PSA stuff Flashcards
1
Q
What are the long term Monitoring Req for Lithium, and how often? (2 things)
A
- UnE
- TFT
(every 6 months)
2
Q
What are the long term Monitoring Req for Lithium, and how often? (2 things)
A
- UnE
- TFT
(every 6 months)
3
Q
What is the Option for Emergency Contraception?
A
Levonorgestrel 1.5mg PO STAT
(must take within 72 hours)
4
Q
What is the Option for Emergency Contraception?
A
Levonorgestrel 1.5mg PO STAT
(must take within 72 hours)
5
Q
What is the main side fx of Prolonged Corticosteroid (prednisolone) use?
A
Insomnia
6
Q
What are the side fx of ACEi? (2 things)
A
- Cough
- High K
7
Q
What are the side fx of Amlodipine?
A
Pedal oedema
8
Q
What are the side fx of Carbamazepine?
A
Hyponatraemia
9
Q
What are the side fx of Gliclazides? (2 things)
A
- Hypoglycaemia
- Weight gain
10
Q
What are the side fx of Statins?
A
Myalgia
11
Q
What are the SEVERE side fx of Amiodarone? (2 things)
A
- Pulm fibrosis
- Thyroid dysf
12
Q
What are the SEVERE side fx of Clozapine?
A
Agrunolcytosis
13
Q
What are the SEVERE side fx of Methotrexate? (2 things)
A
- Myelosuppression
- Pulm fibrosis
14
Q
What are the SEVERE side fx of Metformin?
A
Lactic acidosis
15
Q
What are the SEVERE side fx of Sodium valproate?
A
Teratogenic (10% neural tube defects)
16
Q
What are the SEVERE side fx of Statins?
A
Rhabdomyolosis
17
Q
What are the Pre-Op Med changes for ACEi/ARBs?
A
Withhold on day of surgery
18
Q
What are the Pre-Op Med changes for Bisphosphonates?
A
Withhold on day of surgery
19
Q
What are the Pre-Op Med changes for Metformin?
A
Withhold:
1. Night b4
1. Day of Surgery
20
Q
What are the Pre-Op Med changes for all other Hypoglycaemics (apart from Metformin)?
A
Withhold day of surgery only
21
Q
What are the Pre-Op Med changes for Antihistamines?
A
Withhold 24 hours prior to surgery
22
Q
What are the Pre-Op Med changes for Antihistamines?
A
Withhold 24 hours prior to surgery
23
Q
What are the Pre-Op Med changes for Lithium?
A
Withhold:
* 24 hours prior if minor surgery
* 48 hours prior if major surgery
24
Q
What are the Pre-Op Med changes for MTX?
A
Withhold 48 hours prior to surgery
25
What are the Pre-Op Med changes for NSAIDs?
Withhold 72 hours prior to surgery
26
What are the Pre-Op Med changes for Warfarin?
Withhold 4-5 days before (depends on surgery)
27
What are the Pre-Op Med changes for Aspirin?
Often continue, but if needs to be stopped: 7 days prior
28
What are the Pre-Op Med changes for COCP?
Withhold 4 weeks prior (if elective)
29
What is the pneumonic to remember which Meds need changes Pre-OP?
I LACK OP
30
What are the Meds in I LACK OP?
* I- Insulin
* L – Lithium
* A – Anticoagulants, antiplatelets
* C – COCP
* K – K-sparing diuretics
* O – Oral hypoglycaemics
* P = Perindopril and other ACEi
31
What are the Enzyme Inducers? (6 things)
PC BRAS
* Phenytoin
* Carbamazepine
* Barbiturates
* Rifampicin
* Alcohol (chronic)
* Sulphonylureas / St johns wort
32
What are the Enzyme Inhibitors? (9 things)
AO DEVICES
* Allopurinol
* Omeprazole
* Disulfiram
* Erythromycin
* Valproate
* Isoniazid
* Ciprofloxacin
* Ethanol (acute)
* Sulphonamides / SSRIs
33
What Meds are CI in HF? (5 things)
1. Pioglitazone (causes fluid ret)
1. NSAIDs (causes fluid ret)
1. Glucocorticoids (causes fluid ret)
1. Verapamil (-ve inotropic fx)
1. Flecainide (-ve inotropic fx)
34
What Oxygen should you give a COPD pt w Inf Exacerbation, prior to ABG availability?
