Pass the PSA - Section 2 Flashcards
IV Fluids - the two types/causes
Maintenance
Replacement
When would you not give 0.9percent sodium in replacement fluids?
If the patient i:
hypernatremia, hypoglycemic
has ascites
shocked from bleeding
What replacement do you give if the patient is hypernatremic or hypoglycemic?
5 percent dextrose
What replacement do you give if the patient has ascites?
Human albumin solution
What do you give if someone is shocked from bleeding and there is no blood available?
Crystalloid solution (normal saline)
In hospital, all patients need
Thromboprophylaxis in the form of LMWH
Dalteparin 5000 units daily, sub cut and compression stocks for VTE prophy
When do you not prescribe anti coag
if bleeding risk including recent ischemic stroke
When to not prescribe compression stockings
if peripheral arterial disease due to risk of acute limb ischemia
Anti emetics - when to avoid metoclopramide
Young women - it can cause dyskinesia
Parkinson’s disease - it can worsen it
Two drugs to give if a patient is nauseated or is not nauseated but needs anti emetics PRN
Cyclizine 50mg 8hours IM/IV/Orally
Metoclopramide 10mg 8hourly IM/IV/PO
Which anti-emetic is for when someone is definitely nauseated?
ondansetron 4mg or 8mg 8hourly IV/oral
When to avoid Cyclizine, what to use instead
any cardiac issue as can worsen fluid retention
give metoclopramide 10mg instead
When to avoid antihypertensives
In hypotension
Beta blocker SE
Bradycardia
Wheeze in asthma
Worsening of acute heart failure
CCB SE
Bradycardia
Oedema
Flushing
