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PSA Tips > Tips > Flashcards

Tips Flashcards

1
Q

drugs prescribed in micrograms (4)

A

levothyroxine
digoxin
colchicine
tamsulosin

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2
Q

drugs prescribed once a week

A

methotrexate

alendronic acid

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3
Q

drugs to avoid in renal failure

A

spiro
ACEi
ARBs
NSAIDs

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4
Q

Why do you hold omeprazole after starting Abx?

A

risk of C diff

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5
Q

what drug can you not give parkinson pt

A

metoclopramide

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6
Q

what to measure before gentamicin?

A

renal function

weight

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7
Q

what to measure before ACEi

A

U+Es

also 2w after starting/increasing dose

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8
Q

transaminase raise before you have to stop statin

A

3x

measure baseline, 3m after and 12m after

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9
Q

methotrexate monitoring

A

Before: LFT, U+Es, FBC, pregnancy

During: FBC, LFT and U+E every 1-2w, then 3monthly

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10
Q

what to measure before amiodarone

A

TFT, CXR, LFT, potassium

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11
Q

COCP missing pill rules

A

2 missed pills: take last pill now AND

Week 1: emergency contraception

Week 2: nothing

Week 3: Omit pill free break

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12
Q

POP missing pill rules

A

<3h: nothing
>3h: take missed pill + condoms until 48h of pill
Consider emergency contraception

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13
Q

Cerazette missing pill rules

A

desogestrel

12h: take missed pill ASAP, condoms until 48h of pill
Consider emergency contraception

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14
Q

Emergency contraception of choice for BMI >26 or >70kg

A

Ulipristal acetate or double dose levonorgestrel

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15
Q

UKMEC 4 for COCP

A 
<6w post and breastfeeding
35 AND smokes >15
migraine with aura
VTE, stroke, IHD Hx
Uncontrolled HTN
BrCa
Diabetes with complications
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16
Q

warfarin daily monitoring with

A 
antibiotics
regular tramadol
fluconazole
omeprazole
amiodarone
corticosteroids
17
Q

vancomycin dose

A

needs loading dose based on weight in once only before maintenance dose

18
Q

addison’s nbm how to give steroids

A

100mg hydrocort every 6h if surgery

19
Q

which drugs mean you need lower dose of simvastatin

A

amlodipine, diltiazem, verapamil

20
Q

Drugs to stop surgery

A 
COCP
LMWH 24h before
aspirin/antiplatelets
lithium
MAOIs
Potassium sparing diuretics
ACEi/ARBs
21
Q

What is polyuric phase wrt fluid balance

A

after AKI where you make lots more urine

try and match with fluid durations

22
Q

sick day rules

A 
stop
ACEi/ARB
Diuretics
NSAIDs
Metformin
SU
GLP-1
SGLT-2

Increase
steroids

23
Q 
anti-emetics in 
constipation
prokinesis
chemo
opioid induced
A

constipation: domperidone, ?metoclopramide
prokinesis: domperidone, metoclopramide

Chemo: metoclopramide, ondansetron

opioid induced: haloperidol

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