28% Venturi mask @ 4 L/min
35
Who is at risk of problems with NSAIDs?
Ppl w Nasal polyps
36
What do Enzyme INDUCERS do to the INR?
Decrease it
(they induce thickness)
37
What do Enzyme INHIBITORS do to the INR?
Increase it
(they INHIBIT blood from clotting)
38
What should you avoid when prescribing fluids for a Stroke pt?
5% glucose, bc risk of Cerebral oedema
39
What DM meds usually causes Hypos?
Gliclazide
40
How do you reduce the risk of Contrast induced Nephrotoxicity? (2 things)
1. Adequate hydration
2. IV 0.9% NaCl
41
What meds should you give for Meningitis STAT?
Cefotaxime 2g IV STAT
| abx
42
Where in the BNF can you find how meds preparations are made, aka if you need millilitres which is not in question?
BNF > Med Name > Medicinal forms > oral suspension / tablet etc
43
When should systemic corticosteroids be GRADUALLY withdrawn? (3 things)
Pt have received:
1. 40+ mg daily for 1+ week
2. More than 3 weeks tx
3. Repeated courses recently
44
What should you give someone with Angina? (4 things)
1. Aspirin 75mg
2. GTN
3. Statin (should be on it)
4. Beta blocker / Ca channel blocker
45
When should you give a Ca channel blocker instead of Beta blocker in Angina?
Asthmatics
| They are on Beta agonists (aka salbutamol) so don't clart it for dem
46
What medications in the UK are prescribed WEEKLY? (2 things)
1. MTX
2. Bisphosphonates
47
What meds should be taken at night? (2 things)
1. Statins
2. Amitriptyline
48
When should statins be taken?
At night
49
How do you write NIGHTLY in a prescription?
ON
| (once nightly)
50
Which meds DECREASE potassium? (5 things)
1. Thiazide diuretics
2. Loop diuretics
3. Acetazolamide
4. Salbutamol
5. Calcium resonium
51
Which meds INCREASE potassium? (7 things)
1. ACEi
2. ARBs
3. Spironolactone
4. Tacrolimus
5. Dalteparin
6. Potassium sparing duiretics (amiloride / triamterene)
7. Potassium supplements (Sando-K / Slow-K)
52
Which meds are used to treat Hyperkalaemia? (2 things)
1. Salbutamol
2. Calcium resonium
53
What antihistamine is used in Anaphylaxis?
Chlorphenamine
54
What is the difference between Carbimazole & Carbmazepine?
Carbimazole: Anti-thyroid
Carbmazepine: Anti-epileptic
| Thyroids ya zol
55
What is the difference between Carbimazole & Carbmazepine?
* Carbimazole: Anti-thyroid
* Carbmazepine: Anti-epileptic
| Thyroids ya zol
56
What is the difference between Chlorphenamine & Chlorpromazine?
* Chlorphenamine: antihistamine
* Chlorpromazine: antipsychotic
| Zeen is craZy meds
57
What is the Min n Max dose of Codeine?
* Min: 30mg QDS
* Max: 60mg QDS
58
What is the ratio between Morphine vs Codeine strength?
10:1
| (so 10mg Morphine = 100mg Codeine)
59
What is the PRN dose for Morphine when you know the daily dose?
1/6 of total daily dose
60
What is the frequency of MODIFIED RELEASE Morphine?
12 hourly
61
What is the concentration of Morphine in liquid (oromorph)?
10mg in 5ml
62
What is the Max dose for Morphine?
No maximum dose
63
What is the ratio between PO and SC doses for Morphine?
2:1
| SC is stronger, so if going from PO to SC, half da dose
64
What is the ratio between PO and SC doses for Morphine?
2:1
| SC is stronger, so if going from PO to SC, half da dose
65
What meds combo is a pt unlikely to be taking?
