Planning Mx Flashcards
(29 cards)
when choosing dose of ben pen what should you first check in BNF
AGE
- dose varies by age
- adults 1.2mg but kids less
what kind of side effects can carbamazepine cause
it is a SEDATING antihistamine
- used mostly as an antiemetic
- can have ANTIMUSCARINIC effects
what can you give if there is an inadequate response to furosemide in a STEMI
Furosemide 40-80mg iV
if inadequate response
Isosorbide Dinitrate infusion
+/- CPAP
Anaphylaxis adrenaline dose
0.5mg = 500 micrograms
1 in 1000
IM adrenaline
repeat every 3-5 min
Acute exacerbation of COPD/Asthma doses
Nebulised Salbutamol 5mg
Nebulised Ipr Bromide 0.5mg
IV Hydrocortison 100mg
PO Prednisolone 50mg
Pneumonia CURB-65 mild / severe mx
mild - amoxicilin
severe - co-amoxiclav + clarithromycin (for atypicals)
Pneumothorax primary (NO lung disease)
<2cm air rim –> conservative
>2cm air rim –> aspiration (2nd ICS MCL) on side of pneumothorax
where is the air rim measured from
at the level of the hilum
from the lung edge
to the inside of the chest wall
Pneumothorax secondary (lung disease OR >50Y smoker)
<1cm AR –> conservative
1-2cm AR –> aspirate
>2cm AR –> chest drain
PE what to give for pain
morphine 10mg IV + metoclopramide 10 mg IV
PE what to give for low bp
iV gelofusine –> norad –> thrombolysis
PE Haemodynamically stable mx
1st: DOAC - 3m (6m if unprovoked)
apixaban + rivaroxaban require no previous LMWH, BUT dabigatran + edoxaban requir LMWH >5d
PE Haemodynamically unstable mx
THROMBOLYSIS with ALTEPLASE 10mg IV STAT –> 90mg IV over 2 hours
For LMWH dosing
1mg = 100 Units
treatment >10, 000 units
prophylaxis <10,000 units
AKI Mx
1ST - cannula, catheter, strict fluid monitoring
2nd - 500ml fluid bolus –> 1L, 4 hourly
3rd - find cause
Meningitis mx
IM ben pen in community (changes by weight)
IV ceftriaxone + ampicillin (if ELDERLY/NEONATE)
+/- ACICLOVIR (if behavioural changes)
Status Epilepticus
lorazepam 0.1mg/kg –> 4mg
Diazepam/Midazolam (10mg)
how does ACEi cause hyperkalaemia x2 ways
- DIRECTLY through reduced aldosterone production due to inhibition of ACE
- RENAL FAILURE - due to efferent vessels leaving the kidney relying on AT-II to constrict , to increasing BP in kidneys SO ACEi which decrease AT-II production, DECR RENAL BP –> renal damage
FEVER + CHEMO
NEUTROPENIC SEPSIS
MX of neutropenic sepsis
piperacillin + tazobactam IV + gentamicin IV
paracetamol
what med change for sick addisons pts
INCR STEROIDS
IF asthma pt is on NEBS in hospital, should you write up their PRN puffs of salb on drug chart
nO withhold it for now
acute hF what diuretics
IV FUROSEMIDE 40MG
-increases dose in renal failure!!
what to use for rate control in AF
1ST - Bisoprolol (CI in asthma)
2ND - CCB (CI if peripheral oedema)
3RD - DIGOXIN
