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a CPTP Stage 5: PSA > Planning management > Flashcards

Planning management Flashcards

1
Q

Drugs/ treatment to give in acute STEMI

A

MONA-BP

Morphine, Metoclopramide
Oxygen
Nitrate (GTN)
Aspirin 300mg

Beta blocker: Atenolol 5mg
PCI/ Thrombolysis

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2
Q

Drugs/ treatment to give in acute NSTEMI

A

MONA-BEC

Morphine, Metoclopramide
Oxygen
Nitrate (GTN)
Aspirin 300mg

Beta blocker: Atenolol 5mg
Enoxaparin
Clopidogrel

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3
Q

Drugs/ treatment to give in acute LV failure

A

Morphine, Metoclopramide
Oxygen
Nitrate (GTN)
Furosemide

Sit up

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4
Q

4 treatments to give for anaphylaxis

A
  1. Oxygen
  2. Adrenaline 500 micrograms (0.5ml) of 1:1000 IM
  3. Chlophenamine 10mg
  4. Hydrocortisone 200mg
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5
Q

Drug to give in tachycardia + unstable features (eg shock, heart failure)

A

Amiodarone

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6
Q

Drug to give in regular VT

A

Amiodarone

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7
Q

Drug to give in regular SVT or BBB

A

Adenosine

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8
Q

Drug to give in irregular narrow QRS tachycardia

A

Adenosine

+ vagal manouvres beforehand

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9
Q

Drug to give in regular narrow QRS tachycardia

A

Beta blocker OR diltiazem

if heart failure,
Digoxin OR amiodarone

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10
Q

Between metoclopramide and domperidone, which is better for use in patients with Parkinson’s

A

Domperidone is safer. Dopamine antagonist but does not cross blood brain barrier

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11
Q

First line drugs in heart failure managmeent

A

ACEi + beta blocker

then add on spironolactone after

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12
Q

Treatment for hyperkalemia

A

10 units novorapid in 100ml of 20% dextrose over 30min IV

5mg neb salbutamol

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13
Q

When is metformin not first line in T2DM

A
  1. If creatinine >150 umol/L (lactic acidosis risk)

2. If patient is underweight/ normal weight

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14
Q

What antiplatelets to give when after stroke

A

Aspirin for 14 days then

Clopidogrel

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15
Q

Hypoglycaemia treatment

A

Glucose 10% (100-200ml) OR

Glucose 20% (50-100ml)

over 15min

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16
Q

Name some medications that are taken weekly

  • for osteoporosis
  • for systemic disease
A

Weekly medication

Bisphosphonates
Methotrexate

17
Q

What type of drug is first line in treating acute dystonia eg from antipsychotics

A

Anti muscarinic eg procyclidine

18
Q

What antibiotic is used for repeated C Diff infections

A

Vancomycin (after first line therapy with metronidazole has failed)

19
Q

What drug to prescribe for flatulence

A

Peppermint oil

20
Q

Treatment for hepatic encephalopathy

A

Hepatic encephalopathy: Lactulose

21
Q

Treatment for nausea and vomiting in brain Mets

A

Dexamethasone (nausea is due to raised icp in brain Mets)

22
Q

How long after a mastectomy is tamoxifen given for

A

5 years after mastectomy

23
Q

Which is the only DMARD that is safe in pregnancy and breastfeeding

A

Sulfasalazine

24
Q

When is metoclopramide contraindicated

A

Parkinson’s

Bowel obstruction

25
Q

Which antiepileptics are safe in pregnancy

A

Levetiracetam

Lamotrigine

26
Q

Which antibiotic should be given in UTI + renal dysfuncion

A

Trimethoprim

27
Q

First line treatment for mild flare of Ulcerative Colitis

A

Oral Sulfasalazine (Aminosalicylate)

28
Q

First line treatment for moderate flare of Ulcerative Colitis

A

Infliximab

29
Q

First line treatment for severeflare of Ulcerative Colitis

A

IV Hydrocortisone

30
Q

Option for oral treatment of PE/VTE (if patient has needle phobia)

A

Oral apixaban

31
Q

What to use in diabetic neuropathy pain

A

Duloxetine 60g

32
Q

Atrial fibrillation management >48h

A

Verapamil 40–120 mg TDS

33
Q

Atrial fibrillation management <48h

A

Cardioversion, either DC or chemical

Amiodarone 200 mg TDS
Flecainide

34
Q

What drug prevents chest pain in angina long term

A

Bisoprolol

35
Q

In the BNF, Bisoprolol is authorised for htn, angina, and adjunct in heart failure. Which of these is the AF dose?

A

Adjunct in heart failure

1.25mg OD then titrated up to max 10mg OD

36
Q

Drugs normally taken at night

A

Statins

Amitryptiline

37
Q

First treatment of Hyperkalemia with ECG changes

A

Calcium gluconate (before any other treatment for the Hyperkalemia itself)

38
Q

Drug for detrusor overactivity/ urge incontinence

A

Oxybutinin

unless has myasthenia gravis, then give duloxetine

a CPTP Stage 5: PSA (9 decks)

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