PSA 2 Flashcards

1
Q

4 key fluid types

A

nacl 0.9%
kcl 0.3%
kcl 0.15%
glucose 5%

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2
Q

how much sodium in 0.9% nacl

A

150 mmol

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3
Q

how much potassium in 1000ml kcl 0.3%

A

40 mmol

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4
Q

how much potassium in 1000ml kcl 0.15%

A

20 mmol

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5
Q

how much glucose in 1000ml 5% dextrose

A

50 g

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6
Q

daily water requirement

A

25-30 ml/kg

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7
Q

daily na and k requirement

A

1mmol/kg

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8
Q

daily glucose requirement

A

50-100g

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9
Q

fastest rate of k+ replacement

A

10mmol/h

0.3% bag= minimum 4 hrs
0.15% bag= minimum 2 hrs

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10
Q

emergency fluid resus

A

0.9% nacl 500 ml over 10 mins

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11
Q

emergency hypoglycaemia fluids

A

20% glucose 100ml over 15 mins

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12
Q

emergency hypokalaemia fluids

A

nacl 0.9%/ kcl 0.3% 1000ml over 4 hrs

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13
Q

emergency hypercalcaemia fluids

A

0.9% nacl 1000ml over 4 hrs

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14
Q

maintenance fluids without deficits or losses 1000ml over how long

A

8-12 hrs

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15
Q

maintenance fluids with deficits and losses

A

water should be upper limit so 30ml/kg/day

rate is 1000ml over 4-6 hrs

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16
Q

emergency fluid resus for children

A

nacl 0.9% 10ml/kg over 10 mins

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17
Q

in maintenance fluids what 4 requirements do you need to consider

A

water
sodium
potassium
glucose

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18
Q

what does acidosis with raised ketones but normal glucose suggest

A

flozin use

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19
Q

what is used for looking up prescriptions for children

A

BNFc

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20
Q

name of triple inhaler for COPD

21
Q

what test is used instead of hba1c when a patient has a high RBC turnover

A

fructosamine

22
Q

what is given for prophylactic anticoagulation if someone has renal impairment

A

unfractionated heparin

23
Q

what is monitored on LMWH

A

anti factor Xa activity

24
Q

reversal of LMWH

A

protamine sulfate

25
what is monitored on unfractionated heparin
aPTT
26
reversal for unfractionated heparin
protamine sulfate
27
reversal of DOACs
adenaxat alpha idarucuximab if on dabigatran
28
what to look up on BNF for warfarin reversal etc rules
oral anticoagulants
29
most common cause of hyperaldosteronism
bilateral idiopathic arenal hyperplasia conns syndrome no 2
30
what combination HRT is given
estradiol with norethistrone 1 mg tablet= estelle duet 1 or 2mg when perimenopausal estelle duet conti
31
what emergency contraception is given depending on timing of UPSI
levonestregel if <72h ullipristal acetate <120h
32
if blood glucose is over 15 what's given
novorapid 4 units
33
long acting insulin example
Levemir
34
if someone has diabetes and is having surgery what is done to their metformin
if tds omit lunchtime dose on the day
35
if someone has diabetes and is having surgery what is done to their ddp4
continue
36
if someone has diabetes and is having surgery what is done to their thiazolidinedione
continue
37
if someone has diabetes and is having surgery what is done to their sulfonylurea
omit it on the day
38
if someone has diabetes and is having surgery what is done to their sglt-2
omit it the day before and on the day
39
if someone has diabetes and is having surgery what is done to their insulin
reduce long acting by 20% stop all other insulins
40
gestational diabetes diagnosis
5678 fasting >5.6 OGTT >7.8
41
what analgesia is given for low back pain and sciatica
NSAID
42
when is morphine used as analgesia
for moderate to severe pain step 3 on pain ladder
43
what antiemetic is best for vertigo
cyclizine
44
what antiemetic is best post op
ondansetron
45
what antiemetics are used palliatively
cyclizine haloperidol levopromazine
46
what antiemetic is given for chemo induced nausea
acutely ondansetron delayed metaclopramidw
47
what antiemetic is used in parkinsons
domperidone
48
what antiemetic is used in hyperemesis gravidarum
promethazine
49