planning mx Flashcards
COCP CI
> 35yo and smokes more than 15 cigs a day
Migraine with aura
Breast Cancer
Uncontrolled HTN
Avoid in breastfeeding ABx
ciprofloxacin,
tetracycline,
chloramphenicol,
sulphonamides
Avoid in breastfeeding
psychiatric drugs
lithium, benzodiazepines
Avoid in breastfeeding
aspirin
carbimazole
methotrexate
sulfonylureas
cytotoxic drugs
amiodarone
Sulfonylureas (Glicazide) common SE
- Hypoglycaemic episodes
- weight Gain
Stop for surgery
Antiplatelets (aspirin), anticoagulants (heparin), and the contraceptive pill should be stopped without alternatives sought.
Stop in illness
Metformin
giflozins (SGLT2)
statins
worsen MG
abx
bblockers
local anaethetics
sedating drugs
worsen heart failure
NSAIDs
CCB
thiazolidinediones
cause oral candidiasis
Seroids
abx
immunosuppresants
oral candidiasis
nystatin drops
Metformin can cause
euglycaemic ketosis
Sertraline and ondestantron together risk of?
Seritonin syndrome
Ciprofloxacin and calf/foot pain
Tendonitis, achilies tendon rupture
When should you stop tamsulosin
before cataract surgery can cause floppy iris syndrome
Dpp4 inhibitor
examples
SE
gliptins
eg linagliptin
pancreatitis
Which diabetes drugs increase weight
pioglitozone
sulfonureas
Which oral hypoglycaemis reduce wt
eg
glp 1 agonists
‘tides’
eg semiglutide
Life threatening asthma attack
PEFR
O2 sats
pCO2
Examination
Cardiovasc
PEFR <33% best/predicted
02 <92%
pC02 normal
silent chest, cyanosis, feeble resp effort
Bradycardia, dysarthythmia, Hypotension
Exhaustion, confusion or coma
when to adjust enoxaparin dose
eGFR < 30mls/min
<50kg
