Planning Management Flashcards

1
Q

What is the treatment of choice for neuropathic pain?

A

Amitriptyline 10mg at Night

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2
Q

What is the dose for breakthrough pain opiate?

A

1/6th of total daily dose

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3
Q

When should Rhythm control of AF be conducted? What is used?

A

<48 hours from onset (due to risk of thrombus)

Use - DC Cardioversion/Flecainide/Amiodarone (if structural heart defect)

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4
Q

When should Rate control of AF be conducted? What is used?

A

> 48 hours from onset

Use - BB/Diltiazem/Digoxin (if other two ineffective/contraindicated)

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5
Q

What should be checked before starting Azathioprine/6-mercaptopurine (for Crohn’s remission)

A

TPMT (Thiopurine S-Methyl Transferase)

Enzyme that metabolises the drug. If deficient, can lead to toxicity.

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6
Q

Name 1 important rule for laxative use

A

NEVER give if there are signs of bowel obstruction

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7
Q

What antiemetic should be avoided if there are signs of bowel obstruction?

A

Metoclopramide

As has pro-kinetic qualities

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8
Q

What is used to treat non-infectious diarrhoea?

A

Loperamide 2mg/Codeine 30mg

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9
Q

When should corticosteroids be given? And why?

A

In the morning

As can induce insomnia

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10
Q

What should be given by the GP in suspected bacterial meningitis?

A

IM Benzylpenicillin Sodium + Arrange urgent hospital admission

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11
Q

What antibiotic is commonly given for skin infections?

A

Flucloxacillin

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12
Q

What drug reduces the effectiveness of hormonal contraceptions?

A

Carbamazepine (Enzyme inducer)

(Avoid in COCP, POP, Emergency contraception. Implants, Patches, Rings)

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13
Q
A
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