Random Tidbits Flashcards
Hepatic Encephalitis
Lactulose
Oral contraception for a smoker?
Desogestrel (POP = progesterone only pill)
Asthma management in children?
- SABA
- SABA + ICS (low dose)
- SABA + (low dose) ICS + LRTA
- SABA + (low dose) ICS + LABA
- Start the MARTs…
Low dose ICS = < 200 micrograms budesonide
LRTA = montelukast
Drug to give 9 hours after a stroke?
Aspirin 300mg
(Alteplase < 4.5 hours)
C Difficile management?
CKS - ‘Diarrhoea - antibiotic associated’
Paracetamol overdose?
- Measure @ 8 hours
- < 4 hours and > 150 mg = charcoal
- Treat according to graph
- 8-16 hours and > 75mg/kg start NAC while awaiting results
Statin interaction causing myopathy?
Clarithromycin
Drugs that cause diarrhoea?
- Alendronic Acid
- Lansoprazole
Maintenance fluids?
- 8-hourly bags (3L) BUT elderly/underweight = 12-hourly bags (2L)
- Add the potassium (divide by the 3 bags)
- 25-30 ml/kg/day of water
- 1 mmol/kg/day of potassium, sodium and chloride
- 50-100 g/day of glucose to limit starvation ketosis
- Adults generally require 3L IV maintenance fluids per day (8 hourly bags); 40-60 mmol KCL per day when NBM; 2 salt (saline) and 1 sweet (dextrose) every 24 hours
Hypoglycemic diabetic?
20% glucose 100 ml 20 minutes
Relieving oedema?
IV furosemide 40mg
Drug that causes flushing?
CCBs
What is normal urine output?
Average urine output should be approximately 0.5mL/kg/hour
Glycaemic control in stroke patients?
Tight glycaemic control has not been shown to improve outcome in stroke and current recommendations suggest maintaining plasma glucose in the range 5 to 15 mmol/L
Surgery and medication?
‘Surgery and long-term medication’ in treatment summary
Converting units?
Approximate Conversions and Units
Breakthrough pain?
- Palliative = treatment summaries
- Breakthrough pain = 1/6 of 24 hour dose given 4-hourly as required
Antidotes
‘Poisoning, emergency treatment’ on BNF
HRT
ESTRADIOL WITH NORETHISTERONE
COCP monitoring?
Blood Pressure
Transient rise in blood glucose caused by corticosteroids?
An increase in the usual insulin dose of 10% would be an appropriate way to manage a transient rise in blood glucose caused by corticosteroids
When is no change in Statin dose the appropriate management?
No change in dose is required, as after 3 months of treatment a > 40% reduction in non-HDL cholesterol has occurred