Planning Mx

Question 1

Drug options for VTE prophylaxis?

Answer 1

Dalteparin
Enoxaparin
Fondaparinux
Dabigatran
Rivaroxaban
Apixaban

Unfractionated heparin (UFH) for patients with renal failure

Question 2

Contraindications to TED stockings?

Answer 2

Acute stroke
Peripheral arterial disease
Peripheral neuropathy
Severe leg oedema
Local conditions (dermatitis, gangrene)

Question 3

Which option is best for VTE thromboprophylaxis in patients with renal failure?

Answer 3

Unfractionated heparin

Question 4

What should happen to the dose of LMWH (dalteparin) after orthopaedic surgery?

Answer 4

Higher dose in BNF used
(due to higher risk)

Question 5

At what eGFR is metformin stopped?

Answer 5

eGFR <30

Question 6

Mx of drug-induced Parkinsonism?

Answer 6

Procyclidine

Question 7

Mx of opioid overdose?

Answer 7

IM naloxone 400mcg every 2-3m

Question 8

Px of opioid overdose?

Answer 8

Pinpoint pupils
CNS and respiratory depression
Coma

Mx = IM naloxone 400mcg every 2-3m

Question 9

Mx aspirin overdose?

Answer 9

IV sodium bicarbonate

• Can have mixed respiratory alkalosis and metabolic acidosis
• Hyperventilation, tinnitus and deafness

Question 10

Mx of opioid overdose?

Answer 10

IM naloxone with close monitoring and repeat injections if required

Px = pinpoint pupils, coma, respiratory depression