planning management Flashcards
if patient on 4g of paracetamol a day can you prescribe them co-codamol alongside this
no as co-codamol contain paracetamol
what is the as required dose of morphine calculated form
one sixth of their daily dose
STEMI treatment algorithm
- aspirin 300mg oral
- morphine 5-10mg IV with cyclizine 50mg
- GTN spray
- Primary PCI
- beta blocker
- CCU
NSTEMI treatment algorithm
- aspirin 300mg
- morphine 10mg IV with cyclizine 50mg
- GTN spray
- clopidogrel 300mg and LMWH or fondaparinux
- beta blocker, bisoprolol 2.5mg
- CCU
left ventricular failure treatment algorithm
- sit patient up
- morphine 5-10mg IV with cyclizine 50g IV
- GTN spray
- furosemide 40-80mg IV
- isosorbide dinitrate infusion
- CCU
anaphylaxis treatment algorithm
- adrenaline 500 microgram
- chlorphenamine 10mg IV
- hydrocortisone 200mg IV
treatment if suspicion of meningitis
1.2g benzylpenicilin
management of bacterial meningitis
4-10mg dexamethasone IV
seizure >5 minutes treatment algorithm
- lorazepam 2-4mg IV or diazepam or midazolam
- benzodiazepines
- phenytoin 15-20mg/kg IV
- intubate
AKI management
IV fluid 500mL stat
opioid overdose management
naloxone
benzodiazepine overdose management
flumazenil
chronic heart failure management
- ACE inhibitor (lisinopril 2.5mg) + beta blocker (bisporolol 1.25mg)
- spironolactone 25mg daily
- digoxin, sacubitril valsartan, ivabradine
AF treatment
- prevent stroke
- rate-control (CCB or BB)
diltiazem 120mg
or bisoprolol 2.5mg
stroke control in AF patient with CHADVASc 1
apixaban, dabigatran, rivaroxaban
chest pain in angina what to give to relieve the pai
GTN spray
angina management
GTN
aspirin, statin
beta blocker (atenolol) or CCB (amlodipine)
isosorbide mononitrate
management of Parkinson’s
co-careldopa
can you prescribe sodium valproate to women and girls
no
alzheimer management
donepezil
rivastigmine
moderate dementia mangament
memantine
crohns mild flare management
prednisolone 20-40mgev
crohns severe flare management
hydrocortisone 100-500mg IV
crohns management to maintain remission
azathioprine
lamotrigine side effects
rash
Steven Johnson syndrome (rare)
carbamazepine side effects
rash
dysarthria
ataxia
nystagmus
decrease Na
phenytoin side effects
ataxia
peripheral neuropathy
gum hyperplasia
hepatotoxicity
sodium valproate side effects
tremor
tetratogenicity
weight gain
levetiracetam side effect
fatigue
mood disorder
agitation
flare of rheumatoid arthritis management
glucocorticoids e.g. IM methylprednisolone
NSAIDs e.g. ibuprofen
if rheumatoid not responding to DMARDs what is next step
TNF alpha inhibitor e.g. infliximab
diarrhoea not caused by GI infection management
loperamide 2mg oral
or
codeine 30mg orally up to 6 hourly
insomnia management
zopiclone 7.5mg orally nightly
side effect of salbutamol
tremor
first line antibiotic in skin infections
flucloxacillin 500mg 6 hourly for 7 days
drugs that shouldn’t be given to patient with Parkinson’s
metoclopramide
haloperidol
what do you give if severe chest pain GTN spray or GTN infusion
spray
risk factors for COCP
> 35
smoker
BMI >30
patient on carbamezipine
what contraception if women has venous thromboembolism risk
progesterone only pill
gestational hypertension management
labetolol 100mg twice daily
