Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clinical - Rosie > Random 2 > Flashcards

Random 2 Flashcards

1
Q

Adrenally suppressed patients undergoing minor surgery should be managed how, in terms of their steroids?

A

Take normal steroid dose the morning of surgery, additional steroids not required

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Adrenally suppressed patients undergoing moderate or major surgery should be managed how, in terms of their steroids?

A

Take usual steroid dose AND 25-50mg hydrocortisone IV on induction

25-50mg hydro IV tds for moderate surgery for 24 hours and 48-72 hours if major

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How should OHA be managed the morning of surgery?

A

RUH tend to omit all OHA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How long is post-op VTE prophylaxis usually continued for?

A

If patients are high risk (i.e. they have one or more risk factors) then should give them LMWH prophylactic dose until mobility restored - consider to hip and knee replacements etc. that extended prophylaxis will be needed.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What weak opioid is preferred post surgery?

A

Dihydrocodeine (PLUS paracetamol as baseline)

codine - non metabolisers and tramadol now a CD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Your patient has been prescribed metoclopramide for PONV, when should this be given??

A

IT SHOULDNT BE - metoclopramide is ineffective for the management of PONV.
Switch patient to dexametasone or ondansetron and give 20-30mins before the end of surgery (therefore given IV)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Are antibiotics needed for clean procedures?

A

NO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

A patient has AF, no bleeding and an INR of 8.0 - what do you do?

A

Stop warfarin and restart when INR <5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

True or False, ACEi increased life expectancy in patients with CHF?

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the preferred diuretics for the management of symptoms in CHF?

A

Loop diuretics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

TCAs have anticholinergic side effects, give examples

A

Heart block, urinary retention, constipation, dry eyes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

SSRIs in combination with MOAI can cause what/?

A

Serotonin syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the target TC in patients with ACS started on atorvastatin?

A

No target

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

True or false - COPD is commonly associated with symptoms at night

A

False - asthma is though

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

When should alteplase be given in ischemic stroke? What does it target?

A

4.5 hours - activates tPa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What drug is the most frequently implicated in drug induced parkinsons?

A

Prochlorperazine

17
Q

Why is prochlorperazine a concern in the elderly?

A

often prescribed for dizziness but can caused PD

18
Q

Warfarin is associated with an increased risk of falls. True or false?

A

False - warfarin is often witheld (when it should be prescirbed!) because of the risk of falls, we should manage the falls risk instead

19
Q

Dopaminergic drugs, such as co-beneldopa in PD can often have what side effects that are of concern in the elderly?

A

Can cause sudden excessive daytime sleepiness - careful dose titration required to avoid inducing confusion.

20
Q

What is the ‘active’ thyroid hormone?

A

T3 (T4 converted to T3 in the peripheries)

21
Q

What does the hypothalamus secrete in terms of thyorid hormone regulation?

A

TRH

22
Q

Hypo or hyperthyroidism?: Bradycardia

A

Hypo

23
Q

Hypo or hyperthyroidism?: warm, sweaty skin

A

Hyper

24
Q

Hypo or hyperthyroidism?: constipation

A

Hypo

25
Q

Hypo or hyperthyroidism?: weight gain

A

Hypo

26
Q

Hypo or hyperthyroidism?: AF

A

Hyper

27
Q

Why are anti-embolic stockings not used routinely in stroke patients?

A

Ineffective in reducing risk of DVT and increased risk of skin damage. Use intermittent pneumatic stockings instead

28
Q

A blood pressure of 140/80 scores what (in terms of ponts) in the CHA2DSVasc scoring?

A

0 - BP of >140/90 is considered risk of stroke

29
Q

True or False - Hallucinations is NOT a typical sign of dementia

A

False - patients with dementia experience hallucinations, agitatation, short term memory loss and often have poor self-care.

30
Q

Why is it important to identify factors that can alter the plasma theophyline concentration (e.g. illness, smoking)

A

Very narrow therapeutic range

31
Q

TIA management - acute and long term

A
  1. Aspirin 300mg STAT - oral or rectal
  2. SALT assessment and confirmation of diagnosis
  3. Clopidogrel 300mg loading dose
  4. 75mg clopidogrel thereafter
  5. Atorvastatin 80mg
  6. Manage hypertension - target is 130/80
32
Q

Ischemic stroke management

A
  1. Aspirin 300mg STAT
  2. SALT assessment and diagnosis
  3. clopidogrel 75mg
  4. Atorvasatin 80mg as soon as patient can swallow
  5. Antihypertensive if needed target = 130/80
33
Q

ABCD2 score, is used for what? What does it stand for?

A

Used to assess someone’s risk of future stroke following a TIA

A- age >60 years
B - blood pressure 140/90
C- clinical symptoms - unilateral weakness (2), speech disturbance and no weakness (1), other symptoms (0)
D - diabetes (1)
or duration of symptoms >59mins (2), 10-59 (1) and <10 is 0.

34
Q

Blood pressure target in pregnancy?

A

150/90 or 140/90 is diabetic or has CKD

35
Q

Diabetes BP target?

A

140/90

lower 130/80 if target organ damage

36
Q

BP target following TIA/Stroke?

A

130/80

37
Q

Outline some of the issues associated with a person taking long-term steroids (think short and long term)

A 
Immunosuppresion
Osteoporosis
Adrenal suppresion
Cushings syndrome
Depression

Clinical - Rosie (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions