MFE Flashcards

1
Q

problems caused by constipation

A

abo pain
vomiting/ nausea
rectal discomfort / haemorrhoids
overflow diarrhoea
urinary retention
delirium

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2
Q

What questions to ask when assessing constipation

A
  • frequency of passing stools
  • consistency
  • tenesmus
  • fluid intake
  • abdo and rectal exam
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3
Q

Name osmotic laxatives

A
  • laxido
  • lactulose
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4
Q

Name softener laxatives

A
  • docusate
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5
Q

Name stimulant laxatives

A
  • Senna
  • bisacodyl
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6
Q

What type of laxatives can be given for hard stools?

A
  • osmotic laxatives
  • softener
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7
Q

Name some rectal preparations of laxatives?

A
  • glycerine
  • micolette
  • phosphate enemas
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8
Q

What drugs may cause constipation

A
  • anti-depressants
  • anti-psychotics
  • levodopa
  • aluminium
  • iron
  • opiates
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9
Q

What are the 4 types of urinary incontinence

A
  • urge
  • stress
  • functional
  • overflow
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10
Q

Describe urge incontinence

A
  • frequency, urgency, nocturia
  • bladder training
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11
Q

Describe stress incontinence and treatments?

A
  • sneezing, laughing, coughing
  • pelvic floor exercises
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12
Q

What is associated with overflow incontincence

A
  • Prostate enlargemetn
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13
Q

What can be used to treat prostate enlargement with overflow incontinence?

A
  • tamsulosin (postural hypotension)
  • finasteride (3 months to start working)
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14
Q

What may be a cause of functional incontince?

A
  • not being able to mobilise
  • not being able to get to the toilet
  • neurological conditions
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15
Q

How often should pelvic floor exercises be done

A
  • 3 times per day
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16
Q

What are the 5 factors of frailty?

A
  • unintentional weight loss
  • self-reported exhaustion
  • weakness (grip strength)
  • slow walking speed
  • low physical activity
17
Q

Signs of heart failure

A
  • orthopnoea
  • oedema
  • fatigue and lethargy
  • elevated JVP
  • displaced apex
  • crepitations
18
Q

What is BNP blood test

A
  • Plasma levels correlate with left ventricular function
  • levels elevated post MI
  • streamlines requests for echo when diagnosing HF
19
Q

Drug treatments of heart failure?

A
  • diuretics
  • acei
  • b blocker
  • digoxin
  • nitrates
20
Q

What may be risk factors for falls

A
  • history of falls
  • gait problems
  • visual impairment
  • cardiac arrhythmias
  • postural hypotension
  • polypharmacy
  • incontinence
21
Q

Drugs that are linked to an increase risk of falls

A
  • nitrates
  • acei
  • diuretics
  • anticholinergics
    -levodopa
  • ssris
22
Q

Who shouldn’t be given bishopshonates?

A
  • those with oesophagitis/GORD symptoms
  • Kidney conditions, eGFR <35
  • Risk of osteonecrosis of jaw - dentist review prior to starting
23
Q

What advice should be given when taking bishophodates?

A
  • sit upright for 30mins after
  • take in morning on an empty stomach - wait 30mins to 1hr for food