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OSCEs > Consent > Flashcards

Consent Flashcards

1
Q

Consent

Why steroids?

A

Reduce swelling / inflammation

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2
Q

Consent

What are steroids?

A 
Pt knowledge
General Description - natural, not anabolic, suppress not cure
Administration
Abrupt Cessation
Relevant Conditions
Other - storage & steroid card
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3
Q

Consent

Steroid Pros?

A

Suppress condition
Limit Damage
Short course - no side effects

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4
Q

Consent

Steroid Cons?

A

> 2-3 mths
Can be required for life
Side effects

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5
Q

Consent

Steroid side effects?

A 
Neuro - anxiety, depression
CV - aldosterone effects
Metabolic - anti-anabolic / fat distribution
Endocrine - oppose insulin & androgens
Skeletal - osteoporosis
GIT - PUD
Eyes - Cataract & glaucoma / retinopathy
Immune - infection
Pregnancy - teratogenic
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6
Q

Consent

Steroid Contraindications

A 
Immunosuppressed, malignancy or infection
NSAIDs
Live attenuated vaccines
Alcohol
Pregnancy
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7
Q

Consent

Steroid alternatives

A

Surgery, DMARDs, steroid sparing agents, chemotherapy

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8
Q

Consent

Why warfarin?

A

AF, DVT, CHADS2, Mechanical valve

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9
Q

Consent

What is warfarin?

A

Pt understanding
Thins blood & prevents clots
Monitoring dose
Tests - INR

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10
Q

Consent

Warfarin Pros?

A

Decreased risk of stroke / PE

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11
Q

Consent

Warfarin Cons?

A

Avoid contact sports
Diet - Vit K rich foods & alcohol (increase coagulation)
Bleeding risk

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12
Q

Consent

Warfarin contraindications?

A 
NSAIDs -> take panadol
PHx Stroke
PUD
Subacute Bacterial Endocarditis
Pregnancy / breastfeeding
Recent Surgery
HTN
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13
Q

Consent

Warfarin additional points

A

Warfarin book
Bracelet -> emergency / accident
Dentist
Seek help if bleeding

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14
Q

Consent

Warfarin alternatives

A

Aspirin

Dabigatron

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15
Q

Consent

Why NSAIDs?

A

Mild-Moderate pain relief

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16
Q

Consent

What are NSAIDs?

A

Anti inflammatory, anti pyretic, analgesic
Short term or long term
PO, IV, IM
Effect in 30min

17
Q

Consent

NSAID Pros?

A

Pain management
Decrease inflammation
Decrease narcotics required

18
Q

Consent

NSAID Cons?

A 
GI - PUD, dyspepsia, diarrhoea, bleeding
Renal - blood flow & damage
Haem - increase bleeding time
Rash
Rare - CNS, bone marrow & liver disorders
Aspirin toxicity - renal & ototoxic
Paracetamol overdose - hepatotoxic
19
Q

Consent

Aspirin Toxicity?

A

Toxic
- respiratory alkalosis & metabolic acidosis
- salicylism - dizziness, deafness & tinnitus
Reye’s syndrome in kids

20
Q

Consent

NSAID Contraindications?

A

PUD

21
Q

Consent

Aspirin Contraindications

A

Warfarin - increased effect

Gout & Probenecid - decrease urate excretion

22
Q

Consent

NSAID Alternatives

A

Steroids

Analgesics - opioids

OSCEs (3 decks)

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