planning management Flashcards
Thrush drug contraindication in pregnancy
fluconazole - oral azole drugs
treatment of choice for thrush in pregnancy
clotrimazole pessary 100mg PV daily for 7 days
treatment summary page name for thrush
vaginal and vulvovaginal conditions
First line treatment for C-difficile
vancomycin 125mg PO 6 hourly
second line treatment for c diff
Fidaxomycin 200 mg PO 12 hourly
can antidiarrhoeals be used in c.diff
no - loperamide for example?
which drug may be used under specialise advice as an adjuvant in c diff
metronidazole
treatment summary for c.diff
Gastro-intestinal system infections, antibacterial therapy
diagnosis in this case
DKA
BNF advice in regards to insulin regimen for DKA
is insulin glargine short or long acting
long acting
is soluble insulin (humulin) with meals short or long acting
short acting
fluid recitation in DKA
sodium chloride 1L over 30mins
Treatment summary for DKA
Diabetic hyperglycaemic emergencies
diagnosis in this case
scarlet fever
scarlet fever drug and dose
summarise the WHO pain ladder
how to treat mild pain
wheb is amitrypatline inidacted for pain and what are the adverse effects of drugs from this class
what condition is this and whats the management?
This case describes Herpes Zoster (Shingles).
Key Features:
Prodromal Symptoms:
Shivering and myalgia (viral prodrome)
Mild burning pain and numbness (neuropathic pain)
Dermatomal Rash:
Unilateral, erythematous vesicular rash
Localized to the T7 dermatome on the left
Follows a classic dermatomal distribution, which is characteristic of herpes zoster.
Risk Factors:
Age: Older adults are at higher risk.
Immunosuppression: The patient is taking azathioprine, which increases susceptibility to viral reactivation.
Diagnosis:
Clinical diagnosis based on unilateral vesicular rash in a dermatomal distribution.
PCR or Tzanck smear can confirm varicella-zoster virus (VZV) if needed.
Management:
Antiviral therapy (ideally within 72 hours of rash onset):
Aciclovir 800 mg 5 times daily for 7 days (or)
Valaciclovir 1g 3 times daily for 7 days.
Pain management:
Paracetamol/NSAIDs for mild pain.
Gabapentin/pregabalin for severe neuropathic pain.
Monitor for complications:
Postherpetic neuralgia (persistent pain >3 months).
The combination of infection (UTI), fever, and confusion strongly suggests urosepsis
not nitrofurantoin because “In adults: Avoid if eGFR less than 45 mL/ minute/1.73 m2; may be used with caution if eGFR 30–44 mL/ minute/1.73 m2 as a short-course only (3 to 7 days), to treat uncomplicated lower urinary-tract infection caused by suspected or proven multidrug resistant bacteria and only if potential benefit outweighs risk.”
trimethoprim - Adult
200 mg twice daily for 3 days (7 days in males).
alcohol withdrawal - treatment
alcohol dependence treatment summary
NOT thiamine - vitamin supplementation is not given first line for acute treatment of alcohol withdrawal. Use prophylactic thiamine in the dependant drinker
phytomenadione - vitamin K
where can you find information about preparing for theatre on anticoagulants
oral anticoagulation treatment summary
https://bnf.nice.org.uk/treatment-summaries/oral-anticoagulants/
Initially 5 mg once daily, usual maintenance 10 mg once daily; increased if necessary up to 20 mg once daily.
diagnosis?
osteoarthritis
For Ibugel® Forte
Pain relief in musculoskeletal conditions,
Treatment in knee or hand osteoarthritis (adjunct)
for Ibugel® Forte
To the skin
Adult
Apply up to 3 times a day.
