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PSA > PSA > Flashcards

PSA Flashcards

1
Q

Treatment summary for analgesia conversion

A

Palliative care

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2
Q

Treatment summary for meningitis

A

Medical emergencies in the community

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3
Q

Treatment summary for overdose management

A

Poisoning

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4
Q

Treatment summary for steroid conversions

A

Glucocorticoid therapy

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5
Q

How much steroid cream to apply and where?

A

Topical corticosteroids

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6
Q

Treatment summary for dealing with acute bleeding

A

Oral anticoagulants

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7
Q

Treatment summary for which medications to stop before surgery?

A

Surgery and long term medications

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8
Q

Treatment summary for HRT?

A

Sex hormones

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9
Q

Treatment summary for constipation?

A

Laxatives

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10
Q

Treatment summary for STIs?

A

Genital system infections

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11
Q

Treatment summary for prophylactic infections ?

A

Antibacterial, used for prophylaxis

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12
Q

Treatment summary for pneumonia

A

Respiratory system infections

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13
Q

Treatment summary for URTIs?

A

Oropharyngeal infections

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13
Q

What are the drug enzyme inducers?

A

C - Carbamazepine
R - Rifampicin
A - Alcohol excess (chronic)
P - Phenytoin

G - Griseofulvin
P - Phenobarbitone
S - Sulphonylureas

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13
Q

What are the drug enzyme inhibitors?

A

SICK FACES.com

S - Sodium Valproate
I - Isoniazid
C - Cimetidine
K - Ketoconazole
F - Fluconazole
A - Acute Alcohol
C - Chloramphenicol
E - Erythromycin
S - Sulphonamides

C - Ciprofloxacin
O - Omeprazole
M - Metronidazole

AND GRAPEFRUIT

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14
Q

Drugs to stop before surgery?

A

Insulin
Lithium (day before)
Anticoagulants (including aspirin)
COCP/HRT (4 weeks before)
Potassium sparing diuretics
Oral hypoglycaemic
Perindopril (ACE inhibitors)

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14
Q

Side effects of steroids

A

STERIOD

S - Stomach ulcer
T - Thin skin
E - Edema
R - Right and left heart failure
O - Osteoporosis
I - Infection
D - Dyscrasia (clotting abnormalities)

And HYPERGLYCAEMIA

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14
Q

Which drugs are given in mcg?

A

Levothyroxine
Digoxin
Naloxone
Tiotropium
Atropine
Folic Acid
Fludrocortisone
Everything inhaled
Tamsulosin

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14
Q

Why is Prednisolone given in the morning?

A

Insomnia

14
Q

What should be given for a patient who is on steroids of over 3 months ?

A

Alendronic Acid - 10mg DAILY or 70mg weekly

14
Q

What monitoring is required for Isotretinoin?

A

Liver and Lipids

15
Q

What should be prescribed with Methotrexate?

A

Folate

15
Q

What monitoring is required for lithium?

A

Thyroid function

15
Q

What are the contraindications for a beta blocker?

A

Asthma

Peripheral arterial disease

15
Q

What is phytomenadione?

A

Vitamin K

16
Q

What are the fluid calculations for children?

A

Resus for children is 20ml/kg in 15 min !

Maintenance for children
100ml for first 10 kg
50ml for next 10kg
20ml for every kg after

17
Q

What is the dose of calcium gluconate used for hyperkalaemia?

A

Calcium gluconate 10% 30ml over 10 mins

18
Q

What dose of Enoxaprin should be given for surgery?

A

Enoxaparin sodium 100mg/ml injection
OK in pregnancy

19
Q

What VTE prophlyaxis should be used for renal impaired patients?

A

Unfractionated heparin

20
Q

What drugs can cause confusion?

A

Prednisolone
Antipsychotics
Benzodiazepines
Strong painkillers

21
Q

What drugs can cause cholestasis?

A

COCP
Perindopril
Flucloxacillin

22
Q

What drugs should be stopped for conception in males and females?

A

Methotrexate, antiepileptics, and isotretinoin

23
Q

What is the treatment for life threatening heamorrhage?

A

Prothrombin complex + IV vitamin K 5mg (regardless of INR)

24
Q

What is the drug regimen for PE?

A

Rivaroxaban 15mg BD PO

25
Q

What antibiotic is used for HAPs?

A

Tazocin 4.5g 8hr IV

26
Q

Which analgesic should be used in renal impairment?

A

Oxycodone

27
Q

What are the steps of the analgesic pain ladder?

A

Paracetamol
Ibruprofen
Naproxen/diclofenac
Codeine/co-codamol
Tramadol
Morphine/Fentanyl

28
Q

Which antiemetic should be used for what?

A

Post surgery - Ondansetron
Parkinson’s - Domperidone
Hyperemesis - Promethazine

29
Q

What should be done for contraception is someone on the COCP is started on an enzyme inducer?

A

Take additional protection for 4 weeks after

30
Q

What treatment summary should be used for illness with diabetes?

A

Diabetes, surgery, and medical illness

31
Q

What should be done for T2DM management before surgery?

A

Metformin - no change unless TDS then skip middle dose

Sulphonylureas - Skip morning dose

SGLT2 - Skip day of surgery

32
Q

What drugs cause constipation?

A

Opioids
Iron
CCBs
Bisphosphonates
Anticholinergics (oxybutynin)

33
Q

What drugs cause hyperkalaemia?

A

ACEi
NSAIDs
Beta blockers
Spironolactone

34
Q

What drugs cause hypokalaemia?

A

Diuretics
Laxatives
Antibiotics

35
Q

What drugs cause hypernatraemia?

A

Diuretics

36
Q

What drugs cause hyponatraemia?

A

Omeprazole
Citalopram
ACEi

37
Q

What fluid maintenance regimen for adults should be used?

A

The traditional regime = “1 salty + 2 sweet”:

Saline 0.9% + 20mmol potassium chloride (over 8 hours)

Dextrose 5% + 20mmol potassium chloride (over 8 hours)

Dextrose 5% + 20mmol potassium chloride (over 8 hours)

PSA (1 decks)

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