Random 6 - own notes Flashcards
Antiemetic to avoid in prolonged QTc?
Ondansetron - 5HT3 antagonist
Instead use Cyclizine (H1 antagonist)
Dose of dexamethasone in croup?
0.15mg/kg
Cause of lose stools in someone treated for osteoporosis?
Alendronic acid AND PPI can cause loose stools
Analgesic causing ankle oedema?
Naproxen
Length and type of treatment for thrush in pregnancy?
LONGER than the usual and topical or pessary only e.g. clotrimazole pessary 100mg PV OD for 7 days (BNF for usual dose says 100 mg for 6 night)
Acute pain in shingles treatment?
Paracetamol
NB: amitriptyline is used for the postherpetic neuralgia.
How is loperamide taken?
After each loose bowel movement (minor SE: causes fatigue)
NB: this information is usually written alongside the dose and indication
What important information should you tell a patient about ciclosporin?
Will need to have renal function monitoring
NB: in questions with pregnancy SE options, only choose these if the patient is of child bearing age.
88kg patient needs 50mg/kg acetylcysteine added to 500ml of 5% dextrose. Acetylcysteine is available in 10ml ampoules of 200mg/ml. What rate will the drug be given over 4hrs?
88 x 50 = 4400 required
4400mg = 22ml
22ml + 500ml = 522ml
522/4 = 130.5ml/hr
How much potassium in a 500ml bag of 0.9% saline with 0.15% K?
10mmol
Dangerous side effect of GLP1? Most common SE?
Pancreatitis
Most common: vomiting
Treatment of haloperidol induced parkinsons?
Drug induced parkinsonism is treated with PROCYCLIDINE (anti-cholinergic) not Levodopa.
What BP should you stop COCP?
160/95
What level of dose of azathioprine if TPMT activity is low?
Low dose to reduce toxicity
Opioid toxicity caused by m/r morphine. What drug do you switch to?
Oxycodone - metabolised by the liver to inactive metabolites
NB: morphine is also metabolised by the liver but releases an active metabolite called morphine-6-glucuronide which is renally excreted and can acummulate.