2 of the same meds (aka 2 loop diuretics)
66
RESP: What is the FIRST line meds for Chronic bronchitis exacerbation?
Amoxicillin
67
RESP: What is the FIRST line meds for Uncomplicated CA Pneumonia?
Amoxicillin
68
When someone is Penicillin allergic, what should you give instead of Amoxicillin / Flucloxacillin? (3 things)
1. Doxycycline
2. Clarithryomycin
3. Erythromycin
69
RESP: What is the FIRST line meds for Atypical Pneumonia?
Clarithromycin
70
RESP: What is the FIRST line meds for HA Pneumonia?
1. Co-amoxiclav (within 5 days admission)
2. Piperacilllin (5+ days since admission)
71
URIN: What is the FIRST line meds for Lower UTI?
Trimethoprim / Nitrofurantoin
72
URIN: What is the FIRST line meds for Acute pyelonephritis?
Broad spec Cephalosporin
73
URIN: What is the FIRST line meds for Acute Prostatitis?
Quinolone
74
SKIN: What is the FIRST line meds for Impetigo?
Topical hydrogen peroxide
75
SKIN: What is the FIRST line meds for Cellulitis?
Flucloxacillin
76
SKIN: What is the FIRST line meds for Cellulitis near eyes / nose?
Co-amoxiclav
77
SKIN: What is the FIRST line meds for Animal / human bite?
Co-amoxiclav
78
SKIN: What is the FIRST line meds for Mastitis @ breast feeding?
Flucloxacillin
79
ENT: What is the FIRST line meds for Throat inf?
Phenoxymethylpenicillin
80
ENT: What is the FIRST line meds for Sinusitis?
Phenoxymethylpenicillin
81
ENT: What is the FIRST line meds for OM?
Amoxicillin
82
ENT: What is the FIRST line meds for OE?
Flucloxacillin
83
ENT: What is the FIRST line meds for Peridontal abscess?
Amoxicillin
84
ENT: What is the FIRST line meds for Gingivitis?
Metronidazole
85
SX: What is the FIRST line meds for Gonorrhoea?
IM Ceftriaxone
86
SX: What is the FIRST line meds for Chlamydia?
Doxycycline
87
SX: What is the FIRST line meds for PID?
Ofloxacin + Metronidazole
88
SX: What is the FIRST line meds for Syphilis?
Doxycycline
89
SX: What is the FIRST line meds for Bac vaginosis?
Oral / topical metronidazole
90
SX: What is the FIRST line meds for Bac vaginosis?
Oral / topical metronidazole
91
GI: What is the FIRST line meds for C difficile?
1st ep: Oral vancomycin
2nd+ ep: Oral fidaxomicin
92
GI: What is the FIRST line meds for Campylobacter enteritis?
Clarithromycin
93
GI: What is the FIRST line meds for Salmonella?
Ciprofloxacin
94
GI: What is the FIRST line meds for Shigellosis?
Ciprofloxacin
95
What meds are CI in HF bc they will exacerbate it? (5 things)
1. Pioglitazone
2. Verapamil
3. NSAIDs
4. Glucocorticoids
5. Flecanide
96
What meds should you avoid in AKI (aka when you see high urea + creatinine)?
Ibuprofen (NSAIDs)
97
What electrolye imbalance will Digoxin toxicity cause?
Hypokalaemia (so do ECG)
98
What meds will WORSEN seizure control?
1. Alochol / cocaine
2. Ciprofloxacin / Levofloxacin
3. Aminophylline / theophylline
4. Mefenamic aic (NSAID)
99
When is ONLY time you should give Oxygen in a MI pt?
When sats under 94%
100
What should you consider giving alongside Morphine? (2 things)
1. Metoclopramide (bc opiod induced vomiting)
1. Laxative (bc constipation)
101
Why should you not give Ibuprofen to a pt already on Aspirin?
Bc Ibuprofen will
1. Cancel Anti-platelet fx
1. Increase GI bleed risk
102
What abx for UTI is safe @ breastfeeding?
Trimethoprim
103
Which out of Ibuprofen vs Aspirin is safe @ breatfeeding?
