Planning management Flashcards
summarise HASBLED score
HTN Abnormlal renal / liver function Stroke Bleeding tendency Labile INR Elderly >65 Drugs (aspirin/NSAID) or alcohol
explain how you interpret HASBLED score
0= low risk, start anticoag if necescary 1-2 = consider anticoag 3+ = high risk of major bleeding
what route of administration contraceptive must you give for women on enzyme inducer /
NOT ORAL (as functioning dose will be affected)
important rules when taking biphosponates
once weekly preparations
do not take together with calcium - as calcium reduces biphossphonate absorption
avoid food for 2 hours (reduces absorption)
swalow with a full gla s of water and remain upright for 30mins
what is 1% weight/volume if volume is 100ml
1g
so
1% of a solution i 1g/100ml
do you need to measure plasma digoxin regularly?=
NO - unless you suspect toxicity or non compliiance
what should INR be on day before surgery
<1.5
what do you need to do if INR is >1.5 on day before surgery
give ORAL VIT K
what must you do to ALL ANTICOAGULANTS (incl aspirin) before surgey?
STOP THEM 5 DAYS BEFORE
INCL ASPIRIN
Why must you stop metformin the day before surgery?
if GFR <60
because otherwise there is a risk it will cause LACTIC ACIDOSIS or ISCHAEMIA (incl AKI)
what is first line therapy for DM in CKD
SULPHONYLUREA
NOT metformin if GFR less than 30
what must you do if pt on ACEi develops a cough
STOP ACEi
change to ARB
what ix must you do if on antipsychotic and some CV RF eg smoking
ECG 1 week after prescription
this will establish pt QT interval while on olanzapine
where can you search details about converting pred to other steroid doses in BNF
“GLUCOCORTICOID THERAPY”
what drug quickly solves dyspepsia / indigestion?
“ANTACID”
e.g. Magnesium carbonate
