GP & Palliative care Flashcards
(44 cards)
What are the DAMN drugs?
Drugs that may cause AKI Diuretics ACE inhibitors Metformin NSAIDs
What is the curb65 score?
Confusion Urea Resp rate (normal approx.12-20) BP >65 yrs
What should you not take at the same time as a macrolide? (clarithro/erythromycin)
Statin
What is repeat prescribing?
System to allow patient to collect prescriptions for ongoing medication without seeing a doctor every time
What is the NO TEARS tool?
Used for medication review: Need and indication Open questions Tests and monitoring Evidence and guidlines Adverse events Risk reduction or prevention Simplification and swatches
What interacts with iron tablets?
Vit D and calcium tablets because calcium binds with iron in the stomach and neither of them are absorbed
Why is someone on apixaban?
DVT, AF or rate problem
What blood test should you do if a patient is on ACE inhibitors?
U+Es once a year
What is Rozex gel used for?
Rosacea (metronidazole gel)
How can amlodipine effect rosacea?
It makes it worse, because amlodipine is a vasodilator
What is Priadel?
Lithium - trade name - mood stabiliser
What antibiotics can cause C.diff in the community?
Ciprofloxacin
Cephalosporins
Co-amoxiclav
What are the five functions of the kidney
Fluid balance, Waste excretion, Vitamin D metabolism Produces erythropoietin Acid-Base regulation
What is creatinine?
Waste production of muscle metabolism
Purely excreted by kidneys
Longstanding measure of kidney function
What is the problem with a urine dipstick/positive of albumin:creatinine ratio?
It is concentration so can be affected by dehydration, whereas albumin:creatinine should be a constant
What is microabuminuria?
30-300mg/24h
Where on the tongue do you normally bite in a tonic clonic seizure?
The sides rather than the tip
What can raise the troponin?
Severe sepsis, hypotension, MI and PE
What are the causes of learning disabilities?
Genetic factors
Maternal alcohol, drugs and tobacco during pregnancy
Pregnancy complications
Environmental toxins
How can you think of what may cause nausea and vomiting in palliative care?
Three Bs……..
Bowels: mucositis, constipation, infection, gastric stasis, bowel obstruction
Brain: Less likely in this case but breast cancer can spread to the brain so in advance disease or unresolved nausea – think about CT Head. - Raised intracranial pressure
Biochemical: medications, hypercalcaemia, hypomagnesaemia, uraemia, infection
What is the sanctity of life?
The moral status of persons
The right to life and the Human Rights Act
The intrinsic value of life
What’s the difference between killing and letting die?
Killing concerns the direct causation of another’s death, whereas letting die is about avoiding any intervention so disease can take its course
How does paracetamol work?
Inhibits prostaglandins
Would you give patients with kidney failure paracetamol?
Yep, no problems there
