Planning management Flashcards
Drugs/ treatment to give in acute STEMI
MONA-BP
Morphine, Metoclopramide
Oxygen
Nitrate (GTN)
Aspirin 300mg
Beta blocker: Atenolol 5mg
PCI/ Thrombolysis
Drugs/ treatment to give in acute NSTEMI
MONA-BEC
Morphine, Metoclopramide
Oxygen
Nitrate (GTN)
Aspirin 300mg
Beta blocker: Atenolol 5mg
Enoxaparin
Clopidogrel
Drugs/ treatment to give in acute LV failure
Morphine, Metoclopramide
Oxygen
Nitrate (GTN)
Furosemide
Sit up
4 treatments to give for anaphylaxis
- Oxygen
- Adrenaline 500 micrograms (0.5ml) of 1:1000 IM
- Chlophenamine 10mg
- Hydrocortisone 200mg
Drug to give in tachycardia + unstable features (eg shock, heart failure)
Amiodarone
Drug to give in regular VT
Amiodarone
Drug to give in regular SVT or BBB
Adenosine
Drug to give in irregular narrow QRS tachycardia
Adenosine
+ vagal manouvres beforehand
Drug to give in regular narrow QRS tachycardia
Beta blocker OR diltiazem
if heart failure,
Digoxin OR amiodarone
Between metoclopramide and domperidone, which is better for use in patients with Parkinson’s
Domperidone is safer. Dopamine antagonist but does not cross blood brain barrier
First line drugs in heart failure managmeent
ACEi + beta blocker
then add on spironolactone after
Treatment for hyperkalemia
10 units novorapid in 100ml of 20% dextrose over 30min IV
5mg neb salbutamol
When is metformin not first line in T2DM
- If creatinine >150 umol/L (lactic acidosis risk)
2. If patient is underweight/ normal weight
What antiplatelets to give when after stroke
Aspirin for 14 days then
Clopidogrel
Hypoglycaemia treatment
Glucose 10% (100-200ml) OR
Glucose 20% (50-100ml)
over 15min
Name some medications that are taken weekly
- for osteoporosis
- for systemic disease
Weekly medication
Bisphosphonates
Methotrexate
What type of drug is first line in treating acute dystonia eg from antipsychotics
Anti muscarinic eg procyclidine
What antibiotic is used for repeated C Diff infections
Vancomycin (after first line therapy with metronidazole has failed)
What drug to prescribe for flatulence
Peppermint oil
Treatment for hepatic encephalopathy
Hepatic encephalopathy: Lactulose
Treatment for nausea and vomiting in brain Mets
Dexamethasone (nausea is due to raised icp in brain Mets)
How long after a mastectomy is tamoxifen given for
5 years after mastectomy
Which is the only DMARD that is safe in pregnancy and breastfeeding
Sulfasalazine
When is metoclopramide contraindicated
Parkinson’s
Bowel obstruction
Which antiepileptics are safe in pregnancy
Levetiracetam
Lamotrigine
Which antibiotic should be given in UTI + renal dysfuncion
Trimethoprim
First line treatment for mild flare of Ulcerative Colitis
Oral Sulfasalazine (Aminosalicylate)
First line treatment for moderate flare of Ulcerative Colitis
Infliximab
First line treatment for severeflare of Ulcerative Colitis
IV Hydrocortisone
Option for oral treatment of PE/VTE (if patient has needle phobia)
Oral apixaban
What to use in diabetic neuropathy pain
Duloxetine 60g
Atrial fibrillation management >48h
Verapamil 40–120 mg TDS
Atrial fibrillation management <48h
Cardioversion, either DC or chemical
Amiodarone 200 mg TDS
Flecainide
What drug prevents chest pain in angina long term
Bisoprolol
In the BNF, Bisoprolol is authorised for htn, angina, and adjunct in heart failure. Which of these is the AF dose?
Adjunct in heart failure
1.25mg OD then titrated up to max 10mg OD
Drugs normally taken at night
Statins
Amitryptiline
First treatment of Hyperkalemia with ECG changes
Calcium gluconate (before any other treatment for the Hyperkalemia itself)
Drug for detrusor overactivity/ urge incontinence
Oxybutinin
unless has myasthenia gravis, then give duloxetine