Ibuprofen
(aspirin has risk of Reyes syndrome)
104
What is a common side fx of long term steroid use?
Proximal myopathy
(shoulder n leg muscles feel weak)
105
If you want to find the Conversion rates for Opioids, what should you search on the BNF?
Prescribing in palliative care > Pain management with opioids > see the table
106
What meds should you avoid in Breastfeeding? (7 things)
1. Abx: Cipro, TTC, Chloramphenicol, Sulphonamides
2. Aspirin
3. Amiodarone
4. Carbimazole
5. MTX
6. Psych: Lithium, Benzos
7. Sulfonylureas
107
What meds should you avoid in Pregnancy? (6 things)
1. Abx: TTC, Aminoglycosides, Sulphonamides, Trimethoprim, Quinolones
2. ACEi / ARBs
3. Retinoids (including topical)
4. Statins
5. Sulfonylureas
6. Warfarin
108
How many millimoles of sodium is in a one litre bag of 0.9% normal saline?
154
109
How many millimoles of sodium is in a one litre bag of 0.9% normal saline?
154
110
How should you monitor Digoxin when you give it for AF? (2 things)
1. Serum digoxin at least 6 hs after last dose
2. Ventricular rate (to see if working)
111
What is an example of RAPID acting insulin? (2 things)
1. Insulin aspart (novorapid)
2. Insulin lispro
112
What is an example of SHORT acting insulin?
Actrapid
113
What is an example of INTERMEDIATE acting insulin?
Isophane insulin
| i for i
114
What is an example of LONG acting insulin? (2 things)
1. Insulin detemir
2. Insulin glargine
115
What Monitoring should you do for all Antipsychotic meds?
1. FBC, UnE, LFT
2. Lipids
3. Weight
4. FBG
5. Prolactin
6. BP
7. ECG
8. CVS risk assessment
116
What is the FIRST line tx for HF? (2 things)
ACEi + Beta blocker
117
What meds should you avoid in pt w IHD?
HRT
118
What meds should be used w CAUTION in ASTHMA? (3 things)
1. Adenosine
2. Beta blockers
3. NSAIDs
119
What meds reduce Hypoglycaemic awareness?
Beta blockers
120
What DM meds cause SIADH (aka hyponatraemia)?
Sulfonylureas (Glimepiride)
121
When should you not give NSAIDs (aka ibuprofen)? (2 things)
1. Asthma
2. HF (cause fluid retention)
122
Which pts need O2 therapy even if sats 99? (2 things)
Critically ill aka:
1. Anaphylaxis
2. Shock
123
What is the O2 therapy you give to Critically ill niggas?
Reservoir mask @ 15 L/min
124
What should you change if TROUGH (pre-dose) level is too high for Gentamicin?
Increase interval between doses (aka TDS > BD)
125
What should you change if PEAK (post-dose) level is too high for Gentamicin?
Decrease the dose
126
What Abx will INCREASE Warfarin fx, aka increase INR?
Metronidazole
127
What Abx will DECREASE Warfarin fx, aka decrease INR?
Rifampicin
128
When your stuck between picking betwen 2 Interactions in a question, what should you pick?
One BNF says source is: "study" not "theoretical" coz das jus "trust me bro"
| Or one with most lines in description lol
129
What Meds can make Psoriasis worse? (8 things)
1. Alcohol
2. Beta blockers
3. Lithium
4. Antimalarials
5. Infliximab
5. NSAIDs
6. ACEi
7. Withdrawing systemic steroids
(ABLAINAW)
130
What should you check b4 prescribing COCP? (2 things)
1. BP
2. Smoking status
131
What should you do w a patient on Long term steroids admitted w a Illness (e.g pneumonia)?
Double steroid doses
132
What happens if you give Trimethoprim n MTX together?
Agranulocytosis (aka severe neutropenia)
| (bc both folate antagonists)
133
What fluids should you give a pt bleeding out n very low BP to resus dem?
IV 500ml 0.9% NaCl over 15 mins
134
After IV fluids, what do you give a DKA pt?
