PSA 2 Flashcards
4 key fluid types
nacl 0.9%
kcl 0.3%
kcl 0.15%
glucose 5%
how much sodium in 0.9% nacl
150 mmol
how much potassium in 1000ml kcl 0.3%
40 mmol
how much potassium in 1000ml kcl 0.15%
20 mmol
how much glucose in 1000ml 5% dextrose
50 g
daily water requirement
25-30 ml/kg
daily na and k requirement
1mmol/kg
daily glucose requirement
50-100g
fastest rate of k+ replacement
10mmol/h
0.3% bag= minimum 4 hrs
0.15% bag= minimum 2 hrs
emergency fluid resus
0.9% nacl 500 ml over 10 mins
emergency hypoglycaemia fluids
20% glucose 100ml over 15 mins
emergency hypokalaemia fluids
nacl 0.9%/ kcl 0.3% 1000ml over 4 hrs
emergency hypercalcaemia fluids
0.9% nacl 1000ml over 4 hrs
maintenance fluids without deficits or losses 1000ml over how long
8-12 hrs
maintenance fluids with deficits and losses
water should be upper limit so 30ml/kg/day
rate is 1000ml over 4-6 hrs
emergency fluid resus for children
nacl 0.9% 10ml/kg over 10 mins
in maintenance fluids what 4 requirements do you need to consider
water
sodium
potassium
glucose
what does acidosis with raised ketones but normal glucose suggest
flozin use
what is used for looking up prescriptions for children
BNFc
name of triple inhaler for COPD
trim bow
what test is used instead of hba1c when a patient has a high RBC turnover
fructosamine
what is given for prophylactic anticoagulation if someone has renal impairment
unfractionated heparin
what is monitored on LMWH
anti factor Xa activity
reversal of LMWH
protamine sulfate
what is monitored on unfractionated heparin
aPTT
reversal for unfractionated heparin
protamine sulfate
reversal of DOACs
adenaxat alpha
idarucuximab if on dabigatran
what to look up on BNF for warfarin reversal etc rules
oral anticoagulants
most common cause of hyperaldosteronism
bilateral idiopathic arenal hyperplasia
conns syndrome no 2
what combination HRT is given
estradiol with norethistrone 1 mg
tablet= estelle duet 1 or 2mg when perimenopausal
estelle duet conti
what emergency contraception is given depending on timing of UPSI
levonestregel if <72h
ullipristal acetate <120h
if blood glucose is over 15 what’s given
novorapid 4 units
long acting insulin example
Levemir
if someone has diabetes and is having surgery what is done to their metformin
if tds omit lunchtime dose on the day
if someone has diabetes and is having surgery what is done to their ddp4
continue
if someone has diabetes and is having surgery what is done to their thiazolidinedione
continue
if someone has diabetes and is having surgery what is done to their sulfonylurea
omit it on the day
if someone has diabetes and is having surgery what is done to their sglt-2
omit it the day before and on the day
if someone has diabetes and is having surgery what is done to their insulin
reduce long acting by 20%
stop all other insulins
gestational diabetes diagnosis
5678
fasting >5.6
OGTT >7.8
what analgesia is given for low back pain and sciatica
NSAID
when is morphine used as analgesia
for moderate to severe pain
step 3 on pain ladder
what antiemetic is best for vertigo
cyclizine
what antiemetic is best post op
ondansetron
what antiemetics are used palliatively
cyclizine
haloperidol
levopromazine
what antiemetic is given for chemo induced nausea
acutely ondansetron
delayed metaclopramidw
what antiemetic is used in parkinsons
domperidone
what antiemetic is used in hyperemesis gravidarum
promethazine
