- prevent stroke - rate-control (CCB or BB) diltiazem 120mg or bisoprolol 2.5mg

planning management Flashcards by sarah gault

if patient on 4g of paracetamol a day can you prescribe them co-codamol alongside this

no as co-codamol contain paracetamol

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what is the as required dose of morphine calculated form

one sixth of their daily dose

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STEMI treatment algorithm

aspirin 300mg oral
morphine 5-10mg IV with cyclizine 50mg
GTN spray
Primary PCI
beta blocker
CCU

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NSTEMI treatment algorithm

aspirin 300mg
morphine 10mg IV with cyclizine 50mg
GTN spray
clopidogrel 300mg and LMWH or fondaparinux
beta blocker, bisoprolol 2.5mg
CCU

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left ventricular failure treatment algorithm

sit patient up
morphine 5-10mg IV with cyclizine 50g IV
GTN spray
furosemide 40-80mg IV
isosorbide dinitrate infusion
CCU

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anaphylaxis treatment algorithm

adrenaline 500 microgram
chlorphenamine 10mg IV
hydrocortisone 200mg IV

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treatment if suspicion of meningitis

1.2g benzylpenicilin

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management of bacterial meningitis

4-10mg dexamethasone IV

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seizure >5 minutes treatment algorithm

lorazepam 2-4mg IV or diazepam or midazolam
benzodiazepines
phenytoin 15-20mg/kg IV
intubate

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AKI management

IV fluid 500mL stat

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opioid overdose management

naloxone

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benzodiazepine overdose management

flumazenil

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chronic heart failure management

ACE inhibitor (lisinopril 2.5mg) + beta blocker (bisporolol 1.25mg)
spironolactone 25mg daily
digoxin, sacubitril valsartan, ivabradine

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AF treatment

prevent stroke
rate-control (CCB or BB)
diltiazem 120mg
or bisoprolol 2.5mg

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stroke control in AF patient with CHADVASc 1

apixaban, dabigatran, rivaroxaban

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chest pain in angina what to give to relieve the pai

GTN spray

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angina management

GTN
aspirin, statin
beta blocker (atenolol) or CCB (amlodipine)
isosorbide mononitrate

management of Parkinson’s

co-careldopa

can you prescribe sodium valproate to women and girls

alzheimer management

donepezil
rivastigmine

moderate dementia mangament

memantine

crohns mild flare management

prednisolone 20-40mgev

crohns severe flare management

hydrocortisone 100-500mg IV

crohns management to maintain remission

azathioprine

lamotrigine side effects

rash Steven Johnson syndrome (rare)

carbamazepine side effects

rash dysarthria ataxia nystagmus decrease Na

phenytoin side effects

ataxia peripheral neuropathy gum hyperplasia hepatotoxicity

sodium valproate side effects

tremor tetratogenicity weight gain

levetiracetam side effect

fatigue mood disorder agitation

flare of rheumatoid arthritis management

glucocorticoids e.g. IM methylprednisolone NSAIDs e.g. ibuprofen

if rheumatoid not responding to DMARDs what is next step

TNF alpha inhibitor e.g. infliximab

diarrhoea not caused by GI infection management

loperamide 2mg oral or codeine 30mg orally up to 6 hourly

insomnia management

zopiclone 7.5mg orally nightly

side effect of salbutamol

tremor

first line antibiotic in skin infections

flucloxacillin 500mg 6 hourly for 7 days

drugs that shouldn't be given to patient with Parkinson's

metoclopramide haloperidol

what do you give if severe chest pain GTN spray or GTN infusion

spray

risk factors for COCP

>35 smoker BMI >30 patient on carbamezipine

what contraception if women has venous thromboembolism risk

progesterone only pill

gestational hypertension management

labetolol 100mg twice daily