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PSA > PSA 2 > Flashcards

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

A

trim bow

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
Q

what is monitored on unfractionated heparin

A

aPTT

26
Q

reversal for unfractionated heparin

A

protamine sulfate

27
Q

reversal of DOACs

A

adenaxat alpha
idarucuximab if on dabigatran

28
Q

what to look up on BNF for warfarin reversal etc rules

A

oral anticoagulants

29
Q

most common cause of hyperaldosteronism

A

bilateral idiopathic arenal hyperplasia

conns syndrome no 2

30
Q

what combination HRT is given

A

estradiol with norethistrone 1 mg

tablet= estelle duet 1 or 2mg when perimenopausal

estelle duet conti

31
Q

what emergency contraception is given depending on timing of UPSI

A

levonestregel if <72h
ullipristal acetate <120h

32
Q

if blood glucose is over 15 what’s given

A

novorapid 4 units

33
Q

long acting insulin example

A

Levemir

34
Q

if someone has diabetes and is having surgery what is done to their metformin

A

if tds omit lunchtime dose on the day

35
Q

if someone has diabetes and is having surgery what is done to their ddp4

A

continue

36
Q

if someone has diabetes and is having surgery what is done to their thiazolidinedione

A

continue

37
Q

if someone has diabetes and is having surgery what is done to their sulfonylurea

A

omit it on the day

38
Q

if someone has diabetes and is having surgery what is done to their sglt-2

A

omit it the day before and on the day

39
Q

if someone has diabetes and is having surgery what is done to their insulin

A

reduce long acting by 20%
stop all other insulins

40
Q

gestational diabetes diagnosis

A

5678
fasting >5.6
OGTT >7.8

41
Q

what analgesia is given for low back pain and sciatica

A

NSAID

42
Q

when is morphine used as analgesia

A

for moderate to severe pain
step 3 on pain ladder

43
Q

what antiemetic is best for vertigo

A

cyclizine

44
Q

what antiemetic is best post op

A

ondansetron

45
Q

what antiemetics are used palliatively

A

cyclizine
haloperidol
levopromazine

46
Q

what antiemetic is given for chemo induced nausea

A

acutely ondansetron
delayed metaclopramidw

47
Q

what antiemetic is used in parkinsons

A

domperidone

48
Q

what antiemetic is used in hyperemesis gravidarum

A

promethazine

49
Q
A

PSA (7 decks)

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