REVISION Flashcards
Which fluids should you avoid after a stroke?
Glucose - risk of cerebral oedema
Daily fluid requirements adult?
25-30 ml/kg/day of water and
1 mmol/kg/day of potassium, sodium and chloride and
50-100 g/day of glucose
CI for HRT?
Established CVD/stroke/VTE
Endometrial cancer or undiagnosed vaginal bleeding
Breast cancer
Ovarian cancer
Active liver disease
Thrombophilic disorders
Name of a transdermal HRT you can use in a woman who is perimenopausal and still has her uterus?
Evorel sequi
(Estradiol with norethisterone)
Name of a transdermal HRT you can use in a woman who is 2 years postmenopausal and still has her uterus?
Evorel conti
(Estradiol with norethisterone)
Name of an oral HRT you can use in a woman who is 2 years postmenopausal and still has her uterus?
Elleste-duet conti
(It contains Estradiol and norethisterone)
Name of an oral HRT you can use in a woman who is perimenopausal and still has her uterus?
Elleste duet
(It contains Estradiol and norethisterone and its sequential!)
Whats the lithium therapeutic dose range?
0.4-1.0
When should you stop antiplatelets before surgery? (Aspirin and clopidogrel)
7 days before
When should you stop lithium before surgery?
24 hours before
How do you calculate replacement fluids for children?
Fluid deficit in ml = % dehydrated x weight in kg x 10
What are the treatment targets for a pt with T2DM on lifestyle management
48mmol/mol
What are the treatment targets for a pt with T2DM on metformin for management
48mmol/mol
What are the treatment targets for a pt with T2DM on a drug associated with hypoglycaemia for management e.g. sulfonylureas
53
If a pt is on a single drug for T2DM, at what HbA1c should you start a second drug?
58
What type of insulin is used for the fixed insulin in DKA Tx?
Rapid-acting (e.g. novorapid) and short-acting insulin (e.g. actrapid)
When is unfractionated heparin useful?
In cases at high risk of bleeding - as anticoagulation can be terminated rapidly
In renal failure
Whats the best COCP option for treating acne in PCOS/
co-cyprindiol
Example of a COCP?
Microgynon 30 - Ethinylestradiol with levonorgestrel
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