SCA online - Ethics, culture, diversity Flashcards
Diabetes sick day rules
Stay hydrated
continue to eat, esp carbs - if vomiting, take sugary liquids
Never stop insulin - may need to adjust dose however
Check BM more frequently
Stop - metformin (lac acid), gliclazide (hypo), GLP1/ Semaglutide, SGLT2i/ Empag (ketoacidosis)
Sick day rules common medications
Stop - ACEi, ARB, Diuretics, NSAIDs, metformin = AKI, dehydration
what key information is needed to write a letter of support for Diability
- what disability (diagnosis)
- duration of disability
- how this effects their daily life
- what treatment they’ve had
- what the future looks like
Regarding disability and inability to work what to ask
mental health + coping strategies
offer sick note
direct person to citizens advice bureau
Antenatal care plan - what screening for and why
Screening for:
- infectious disease - HIV, hep B, syphilis
- sickle cell, thalassaemia
-20 week anomaly scan - examines baby - detailed US to assess baby’s health, growth, development.
Downs screening - 11 week (dating scan) Combined test - USS (nuchal translucency) and Bloods
Hypertension in pregnancy M
Refer to Obs if known diabetes and pregnant. if new gestational diabetes can Mx in primary care
Lifestyle - diet, exercise, reduce salt intake
Meds- if on ACEi/ ARB - stop + switch to alternative eg labetalol, nifedipine
Explain that hypertension in preg has risks to baby and to patient
Check urine (proteins) and bloods (LFTs, UE, FBC)
FU weekly
How to provide care for those of travelling community background
Can keep registered at current practise - ensure continuity of care
Female genital mutilation definition
procedure to female genitals for no medical reason. This is illegal in the UK, considered to be child abuse.
FGM Mx
Immediate danger - call 999
Non immediate concerns about the patient - call NSPCC, social services (for safeguarding), refer NHS gynae
- can have another opinion if unsure, ask colleague at practise