50 Units Human Soluble Insulin, in 50ml 0.9% NaCl IV, @ 0.1 ml/kg/hr
135
What are the CI for taking COCP? (8 things)
1. Age 35+ n smoking 15+ / day
2. BMI 35+
3. Vasc disease
4. AF
5. Hx / FHx of VTE
6. Hx of IHD / stroke
7. Major surgery w long immobilisation
8. Migraine w aura
136
What meds is most likely going to cause Erythema Multiforme (skin reaction)?
Penicillin
137
What are the Monitoring Req for Azathioprine?
3 monthly: FBC / LFT / UnE
138
What age can babies start taking Paracetamol / Ibuprofen?
3 months
139
What are the Monitoring Req for Ciclosporin BEFORE starting? (4 things)
1. BP
2. Lipids
3. UnE
4. LFT
140
What are the Monitoring Req for Ciclosporin after starting? (3 things)
1. UnE every 2 weeks for first 3 months, then monthly
2. Lipids after 1st month
3. LFT + Mg (no timeframe)
141
What should you Monitor in pt on COCP and how often?
BP every year
142
What should you give a Palliative pt for their Agitation?
Midazolam 10mg SC
143
Are inhaled corticosteroids (e.g budesonide) safe to use in pregnancy?
Yes
144
What is a side fx of CCB e.g Amlodipine?
Peripheral oedema
145
What painkillers are CI in breastfeeding?
Codeine aka co-codamol
146
What is the best Beta blocker for Tx of Portal HTN?
Propranolol
P w P
147
What is the best Beta blocker for Tx of Angina / Arrhythmia?
Atenolol
A w A
148
What is the best Beta blocker for Tx of Blood pressure high (HTN)?
Bisoprolol
B w B
149
What things cause you to go up a step in Asthma Tx? (3 things)
Any of the following:
1. Asthma attack in last 2 yrs
2. Using Salbutamol / Symptomatic 3x a week or more
3. Waking 1 night a week
150
What should you give a Hyperkalaemic pt to reduce risk of Arrhythmias? (3 things)
1. IV insulin w dextrose
2. Salbutamol nebulizer
3. Calcium gluconate
151
What should you do if a lorry / bus driver is started on Insulin for DM?
Inform DVLA that they are starting it
152
What is the FIRST line meds for resp Secretions in palliative care?
Glycopyrronium bromide 200mcg SC
153
What will reduce risk of Variceal bleeding?
Propranolol
154
What are the side fx of Amitriptyline? (4 things)
Anticholingergic:
1. Dry eyes / blurred vision
2. Dry mouth
3. Urinary retention
4. Constipation
155
What meds should you look out for when INR is high despite them being on Warfarin?
Enzyme inhibitors
(Bc they stop warfarin from working properly)
156
What anticoagulant can be reversed more easily, Warfarin or DOACs?
* Warfarin, reversed by vit K
* DOACs need their specific antidotes
157
What meds can cause Hypothyroidism? (2 things)
1. Lithium
2. Amiodarone
158
What should you give in Status Epilepticus after 2 doses of IV Lorazepam?
IV Phenytoin
159
What should you do with long term steroids (aka prednisolone for RA) when the person has an infection?
Double their dose
160
Why is 0.9% saline better than Hartmans in a pt who has high potassium?
* 0.9% saline doesn’t have Potassium, while Hartmans does
* Hartmans (has potassium + sodium + lactate + calcium + chloride)
161
Why is 0.9% saline better than Hartmans in a pt who has high potassium?
* 0.9% saline doesn’t have Potassium, while Hartmans does
* Hartmans (has potassium + sodium + lactate + calcium + chloride)
162
What should you give if the Potassium level is between 3.5 – 5.5 in DKA?
1L of 0.9% sodium chloride with 40 mmol Potassium chloride
163
What should you give in Hyperphosphataemia?
Calcium carbonate (aka phosphate binder)
164
What meds should you give for trigeminal neuralgia?
Carbamazepine
165
What is the priority before you do definitive Mx of Phaeochromocytoma (surgery)?
BP Mx
166
How do you Mx BP in Phaeochromocytoma?
