sat 29 april Flashcards
secondary prevention meds in MI
ACEI, BB, Aspirin + clop, statin
how to tell if myeloma is metastatic
normal ALP
raised in mets
blood picture in DIC
↓ platelets
↓ fibrinogen
↑ PT & APTT and bleedign time
↑ fibrinogen degradation products
schistocytes due to microangiopathic haemolytic anaemia
prednisiolone dose for COPD exacerbation and asthma exacerbation and duration
COPD - 30mg PO 5 days
ASTHMA - 40-50mg PO 5 days
describe RTA 1 and 4 and potassium adn urine pH status
1 - failure to excrete hydrogen, low K high pH>6
4- low aldosterone - high K , low urine pH
causes of a hyperchloraemic metablic acidosis
renal tubular acidois
Adddisons
GI bicarb loss - fistula, diarrhoea, uretersigmoidostomy
what is HTN stage 1 and 2 ABPM
1- 135/85
2- 150/95
tx of delirium tremens
CHLORDIAXOPOXIDE
What needs monitored in a SNRI
HTN - BP
if a patient taking SSRI and NSAID what should be co-prescribed
PPI - increased risk of peptic ulcer with both
treatment of aspirin overdose
Activated charcoal <1hr
urinary alkalinsation and iv bicarb
what drugs interay with SSRIS
NSAID
TRIPTAN
WARFARIN/HEPARIN
ASPIRIN
how long post dose are dig and lithium checked
lithium - 12 hours
digoxin- 6 hours
SIde effects of clozapine
weight gain
agranulocytosis
myocarditis
arrythmia
increased salivation
treatment for GAD
sertraline
treatmnt of autoimmune haemolytic anaemia
steroids (+/- rituximab)
treatment fo extracapsular hip fractures
intertrochenteric - dynamic hip screw
subtrochenteric - intermedullary nail
treatment of suspected or confirmed scaphoid fracture
managemet long term of diff type
- main blood supply of scaphiod
furturo splint iwth backslab see in ortho 7-10 days later in xray inconclusive
- displaced or prox pole injury -surgery
- undisplaced - cast 6-8 weeks
-dorsal carpal branch
treatmen to fmagnesium sulphate induced resp depression
calcium gluconate
most common thrombophilia ?
Thrombophilia with highest ris kof thrombophilia
factor V leiden
anti thrombin III
