Tips Flashcards
drugs prescribed in micrograms (4)
levothyroxine
digoxin
colchicine
tamsulosin
drugs prescribed once a week
methotrexate
alendronic acid
drugs to avoid in renal failure
spiro
ACEi
ARBs
NSAIDs
Why do you hold omeprazole after starting Abx?
risk of C diff
what drug can you not give parkinson pt
metoclopramide
what to measure before gentamicin?
renal function
weight
what to measure before ACEi
U+Es
also 2w after starting/increasing dose
transaminase raise before you have to stop statin
3x
measure baseline, 3m after and 12m after
methotrexate monitoring
Before: LFT, U+Es, FBC, pregnancy
During: FBC, LFT and U+E every 1-2w, then 3monthly
what to measure before amiodarone
TFT, CXR, LFT, potassium
COCP missing pill rules
2 missed pills: take last pill now AND
Week 1: emergency contraception
Week 2: nothing
Week 3: Omit pill free break
POP missing pill rules
<3h: nothing
>3h: take missed pill + condoms until 48h of pill
Consider emergency contraception
Cerazette missing pill rules
desogestrel
12h: take missed pill ASAP, condoms until 48h of pill
Consider emergency contraception
Emergency contraception of choice for BMI >26 or >70kg
Ulipristal acetate or double dose levonorgestrel
UKMEC 4 for COCP
<6w post and breastfeeding 35 AND smokes >15 migraine with aura VTE, stroke, IHD Hx Uncontrolled HTN BrCa Diabetes with complications
warfarin daily monitoring with
antibiotics regular tramadol fluconazole omeprazole amiodarone corticosteroids
vancomycin dose
needs loading dose based on weight in once only before maintenance dose
addison’s nbm how to give steroids
100mg hydrocort every 6h if surgery
which drugs mean you need lower dose of simvastatin
amlodipine, diltiazem, verapamil
Drugs to stop surgery
COCP LMWH 24h before aspirin/antiplatelets lithium MAOIs Potassium sparing diuretics ACEi/ARBs
What is polyuric phase wrt fluid balance
after AKI where you make lots more urine
try and match with fluid durations
sick day rules
stop ACEi/ARB Diuretics NSAIDs Metformin SU GLP-1 SGLT-2
Increase
steroids
anti-emetics in constipation prokinesis chemo opioid induced
constipation: domperidone, ?metoclopramide
prokinesis: domperidone, metoclopramide
Chemo: metoclopramide, ondansetron
opioid induced: haloperidol
