PSA- Where I Went wrong Flashcards
What is the typical volume given for glucose infusions to those with hypoglycaemia?
10% Glucose- 100-200ml
20% Glucose- 50-100ml
What electrolyte abnormality can dalteparin cause
Hyperkalaemia
What method of opioid deliverance can be used to get instant relief?
Fentanyl nasal spray
What is the target for INR before surgery.
What action is to be taken if the patient is not in their target INR the day before surgery?
<1.5 is target INR the day before surgery
IF greater than this give IV vitamin K the day before surgery
What is topiramate?
What important information should be given to patients that take Topiramate?
Anticonvulsant that is also used for migraine prophylaxis
It is very teratogenic, use contraception whilst taking and for at least 4 weeks after finishing.
What common Electrolyte abnormality can Citalopram cause?
Hyponatraemia
What type of drug is Ciclosporin?
What is the main adverse effect it may induce?
DMARD- used to suppress the immune system in a wide range of diseases such as RA, UC, transplantation and Psoriasis
Nephtroxicity
What class of medication can be detrimental in Heart failure
Why?
Rate Limiting Calcium Channel blockers
Cause depression of cardiac muscle leading to worsening of symptoms
What management action plan should be taken if someone is experiencing a raised CK when on statins?
Cease statins and wait for the CK to fall.
Recommence the satins but reduce the dose
What common side effects to PPI’s induce?
Loose stool.
What common side effect can naproxen have woth regards to circulation?
Ankle oedema
What medication is first line for a c.diff infection?
Vancomycin
When a sliding insulin scale is started, what happens to the usual insulin prescriptions?
Short acting- Discontinued
Medium acting-
Long acting- Continued
What is the first line treatment for postherpetic neuralgia?
paracetamol
What medication is used to treat anti-psychotic induced Parkinson’s?
Procyclidine Hydrochloride