Phenoxybenzamine
167
What Insulin should you use in DKA?
Fast-acting Insulin (Actrapid)
168
Although Lamotrigine is safe in pregnancy, what should you do?
Adjust dose based on plasma drug concentration
169
What is Seretide?
Inhaler with combo of:
1. Fluticasone (ICS)
2. Salmeterol (LABA)
170
What are the Side fx of Seretide?
Oral candidiasis
171
What is the Mx of an Acute exacerbation of COPD? (4 things)
1. Oxygen
2. Steroids
3. Abx
4. SABA
(OSAS)
172
What Oxygen should you give in an Acute exacerbation of COPD?
24% or 28% Venturi mask
173
What sats are you aiming for in an Acute exacerbation of COPD?
88-92%
174
What steroids should you give in an Acute exacerbation of COPD?
Oral prednisolone 30mg OD for 5 days
175
What Abx can you give in an Acute exacerbation of COPD? (3 things)
1. Amoxicillin
2. Doxycycline
3. Clarithromycin
176
When should you give IV Abx for an Acute exacerbation of COPD? (2 things)
1. Can’t take oral
2. Severely unwell
177
What route should you give SABAs in for an Acute exacerbation of COPD?
Same as pt day to day use
But if hypercapnic / acidic = use nebulizer
178
What should you do if pt still SOB despite 1 dose of Nebulised SABA?
Give another dose
179
What is the Tx of choise for Pericarditis?
NSAIDs (aka ibuprofen)
180
What meds should you stop in Post hypotension? (2 things)
1. Beta blockers (bc poor chronotropy)
2. Loop diuretics (bc fluid depletion)
181
What is the FIRST line meds for Alzheimer’s, (before Memantine)?
Galantamine (AChEi)
182
What class is Memantine?
Glutamate receptor blocker
183
What should you give for Anaphylaxis FIRST LINE?
Adrenaline 1/1000 500mcg IM STAT
184
What fluid do you give to correct Hypokalaemia?
IV 1L 0.9% NaCLl with 40 mmol KCl over 4 hours
185
Do you need to give prophylactic abx for someone with Aortic stenosis undergoing a dental procedure?
No
186
When can Metformin cause Lactic Acidosis?
When used with Contrast Dye
187
What is the FIRST line anti-emetic in pregnancy?
Cyclizine IV
188
What meds if given with Lithium can cause Lithium toxicity? (2 things)
1. Diuretics (e.g Bendroflumethiazide)
1. NSAIDs
189
Apart from the vaccine, what can you give to reduce risk of Pneumococcal infection in kids?
Penicillin V (aka Phenoxymethylpenicillin) PO 250mg BD
190
What anticoagulant can be reversed more easily, Warfarin or DOACs?
Warfarin, reversed by vit K
DOACs need their specific antidotes
191
What meds can cause Hypothyroidism? (2 things)
1. Lithium
1. Amiodarone
192
What should you give in Status Epilepticus after 2 doses of IV Lorazepam?
IV Phenytoin
193
What should you do with long term steroids (aka prednisolone for RA) when the person has an infection?
Double their dose
194
Why is 0.9% saline better than Hartmans in a pt who has high potassium?
0.9% saline doesn’t have Potassium, while Hartmans does
Hartmans (has potassium + sodium + lactate + calcium + chloride)
195
What should you give if the Potassium level is between 3.5 – 5.5 in DKA?
1L of 0.9% sodium chloride with 40 mmol Potassium chloride
196
What should you give in Hyperphosphataemia?
Calcium carbonate (aka phosphate binder)
197
What meds should you give for trigeminal neuralgia?
Carbamazepine
198
What is the priority before you do definitive Mx of Phaeochromocytoma (surgery)?
BP Mx
199
How do you Mx BP in Phaeochromocytoma?
Phenoxybenzamine
200
What Insulin should you use in DKA?
Fast-acting Insulin (Actrapid)
201
Although Lamotrigine is safe in pregnancy, what should you do?
Adjust dose based on plasma drug concentration
202
What is Seretide?
