PSA Flashcards
which drugs must you stop before surgery
I LACK OP - Insulin; Lithium; anticoags/aspirin/antiplatelets; COCP/HRT; Ksparing diuetrics; Oral hypoglycs; Perindopril and othe ACEIs
stop COCP
4 weeks
stop Lithium
day before
drugs that get stopped on the day of surgery
K sparing and ACEIs
stop oral hypoglycaemics
sliding scale
enzyme inducer decrease warfarin effect
phenytoin carbamazepine barbituates rifampicin chronic alcohol sulphonnureas
ez inhibitors (increase warfarin effect)
allopurinol, amiodarone, omeprazone, disulfiram, erythromycin, valporate, isoniazid, ciprofloxacin, acute alochol, sulphonamides, fluconazole, macrolides
CI with QT interval
SSRIs, antipsych, quinine, marcolides, amiodarone
lower seizure threshold
SSRIs TCAs, antipsych, tramadol
CI to NSAIDs
No urine Systoic dysfunction Asthma |ndigestion (of any cause) Dyscrasia (clotting issues)
general rule for fluids
3L in 24 hours (3 for elderly) 1 salty 2 sweet - (0.9% saline and 2L of 5% dextrose). K is provided with KCL (1mmol/kg.day). 3l a day = 8hrly.
treatment for painful diabetic neuropathy
duloxetine
causes of hypoNa
diuretics, carbamazepine, antipsych
AKI issues
gentamicin, contrast, nsaids, aceis, vanc, tetracyclines
gallstones
fluclox, coamoxiclav, nitrofurantoin, steroids, sulphonylureas
monitoring drugs - digoxin
measure cr
monitoring drugs - ciclosporin
renal
monitoring drugs - tacrolimus
check trough level
monitoring drugs - gentamicin
high peak: decrease dose; high trough: increase interval e.g. by 12 hours to clear drug
monitoring drugs - olanzapine
fasting bg
monitoring drugs - phenytoin
ecg
missed POP
> 3hrs. Take missed and add 3d of contraception. (Desogestrel pill 12hrs)
risk to young women - metoclopramide
dyskinesia - unwanted movements. Acute dystonia. treat w procylidine
name a PPI that can increase Cdiff risk
omeprazole
