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PSA Flashcards

1
Q

when cant you give osmotic laxative eg lactulose or macrogol

A

patient is bloated or dehydrated

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2
Q

drugs taken with meals

A

insulin, creon

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3
Q

maintenance fluids without loss

A

meet electrolyte intake
1000ml 8-12hours

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4
Q

short acting insulin

A

insulin human (actrapid)

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5
Q

what worsens heart failure

A

NSAIDs
CCB
thiazolidinediones

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6
Q

adverse effect of quinolones eg ciprofloxacin

A

risk of tendon problems esp w steroids
QT prolonging
reduced seizure thresholds

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7
Q

adverse effect of CCB

A

ankle swelling

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8
Q

what worsens psoriasis

A

beta blockers
lithium

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9
Q

long acting insulin

A

insulin detemir BD (levemir)

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10
Q

HRT uterus intact LMP>12 months (oral and patch)

A

elleste duet conti - oral
evorel conti - patch

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11
Q

HRT post hysterectomy

A

elleste-solo

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12
Q

morphine oral/SC dose to PRN change

A

/6

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13
Q

insulin given in pregnancy if >7mmol

A

short acting insulin

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14
Q

What medications are taken SC

A

LMWH
insulin

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15
Q

change in SGLT2i before surgery

A

omit day before and on the day

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16
Q

reversal for LMWH

A

protamine sulphate

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17
Q

general approach for opioid constipation

A

osmotic laxative + stimulant laxative

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18
Q

diabetic drug to stop if gfr<30

A

metformin

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19
Q

Fluid for emergency resuscitation

A

sodium chloride 0.9& 500 ml 10mins

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20
Q

PAEDS emergency resuscitation

A

sodium chloride 0.9% 10ml/kg 10mins

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21
Q

maintenance fluid with loss

A

fix electrolyte imbalance
1000ml 4-6hours

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22
Q

drugs to stop before surgery

A

ACE
ARB
diuretics
HRT + COCP(4 weeks before)
anticoagulants + aspirin
lithium
NSAID

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23
Q

Medications usually in mcg

A

levothyroxine
tamsulosin
digoxin
naloxone
fludrocortisone
inhalers
GTN spray
ipatropium

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24
Q

Insulin control before surgery

A

long acting - reduce by 20% and continue
all others - stop

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25
Q

analgesia for neuropathic pain/tension type headache

A

amitriptyline -TCA

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26
Q

diabetic drug that causes hypoglycaemia

A

sulfonylurea

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27
Q

reversal for DOACs

A

idarucizumab for dabigatran
andexanet alpha for others

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28
Q

POP name

A

cerazette

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29
Q

what worsens myasthenia gravis

A

antibiotics
beta blockers
local anaestehtic
sedatives

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30
Q

reversal for unfractionated heparin

A

protamine sulphate

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31
Q

post menopausal osteoporosis

A

alendronic acid

32
Q

PAEDS maintenance without loss

A

100ml/kg/24hrs for <10kg
50ml for 10-20
20ml >20

33
Q

meds taken in g

A

paracetamol
lithium
calcium carbonate
NAC

34
Q

drugs commonly taken at night

A

statins, night sedation

35
Q

drug used for NMS

A

bromocriptine or dantrolene

36
Q

change in sulfonylurea before surgery

A

omit on day

37
Q

what drugs are taken SL

38
Q

drugs that impair renal function

A

DAMN
diuretics
ACE/ARB
Metformin
NSAID

39
Q

prescribing error units

40
Q

drugs related to ototoxicity

A

gentamicin
bumetanide
furosemide
vancomycin

41
Q

diabetic drug with heart failure side effect

A

thiazolidinediones

42
Q

fluid for emergency hypokalaemia

A

sodium chloride 0.9%/potassium chloride 0.3% 1000ml 4hrs

43
Q

drugs to stop if trying to conceive

A

isotretinoin
methotrexate
warfarin

44
Q

daily requirements

A

25-30ml/kg/24 hrs water
1mmol/kg/24hrs Na + K
50-100g 24 hrs glucose

45
Q

emergency hypercalcaemia

A

sodium chloride 0.9% 1000ml 4hrs

46
Q

diabetic drug that causes pancreatitis

A

GLP 1 analogue
DDP inhibitor

47
Q

drugs taken weekly

A

bisphosphonates
methotrexate/folate
patches

48
Q

enzyme inducers (reduce conc of drug)

A

SCRAP GP
sulfonylurea
carbamazepine
rifampicin
alcohol
phenytoin
griseofulvin
phenobarbitone

49
Q

drugs commonly taken in the morning

A

diuretics, steroids

50
Q

enzyme inhibitors (increase conc of drug)

A

SICK FACES
sodium valp
isoniazid
cimetidine
ketoconazole
fluconazole
alcohol
chloramphenicol
eryhtromycin
sulfonamides

51
Q

vasomotor symptoms for someone who cant take HRT

A

clonidine or SSRI

52
Q

Blood glucose >15 insulin management

A

novorapid (rapid acting insulin)

53
Q

fluid for emergency hypoglycaemia

A

glucose 20% 100ml 15m

54
Q

What medications are taken PR

A

laxatives
diazepam
diclofenac

55
Q

what worsens parkinsons

A

antipsychotics
antiemetics (metoclopramide)
antidepressants

56
Q

intermediate acting insulin

A

isoform insulin (humulin I)

57
Q

HRT uterus intact LMP<12 months (oral and patch)

A

elleste duet 1mg or 2mg - oral
evorel sequi - patch

58
Q

Which diabetic classes increase weight

A

thiazolidinedione
sulfonylurea

59
Q

reversal for warfarin

A

vitamin K, PCC

60
Q

meds taken in mg (low 100s to 1g)

A

some antibiotics
metformin
some antiepileptics

61
Q

menopausal atrophic vaginitis

A

topical vaginal oestrogen (pessary or ring)

62
Q

post operative pain ladder

A

reg paracetamol
reg codeine
reg/PRN morphine sulfate MR
reg/PRN morphine sulfate immediate release

63
Q

drugs to stop when youre ill

A

metformin
statins
SGLT2i

64
Q

what is vitamin K name

A

phytomenadione

65
Q

when cant you give bulk form laxative eg ispaghula husk

A

inadequate fibre intake
patient is bloated
takes 72 hours to work

66
Q

When cant you give stimulant laxatives eg senna

A

bowel obstruction

67
Q

change in metformin before surgery

A

BD - continue
TDS - omit lunchtime dose

68
Q

drugs to stop before surgery

A

DOACS -48hrs
clopidogrel - 7 days
warfarin (bridging plan)

69
Q

COCP name

A

microgynon

70
Q

treatment for tonsillitis

A

phenoxymethylpenicillin

71
Q

fluid to give in surgery with diabetic person with variable rate insulin infusion running alongside

A

sodium chloride 0.45%/glucose 5%/potassium chloride 0.15% over 12hrs

72
Q

How do you work out dehydration volume in a kid

A

% dehydration * weight in kg * 10

73
Q

fluid for HHS

A

1000L over 1hr

74
Q

emergency hypocalcaemia

A

calcium gluconate 10% 20ml 10mins

75
Q

emergency hyperkalaemia

A

calcium gluconate 10% 30ml 10mins

Year 6 (25 decks)

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