year 5 Flashcards

1
Q

tx of pressure sores

A

moist healing envirnment
wound dressing
no soap or swabs
analgesia
nutrional assessment
abx only if (e.g. Evidence of surrounding cellulitis)
consider tissue viability referral
surgical debridement may be beneficial for selected wounds

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2
Q

difference between parkinsons and lewy body

A

cognitive impairment occurs before parkinsonism, but usually both features occur within a year of each other.

This is in contrast to Parkinson’s disease, where the motor symptoms typically present at least one year before cognitive symptoms
cognition may be fluctuating, in contrast to other forms of dementia

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3
Q

in parkinsons how long do motor sx usually preceed cognitive sx

A

This is in contrast to Parkinson’s disease, where the motor symptoms typically present at least one year before cognitive symptoms
cognition may be fluctuating, in contrast to other forms of dementia

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4
Q

alzieherms drug mx

A

the three acetylcholinesterase inhibitors (donepezil, galantamine and rivastigmine)

memantine (an NMDA receptor antagonist) is in simple terms the ‘second-line’ treatment for

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5
Q

when is donepezil contraindicated

A

in pt with bradycardia

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6
Q

adverse effects of donepezil

A

insomnia

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7
Q

explain STOPP criteria for someone on warfarin who had a DVT over 2 years ago

A

STOPP criteria states that it has no proven added benefit when given for longer than 6 months for uncomplicated DVT. As this patient had a DVT 2 years ago and there is no other indication for anticoagulation, this should be stopped.

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