Inhaler with combo of:
* Fluticasone (ICS)
* Salmeterol (LABA)
203
What are the Side fx of Seretide?
Oral candidiasis
204
What is the Mx of an Acute exacerbation of COPD? (4 things)
1. Oxygen
1. Steroids
1. Abx
1. SABA
(OSAS)
205
What Oxygen should you give in an Acute exacerbation of COPD?
24% or 28% Venturi mask
206
What sats are you aiming for in an Acute exacerbation of COPD?
88-92%
207
What steroids should you give in an Acute exacerbation of COPD?
Oral prednisolone 30mg OD for 5 days
208
What Abx can you give in an Acute exacerbation of COPD? (3 things)
1. Amoxicillin
1. Doxycycline
1. Clarithromycin
209
When should you give IV Abx for an Acute exacerbation of COPD? (2 things)
1. Can’t take oral
1. Severely unwell
210
What route should you give SABAs in for an Acute exacerbation of COPD?
1. Same as pt day to day use
1. But if hypercapnic / acidic = use nebulizer
211
What should you do if pt still SOB despite 1 dose of Nebulised SABA?
Give another dose
212
What is the Tx of choise for Pericarditis?
NSAIDs (aka ibuprofen)
213
What meds should you stop in Post hypotension? (2 things)
1. Beta blockers (bc poor chronotropy)
1. Loop diuretics (bc fluid depletion)
214
What ECG change is caused by Flecainide?
Long QT
215
How can you quickly see if there is a Long QT on a ECG?
How can you quickly see if there is a Long QT on a ECG?
216
How can you quickly see if there is a Long QT on a ECG?
QT interval is longer than half R-R interval
217
What do you give to treat eclampsia (HTN after preg causing seizures)?
Magnesium sulphate 4g in 0.9% saline over 15 mins IV
218
What should you give in acute HF to offload the excess fluid?
Furosemide 40mg IV stat
219
What should you give for symptom relief of BPH causing chronic urinary obst?
Tamsulosin 400mcg PO Daily
220
When should you avoid Nitrofurantoin?
eGFR less than 45
221
When is Trimethoprim CI?
When pt taking MTX
222
Where do you go on BNF for Opioid conversion and ratios?
Prescribing in Palliative Care > Pain Mx w Opioids
223
After stopping warfarin, what should you give to prep someone for theatre when INR is low?
Phytomenadione (vit K)
224
After stopping warfarin, what should you give to prep someone for theatre when INR is low?
Phytomenadione (vit K)
225
What rise is normal when starting ACEi / ARBs?
Creatine rise by 20%
Its fine and expected so if worried just repeat UnEs after 1 wk
226
How should you monitor beneficial fx of ACEi used for HF?
Check exercise tolerance
227
What is FIRST line for Hypoglycaemia?
20% glucose
228
What meds should you stop in AKI? (3 things)
1. ACEi / ARBS
1. Allopurinol
229
If INR is kinda close to target, should you change the Warfarin dose?
No
230
What meds can cause confusion? (4 things)
1. Any opioids (co-codamol / fentanyl)
1. Benzos
1. Prednisolone
1. Trazodone
231
If you miss a COCP pill, what should you do?
Take missed pill + todays pill, even if it means taking 2 pills in one day
Then carry on like normal no other changes req
232
What subtle prescription errors can they catch you out on?
Weekly instead of daily frequency
233
What meds cause Hyponatraemia? (3 things)
1. Carbamazepine
2. Bendroflumethiazide
3. Citalopram
234
How do you assess for beneficial fx of Abx tx?
Resolution of acute symptoms over next 72 hours
235
What is the tx for Oculogyric crisis?
Procyclidine 5mg IV OD
236
What meds should you use to stop withdrawal bleed assoc w stopping contraception?
Levonorgestrel 7 micrograms
237
What meds is CI in ischaemic ulcers?
Beta blockers (bc they cause vasoconstriction)
238
What med with a weird name should you not give in HF but you already know because you did it in a previous flashcard?
Dilitazem
(remember no Calcium channel blockers in HF)
239
What meds predispose you to vaginal candidiasis? (3 things)
Prednisolone
