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Planning management / ADR Flashcards

(52 cards)

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1
Q

management of acute mania / hypomania

A

antipyschotics eg: onlazapine / haloperidol

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2
Q

management of acute agitation / anxiety?

A

benzodiazepines

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3
Q

management of pyelonephritis

A

IV ABX eg: ceftriaxone

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4
Q

mx of anaphylaxis

A

1:1000 IM 0.5mg adrenaline

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5
Q

how does bronchiolitis present?

A

<1 year

coryza
wheeze
mild fever!
increased WOB
dry cough

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6
Q

mx of bronchiolitis?

prophylaxis?

A
  1. supportive eg: oxygen
    - headbox
    - nasal canula
  2. IV fluids

palivizumab

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7
Q

presentation of croup?

management?
mild
moderate
severe?

A

barking cough worse at night, temperature, stridor, resp distress, coryza

Mx:
All severity = one off dose of oral dexamethasone (0.15mglg)

mild = at home
moderate / severe= admit

moderate / severe= nebulised adrenaline / budenoside

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8
Q

drug management of cardiac arrest shockable rhythms
= VF / pulseless VT

A
  1. adrenaline 1mg after the 3rd shock then after 5/ 7 th shock
  2. amiodarone after 3rd shock 300mg IV
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9
Q

drug management of non shockable rhythm PEA / asystole

A

adrenaline 1mg IV / IO 3rd/5th/7th

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10
Q

drug mx of dvt?

A

DOAC

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11
Q

mx of emergency hypoglcyaemia

A

20% glucose 100ml OVER 15 m

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12
Q

mx of DKA?

A

IV fluids eg:
1L 0.9% NaCl over 1 hour

1L 0.9% NaCl+ KCL over 2 hours -> 2 -> 4 -> 4

fixed rate insulin infusion 0.1units /kg/ hour

once BG < 14 = 10% dextrose infusion

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13
Q

mx of HHS?

A

1L over 1 hour

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14
Q

mx of hyperK

A

IV 10% calcium gluconate 10 ml

Insulin / dextrose infusion (10 units actrapid + 25g glucose)

nebulised salbutamol

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15
Q

how to find management of status elipticus?

A

under epilepsy

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16
Q

mx of status elipticus

A

buccal midazol / rectal diazepam community

IV 4mg lorazepam

IV 4mg lorazepam (2 doses benzo 10mins apart)

Iv pheynytoin / sodium valproate

RSI eg: propofol / midazol

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17
Q

mx of pneumonia CAP
CURB 1 + pen allergic?

CURB 2

CURB 3

A
  1. amoxicillin
    PA : doxycline/ clarithromycin
  2. amoxicillin + clarithryomcin oral
  3. IV co-amoxiclav + clarithromycin
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18
Q

mx of HAP

A
  1. oral co-amox
  2. IV taz
  3. mrsa = vacno
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19
Q

mx of sickle cell crisis

A

analgesia eg: opiates

hydration

oxygen

blood transfusion

exchange transfusion

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20
Q

what to type in for alcohol syndromes?

A

alcohol dependence

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21
Q

mx of alcohol withdrawal

Study These Flashcards
A

chlordiazepoxide reducing regimen

22
Q

mx of delirium tremens

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A

benzo eg: lorzepam

23
Q

mx of wernickes encephalothpyg

Study These Flashcards
A

pabrinx IV thiamine

24
Q

where to find management of gynae infections?

Study These Flashcards
A

genital infections

25
where to find anti-emetics
under nausea
26
mx of PMR?
15mg oral prednisolone
27
mx of BPH?
alpha blocker eg: tamsulosin 5 alpha reductase inhbitors eg: finasteride
28
drug mx of conjunctivtis
chloramphenicol eye drops 0.5% fusidic acid
29
calcium / vitmain D + bisphoonates how to take?
at least 4 hours apart - calcium interferes with absorption of bisohposonates
30
what are the MHRA/ CHM warnings?
less common but more serious adverse effects to look out for
31
advice for use of amiodarone?
wear suncream
32
ADR of loop diuretics? 4
dehydration renal impairment hypoK otoxicity
33
ADR of NSAIDS? 3
PUD renal impairment HTN
34
ADR of opioids 5
urinary retention constipation drowsy confusion sedation
35
2 drugs that interact with warfarin and increase INR?
clarityhromycin amiodarone
36
example of drugs that require plasma drug concentration monitoring
lithium dixogin gentamicin vancomycin phenytoin
37
when are lithium samples taken? range?
6 hours post dose 0.4-1
38
when are gentamicin levels taken?
6-14 hours post dose for once daily regimen
39
when are vancomycin levels taken?
pre dose (trough) = taken after 3-4 doses
40
when should digoxin smaples be taken? how is efficacy determined?
6 hours post dose HR
41
example of drugs which renal function will have an influence on the initial or maintenance dosage
DOAC eg: apixaban should be halved if creatinin clearance 15-29 co-amox = dosing interval extended if egfr 10-30 venlafaxine = maintenance dose half if egfr <30
42
statins and LFT? what is safe to continue?
if AST/ALT less than x3 upper limit = safe to continue
43
drugs that affect LFT
amiodarone MTX statins terbinafine
44
drugs that cause hypoNa 6
- thiazide diuretics / loops diuretics - TCAs - SSRi - antipsychotics eG: haloperidol - Anti epiletics eg: carbmazeapine - PPI
45
drugs that cause hypoK 5
thiazide and loop diruetics mieralcorticoids eg: fludrocortisone insulin beta 2 agonists eg: salbutamol chronic use of laxatives
46
drugs that cause hyperK 6
K+ sparing diuretics eg: spiro ACEi / ARB NSAIDS ciclosporin tacrolimus trimethorpime
47
target blood concentration for diabetes
6-10 (4-12 ok)
48
Mx of high INR: BLEEDING 1. major bleeding 2. minor bleeding and iNR > 8 3. minor bleeding INR 5-8
Bleeding 1. stop warfarin - IV vitamin K - PTComplex / FFP 2. Stop warafrin - IV vitamin K - repeat INR 24 horus - repeat vitamin K - restart warfarin when INR < 5 3. STOP warfarin - IV vitamin K, restart warfarin INR < 5
49
Mx of high INR: no bleeding 1. INR > 8 2. INR 5-8 3. BLEEDING INR normal
1. sto warfarin- oral vitamin K - repeat INR 24 hours - restart warfarin < 5 2. withhold 1-2 doses of warfarin and reduced subsequent maintenance dose 3. investigate underlying cause
50
how to control overnight glycaemic control? ie : high BMs in the morning?
increase long acting in prior evening
51
lithium + ACEi?
interact = increased serum lithium concentration reduce lithium levels by 1/3 or 1/2
52

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