose or stop or give Vit K

Just had a major bleed -> stop it & give Vit K +. prothrombin complex

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3
Q

A high INR means you’re more or less likely to bleed

A

MORE

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4
Q

If it says the pt “hasn’t collected their prescription” and they’re getting like symptoms, what do you do to the dose

A

Fuck all changes

It’s just cause they’re not taking the drugs

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5
Q
A
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6
Q

can you kick off methotrexate if you have abnormal LFTs

A

absolutley not

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7
Q

Paracetamol OD

  1. When do you NOT give NAC
  2. When do you give NAC
  3. When should paracetamol levels be measured
A

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

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8
Q

if pt is sick, what do you always do to the fucking dose of steroid

A

double it mate

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9
Q
A
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10
Q

if a pt is now on their 2nd bout of C.diff, what is 1st line

A

Oral vanc

Clearly metro didn’t work first time lol

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11
Q

For DKAs, what…

  1. rate of insulin do you give
  2. do you do to short acting insulin
  3. do you do to long acting insulin
A
  1. fixed rate
  2. stop it
  3. continue
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12
Q

if someone isn’t on any analgeisa, regardless of the type of pain, what is the 1st thing to give

A

para

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13
Q

For surgey, what drugs should you…

  1. continue
  2. increase dose
  3. stop
A
  1. anti-hypertensives (B-blockers & CCBs)
  2. steroids
  3. I LACK OP

I LACK OP

Insulin

Lithium

Anti-coagulants

COCP & HRT

K-sparring diuretics

Oral hypoglycemixs

Perindopil + ACEi

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14
Q

For the drugs in the I LACK OP meumonic, which ones should you stop…

  1. 4 weeks before
  2. day before
  3. on the day
A
  1. COCP & HRT
  2. lithium
  3. K-sparring diuretcics & ACEi
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15
Q

For the drugs in the I LACK OP meumonic, what should you do the drugs…

A

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

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16
Q

what is like the main sign that somebody is unwell for anything

A

tachycardia

bmp >125

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17
Q

what is the 1st line anti-emetic to pretty much always use

what type of SEs can you get

A

Cyclizine

SEs

Constipation

Dry mouth

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18
Q

If someone has an exacerbation of asthma, what shoudl you do to their inhaler

A

STOP it

Start NEBULISED salbuatmol

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19
Q

How do you manage these common symptoms

  1. fever
  2. insomnia
  3. diarrhoea
  4. constipatoin
A
  1. paracetamol
  2. zopiclone
  3. loperamide + codeinie props
  4. senna, lactulose, docsuate, isphagula husk
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20
Q

Constipation management

  1. stool softoners
  2. bulking
  3. stimulants
  4. osmotic
A
  1. docusate
  2. isphagula husk
  3. senna
  4. lactulose
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21
Q

constipation management

  1. which one to use fori mpactoin
  2. one can’t be used if nut allergy
  3. deffo don’t use for impaction
  4. can cause cramps
  5. can cause bloating
  6. when enema is needed
A

1 & 2. docusate

  1. isphagula husk (obvs don;t wanna bulk it up)
  2. senna
  3. lactulose
  4. if acute abdomen
22
Q

What should you give man with an alcohol dependency who presents with…

  1. shivers, sweating & hallucaitnons
  2. abdo pain
A
  1. chlorodiazpoxide
  2. pabrinex
23
Q

what do ya give to a young diabetic bloke who is…

  1. tierd, lethargic & anxious
  2. unconsciouss
A
  1. soluble insulin
  2. IV glucose
24
Q

what do you give for a middle-aged man with newly diagnosed hypertension

A

OBVIOUSLY ACEi

25
what do you do to a yound lass who just got knocked up and is on the cOCP
Stop the cOCP start folic acid
26
what do ya give for an acute gout attack
colchicine
27
what do you give a lady with CAP who is... 1. preggers 2. not preggers
1. clarithromycin 2. doxycyline
28
what cardio drugs should you avoid in preggers
ACEi ARBs statins
29
30
00286882 83-26-19
31
if someone is mad unwell, but has been taken oral meds with no issue, what route should you use
obviosuly fucking oral mate
32
what antibiotic do both warfarin and statins interact with
clarithoromycin
33
If you get a cough when on an ACEi, what drug shoudl you change to
ARB
34
if on too much analgeisa and yuo might not need to use it, what can ou change it to
Modified release morphine
35
if a lass struggles to remember to take her constraception, what can you change it to
Depo-provera innjection
36
patients of which condition are least compliant
asthma
37
heroin is another name for
diamorophine
38
Whats the 1st line for any skin infection
Fluclox If PA -\> clarith/erythro/doxy
39
for pain relief in an MI, but you're allergic to fucking morphine for somereason, what do you give?
GTN
40
why is dextrose used in the manageemtn of hyperkalemia
as insulin is also used, which will obvs lower BG
41
focal seizures are treated with what what can cause them
carbmazpine can be caused by tumours
42
if some presents with chest pain, but it doesn't respod ot GTN, what is it unlikely to be?
STEMI or NSTEMI
43
for severe hypos, what % of glucose do you give
10% lad Never give more cause it will cause some pure shite eh
44
best analgesia for tension-type headaches
paracetamol
45
if 'self-care' measures is an option, what do you do
fucking pick it u cunt
46
what do you use to treat meningitis in kids
Benzylpenicilin 600mg IM
47
How much folic acid shoudl you give preggers ladies
At low risk -\> 400mcg At high risk -\> 5mg (only until 12 weeks) FH of any congenital shite puts you at high risk
48
if you've got a penicillin allergy, can you have flucox
nah bro you can't eh
49
what diabetic medication can't be used if the pt is mad fat
Pioglitazone Also can't be used for HF eh
50
in kids, what ABXs are used for the following rashes 1. blacnhing 2. non-blanching
1. phenocxymethyl -\> scarlet fever 2. benzyl -\> meningitis Scalert fever -\> sorte throat before hand eh Meningitis -\> probs some GI issue
51
if you've got shite kidneys, what pain relief should you change to
oxycodone mate

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