Planning managment Flashcards
What is the structured approach required in management planning for the Prescribing Safety Assessment (PSA)?
Select the correct treatment, dose, route, and duration while considering contraindications, interactions, and patient-specific factors.
What are the steps in the general approach to management planning?
- Identify the condition & severity
- Consider first-line guidelines
- Choose appropriate drug therapy
- Consider non-pharmacological options
- Monitor effectiveness & adjust treatment
- Plan for follow-up & safety monitoring
What is the ‘Sepsis 6’ protocol for managing sepsis within 1 hour?
- Oxygen
- Blood cultures
- IV antibiotics
- IV fluids
- Lactate & bloods
- Urine output monitoring
What empirical antibiotics are used for community-acquired sepsis?
IV ceftriaxone + metronidazole
What is the first-line treatment for Acute Coronary Syndrome (ACS)?
- Morphine
- Oxygen
- Nitrates
- Aspirin
- Clopidogrel
What is the treatment for acute asthma exacerbation?
- Salbutamol
- Ipratropium bromide
- Prednisolone
What is the immediate treatment for anaphylaxis?
- Adrenaline 500mcg IM
- Chlorphenamine 10mg IV
- Hydrocortisone 200mg IV
- IV fluids if hypotensive
Fill in the blank: The mnemonic for managing Diabetic Ketoacidosis (DKA) is _______.
FIG-PICK
What are the components of the ‘FIG-PICK’ mnemonic for DKA management?
- Fluids
- Insulin
- Glucose
- Potassium
- Infection
- Charting
- Ketones
What is the first-line treatment for hypertension?
Amlodipine 5-10mg OD or Ramipril 2.5-10mg OD
What should be done for stroke management within 4.5 hours of onset?
IV thrombolysis (alteplase)
What is the first-line treatment for Type 2 Diabetes?
Metformin 500mg OD
What medication should be switched to in pregnancy for anticoagulation?
LMWH (e.g., enoxaparin 1mg/kg BD)
What is the first step in managing acute behavioural disturbance?
Verbal de-escalation
What non-pharmacological management should be considered for hypertension?
Reduce salt, increase exercise
What is an important tip for the PSA exam regarding drug doses?
Use the BNF to confirm drug doses, routes, and contraindications
True or False: It is important to consider non-drug interventions in chronic conditions.
True
What should be monitored in patients with DKA regarding potassium?
Monitor & replace potassium if <3.5mmol/L
What are the treatment options for COPD?
- SABA (salbutamol) PRN
- LABA + ICS if needed
What is the first-line treatment for heart failure?
ACEi (ramipril) + beta-blocker (bisoprolol)
What are the first-line treatments for hyperlipidaemia?
Atorvastatin 20-80mg OD
What should be done in the case of a haemorrhagic stroke regarding anticoagulants?
Stop anticoagulants and reverse warfarin with vitamin K + prothrombin complex concentrate
What is the recommended treatment for NSTEMI?
Fondaparinux (if no high bleeding risk) + cardiology referral
What is the recommended treatment for STEMI?
Primary PCI (within 120 mins) or thrombolysis if not available
