Management Flashcards Preview

Year 3 Cheat Sheet > Management > Flashcards

Flashcards in Management Deck (55)
Loading flashcards...
1

Pulmonary embolus
Haemodynamically unstable

1st line: analgesics, fluids, oxygen (>94%)
Thrombolysis (alteplase)
Embolectomy

2

Pulmonary embolus
Haemodynamically stable

1st line: analgesics, fluids, oxygen (>94%)
LMWH/fondaparinux for 5 days/INR>2
Start warfarin at the same time

3

40yr Pt
Primary pneumothorax <2cm

O2
Consider discharge

4

40yr Pt
Primary pneumothorax >2cm

Aspirate
If unsuccessful, insert an intercostal drain

5

>50yr Pt OR
Secondary pneumothorax <1cm

High flow O2

6

>50yr Pt OR
Secondary pneumothorax 1-2cm

Aspirate
If <1cm, high flow O2
If still >1cm, intercostal drain

7

>50yr Pt OR
Secondary pneumothorax >2cm

Intercostal drain

8

Tension pneumothorax

Needle decompression
-2nd intercostal mid-clavicular
O2

9

Low severity pneumonia

Oral amoxicillin
Oxygen
Analgesics
Fluids

10

Moderate severity pneumonia

Oral/IV amoxicillin + macrolide (eg. clarithromycin)
Oxygen
Analgesics
Fluids

11

High severity pneumonia

IV co-amoxiclav + macrolide (eg. clarithromycin)
Oxygen
Analgesics
Fluids

12

Legionella pneumophila pneumonia

IV macrolide or fluoroquinolone
(Clarithromycin or ciprofloxacin)

13

Pneumocystis jirovecii pneumonia (PCP)

High dose co-trimoxazole

14

Pseudomonas aeruginosa pneumonia

Piptazobactam
(Piperacillin + tazobactam)

15

Mycoplasma pneumoniae pneumonia

Erythromycin/clarithromycin

16

Methicillin sensitive Staphylococcus aureus pneumonia

Flucloxacillin

17

Methicillin resistant Staphylococcus aureus pneumonia

Vancomycin

18

H pylori-induced ulcer

PPI
Clarithromycin
Amoxicillin OR metronidazole

19

H pylori negative ulcer

PPI or H2 antagonist (ranitidine)

20

Haemorrhagic peptic ulcer

Visualise bleed (endoscopy)
Adrenaline
IV PPI
+/- transfusion

21

Perforated peptic ulcer

NBM
IV ABx
Surgery

22

Hiatus hernia

Risk factor modification
PPI
Nissen fundoplication

23

Oseophageal varices

ABCDE
Fluid resus
Terlipressin- reduce portal hypertension
Endoscopy- band ligation is first line

24

Cholelithiasis

Cholecystectomy

25

Choledocholithiasis

ERCP

26

Appendicitis

Appendectomy
Metronidazole and cefuroxime prophylactic ABx

27

Septic arthritis

IV ABx after aspiration
Analgesia
Consider joint washout under GA

28

Acute gout

NSAIDs (naproxen, ibuprofen, diclofenac)
Colchicine

29

Chronic gout

Conservative management
Allopurinol

30

Hypercalcaemia

Fluids
IV bisphosphonates
Haemodialysis
Treat underlying cause