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PSA > planning management > Flashcards

planning management Flashcards

1
Q

if patient on 4g of paracetamol a day can you prescribe them co-codamol alongside this

A

no as co-codamol contain paracetamol

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2
Q

what is the as required dose of morphine calculated form

A

one sixth of their daily dose

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3
Q

STEMI treatment algorithm

A
  • aspirin 300mg oral
  • morphine 5-10mg IV with cyclizine 50mg
  • GTN spray
  • Primary PCI
  • beta blocker
  • CCU
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4
Q

NSTEMI treatment algorithm

A
  • aspirin 300mg
  • morphine 10mg IV with cyclizine 50mg
  • GTN spray
  • clopidogrel 300mg and LMWH or fondaparinux
  • beta blocker, bisoprolol 2.5mg
  • CCU
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5
Q

left ventricular failure treatment algorithm

A
  • sit patient up
  • morphine 5-10mg IV with cyclizine 50g IV
  • GTN spray
  • furosemide 40-80mg IV
  • isosorbide dinitrate infusion
  • CCU
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6
Q

anaphylaxis treatment algorithm

A
  • adrenaline 500 microgram
  • chlorphenamine 10mg IV
  • hydrocortisone 200mg IV
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7
Q

treatment if suspicion of meningitis

A

1.2g benzylpenicilin

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8
Q

management of bacterial meningitis

A

4-10mg dexamethasone IV

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9
Q

seizure >5 minutes treatment algorithm

A
  • lorazepam 2-4mg IV or diazepam or midazolam
  • benzodiazepines
  • phenytoin 15-20mg/kg IV
  • intubate
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10
Q

AKI management

A

IV fluid 500mL stat

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11
Q

opioid overdose management

A

naloxone

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12
Q

benzodiazepine overdose management

A

flumazenil

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13
Q

chronic heart failure management

A
  • ACE inhibitor (lisinopril 2.5mg) + beta blocker (bisporolol 1.25mg)
  • spironolactone 25mg daily
  • digoxin, sacubitril valsartan, ivabradine
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14
Q

AF treatment

A
  • prevent stroke
  • rate-control (CCB or BB)
    diltiazem 120mg
    or bisoprolol 2.5mg
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15
Q

stroke control in AF patient with CHADVASc 1

A

apixaban, dabigatran, rivaroxaban

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16
Q

chest pain in angina what to give to relieve the pai

A

GTN spray

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17
Q

angina management

A

GTN
aspirin, statin
beta blocker (atenolol) or CCB (amlodipine)
isosorbide mononitrate

18
Q

management of Parkinson’s

A

co-careldopa

19
Q

can you prescribe sodium valproate to women and girls

A

no

20
Q

alzheimer management

A

donepezil
rivastigmine

21
Q

moderate dementia mangament

A

memantine

22
Q

crohns mild flare management

A

prednisolone 20-40mgev

23
Q

crohns severe flare management

A

hydrocortisone 100-500mg IV

24
Q

crohns management to maintain remission

A

azathioprine

25
Q

lamotrigine side effects

A

rash
Steven Johnson syndrome (rare)

26
Q

carbamazepine side effects

A

rash
dysarthria
ataxia
nystagmus
decrease Na

27
Q

phenytoin side effects

A

ataxia
peripheral neuropathy
gum hyperplasia
hepatotoxicity

28
Q

sodium valproate side effects

A

tremor
tetratogenicity
weight gain

29
Q

levetiracetam side effect

A

fatigue
mood disorder
agitation

30
Q

flare of rheumatoid arthritis management

A

glucocorticoids e.g. IM methylprednisolone
NSAIDs e.g. ibuprofen

31
Q

if rheumatoid not responding to DMARDs what is next step

A

TNF alpha inhibitor e.g. infliximab

32
Q

diarrhoea not caused by GI infection management

A

loperamide 2mg oral
or
codeine 30mg orally up to 6 hourly

33
Q

insomnia management

A

zopiclone 7.5mg orally nightly

34
Q

side effect of salbutamol

A

tremor

35
Q

first line antibiotic in skin infections

A

flucloxacillin 500mg 6 hourly for 7 days

36
Q

drugs that shouldn’t be given to patient with Parkinson’s

A

metoclopramide
haloperidol

37
Q

what do you give if severe chest pain GTN spray or GTN infusion

A

spray

38
Q

risk factors for COCP

A

> 35
smoker
BMI >30
patient on carbamezipine

39
Q

what contraception if women has venous thromboembolism risk

A

progesterone only pill

40
Q

gestational hypertension management

A

labetolol 100mg twice daily

PSA (9 decks)

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