prepare for the PSA mock Flashcards
12 year old boy presents to GP, he begins to have a seizure lasting more than 5 minutes. what is the most appropriate course of action
BNFC –> medical emergencies in community
Either rectal diazepam or buccal midazolam
urge incontinence management
- bladder retraining for 6 weeks
- anti-cholingeric (oxybutinin, tolterodine tartrate, darifenacin) or mirabegron is contraindicated
stress incontinence mx
- pelvic floor muscle training for 3 months
- surgery
drugs which increase risk of fractures
PPIs
Steroids
GnRh agonists (buserelin, goserelin)
drugs which increase risk of falls
- benzodiazepines
- antidepressants)
- monoamine oxidase inhibitors
- most antipsychotics
- opiates
- most anti-hypertensives
Hypoglycaemia: most appropriate management
Glucose 20% 100mls over 15 minutes IV
Hypokalaemia management
0.3% potassium chloride 1000mls over 4 hours
Sando K
Hyperkalaemia management
calcium gluconate 10% 30mls over 10 minutes
short term: insulin and glucose, salbutamol
long term: calcium polystyrene sulfonate, loop diuretics, dialysis
criteria to dertermine is liver transplant is needed after paracetamol overdose
KINGS COLLEGE
arterial pH <7.3 after 24 hours of treatment
or all of:
- INR >6.5
- CREATINE AND GRADE 3/4 encephalopathy
what monitoring is required with a long acting insulin
monitor pre-breakfast capillary glucose
Sx of lithium toxicity
muscle weakness → dizziness → ataxia →
course tremor → seizures → disorientation → coma → death
Routine serum-lithium monitoring should be performed
performed weekly
after initiation and after each dose change until concentrations
are stable, then every 3 months for the first year and every 6
months thereafter
monitoring for lithium
FBC, U&Es, TFTs, BMI and maybe ECG every 6 months
