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How should rapid furosemide be administered
IV
What drugs may contribute to hyperkalaemia
- Heparin (inhibit aldosterone)
- tacrolimus
- Ace inhibitors
- ciclosporin
Withhold in renal impairment
Allopurinol and ACE
In renal impairment what may contribute to confusion
Steroids, opioids and benzos
When on fentynyl patch what can be used for breakthrough pain
Fentanyl 50mcg nasal spray 2 sprays 10 mins apart if required - then 4hrs
How should rivaroxiban be taken
with food if above 15 mg
When should we not worry about creatinine increase
A rise of <20% is expected once starting an ACE inhibitor
Most significant adverse affect to monitor for in ciclosporin
Renal toxicity - serum creatinine
Acute distonia
procyclidine hydrochloride 5mg IV
Prednisolone 30 mg dose delivery
5mg tablet 4 hourly
if given 2 litres saline potassium chloride and euvolemic what next (NBM)
needs more potassium not more sodium - potassium 0.3%/glucose 5% 8 hours
HRT - no withdrawal bleed
levongestrel/estrodiol patch 24 hours weekly patch
What not to give with venous ulcers
beta blockers
What causes biventricular failure
diltiazem and prednisolone (sodium and fluid retention)
vaginal candida causes
Abx and steroids
When not to give trimethoprim
With methotrexate or in first trimester
What is scarlet fever
Strep A infections
INR interpretation
More number more bleed
Missed pill once
Take today and yesterday as normal
If patient been put on k+ sparing diuretic
Monitor and chek k+ 1 week time
What are sleep disturbances
Abnormal dreams
Fentanyl patch questions
prescribing in palliative care - add all the morphine doses together then choose patch from table
If patient not picking up prescription
Do not change it
can cause ankle swelling
Naproxen
amlodipine
