PSA Drug side effects and contraindications

Question 1

What are the side effects of steroids

Answer 1

S - Stomach ulcers 
T - Thin Skin 
E - Oedema 
R - Right and Left sided heart failure 
O - Osteoporosis 
I - Infections 
D - DM 
S - Syndrome (Cushings)

Question 2

What are the contraindications to giving NSAIDS

Answer 2

N - No Urine
S - Systolic dysfunction (HF) 
A - Asthma / Allergy 
I - Indigestion 
D - Clotting Problem

Question 3

Name the drug inducers

Answer 3

P - Phenytoin 
C - Carbomazipine 
B - Barbituates 
R - Rifampicin 
A - Alcohol 
S - Sulphonamides

Question 4

Name the drug inhibitors

Answer 4

A - Allopurinol 
O - Omeprozol 
D -Disfulfrum 
E - Erythromycin 
V - Valporate 
I - Isoniazid 
C - Ciprofloxacin 
E - Ethanol 
S - Sulphonamides

Question 5

What drugs do you need to stop pre op

Answer 5

I - Insulin
L - Lithium 
A - Anticoagulants 
C - COCP and HRT 
K - K - sparing diuretics 
O - Oral Hypoglycemic drugs 
P - Periondipril

Question 6

should you stop metformin in a patient Pre op

Answer 6

yes if they are nil by mouth to prevent lactic acidosis

Question 7

what should be done post op with regards to insulin

Answer 7

start a sliding scale + glucose

Question 8

What are some of the side effects of ACEi

Answer 8

1. Dry Cough
2. AKI
3. Hyperkalemia
4. Low BP
5. Hyponatremia

Question 9

What are some of the side effects of calcium Chanel blockers

Answer 9

1. Peripheral oedema
2. Worsen heart failure
3. Flushings

Question 10

What are some of the side effects of beta blockers

Answer 10

1. Wheeze in asthmatics
2. Worsen acute heart failure
3. Bradycardia
4. Low blood pressure

Question 11

What are some of the side effects of NSAIDS

Answer 11

1. AKI
2. bleed and Ulcers (GI)
3. Worsen Heart failure

Question 12

What are some of the side affects of steroids (not STEROID acronym)

Answer 12

1. Risk of adrenal suppression
2. Hypertension
3. cataracts
4. Growth suppression
5. lower WCC initially

Question 13

What should you do to your steroid dose if you are unwell

Answer 13

increase it

Question 14

What are some of the side effects of loop diruetics

Answer 14

Gout, Hyponatremia, hypokalaemia

Question 15

what conditions are look diuretics used for

Answer 15

Pulmonary oedema and LVF

Question 16

what conditions are thiazide diuretics used for

Answer 16

HTN and chronic heart failure

Question 17

What conditions are potassium sparing diuretics used for

Answer 17

Low potassium levels

Question 18

What are some of the side effects of thiazide diuretics

Answer 18

low sodium and low potassium

Question 19

what are some of the side effects of K sparing diuretics

Answer 19

hyperkalemia and gynocamastia?

Question 20

in general what side effects do diuretics have

Answer 20

1. Risk of AKI

2. Delirium in elderly

Question 21

which antiemetic should you never give in heart failure

Answer 21

clozapine

Question 22

what 2 medications should you never give in parkinsons

Answer 22

halloperidol and metoclopermide

Question 23

what are some of the side effects of digoxin

Answer 23

1. Nausea and vomiting and diahorrea
2. confusion and drowsiness
3. kidney damage as is really excreted

Question 24

What are some of the side effects of amiodarone

Answer 24

1. Thyroid disease
2. Interstitial lung sidsease
3. grey skin
4. Corneal deposits

Question 25

is metformin ok or not ok to give in renal failure and why

Answer 25

no because it causes lactic acidosis

Question 26

what are some of the risk factors of statins

Answer 26

1. increased risk of myopathy 2. Increased risk of rhabdomylisis these can then cause renal failure

Question 27

what is the side effect of naproxin

Answer 27

angioedema (done give in CVD)

Question 28

what are the side effects of ciclosporin

Answer 28

1. High potassium | 2. lower renal function