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PSA > PSA > Flashcards

PSA Flashcards

1
Q

which drugs must you stop before surgery

A

I LACK OP - Insulin; Lithium; anticoags/aspirin/antiplatelets; COCP/HRT; Ksparing diuetrics; Oral hypoglycs; Perindopril and othe ACEIs

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2
Q

stop COCP

A

4 weeks

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3
Q

stop Lithium

A

day before

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4
Q

drugs that get stopped on the day of surgery

A

K sparing and ACEIs

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5
Q

stop oral hypoglycaemics

A

sliding scale

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6
Q

enzyme inducer decrease warfarin effect

A 
phenytoin
carbamazepine
barbituates
rifampicin
chronic alcohol
sulphonnureas
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7
Q

ez inhibitors (increase warfarin effect)

A

allopurinol, amiodarone, omeprazone, disulfiram, erythromycin, valporate, isoniazid, ciprofloxacin, acute alochol, sulphonamides, fluconazole, macrolides

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8
Q

CI with QT interval

A

SSRIs, antipsych, quinine, marcolides, amiodarone

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9
Q

lower seizure threshold

A

SSRIs TCAs, antipsych, tramadol

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10
Q

CI to NSAIDs

A 
No urine
Systoic dysfunction
Asthma
|ndigestion (of any cause)
Dyscrasia (clotting issues)
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11
Q

general rule for fluids

A

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.

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12
Q

treatment for painful diabetic neuropathy

A

duloxetine

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13
Q

causes of hypoNa

A

diuretics, carbamazepine, antipsych

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14
Q

AKI issues

A

gentamicin, contrast, nsaids, aceis, vanc, tetracyclines

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15
Q

gallstones

A

fluclox, coamoxiclav, nitrofurantoin, steroids, sulphonylureas

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16
Q

monitoring drugs - digoxin

A

measure cr

17
Q

monitoring drugs - ciclosporin

A

renal

18
Q

monitoring drugs - tacrolimus

A

check trough level

19
Q

monitoring drugs - gentamicin

A

high peak: decrease dose; high trough: increase interval e.g. by 12 hours to clear drug

20
Q

monitoring drugs - olanzapine

A

fasting bg

21
Q

monitoring drugs - phenytoin

A

ecg

22
Q

missed POP

A

> 3hrs. Take missed and add 3d of contraception. (Desogestrel pill 12hrs)

23
Q

risk to young women - metoclopramide

A

dyskinesia - unwanted movements. Acute dystonia. treat w procylidine

24
Q

name a PPI that can increase Cdiff risk

A

omeprazole

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