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Prescribing Flashcards

Medication Management (58 cards)

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1
Q

ECG shows broad QRS, irregular tachycardia. What are the possible diagnosis and how to treat?

A

AF with BBB- treat as narrow complex
Pre exited AF- amiodarone
Torsades de pointes- magnesium 2g over 10 mins

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2
Q

ECG shows broad QRS, regular tachycardia. What are the possible diagnosis and how to treat?

A

VT- amiodarone

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3
Q

ECG shows narrow QRS, irregular tachycardia. What are the possible diagnosis and how to treat?

A

AF >48 hrs- b blocker or diltiazem

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4
Q

ECG shows narrow QRS, regular tachycardia. What are the possible diagnosis and how to treat?

A

SVT- vagal manoeuvres, adenosine

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5
Q

What is the management of anaphylaxis? (1st, 2nd and 3rd line)

A

Adrenaline IM 500 mcg 1:1000
Chlorphenamine IV 10 mg
Hydrocortisone IV 200 mg

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6
Q

First line in acute asthma exacerbation?

A

Salbutamol 5 mg nebulised

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7
Q

Second line options in acute asthma exacerbation?

A

IV hydrocortisone 100 mg or ipratropium 500 mcg neb

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8
Q

PE treatment

A

LMWH treatment dose e.g. enoxaparin

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9
Q

Management of bleed while on warfarin?

A

Prothrombin and vitamin k
(Vit K is phytomenindione in bnf)

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10
Q

Initial management of bacterial meningitis in GP?

A

1.2 g benzylpenicillin IV or IM

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11
Q

Hospital management of bacterial meningitis

A

dexamethasone IV 4-10 mg
cefotaxime IV 2g

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12
Q

First line treatment of status epilepticus?

A

benzodiazepines;
IV 2-4mg
Buccal 10mg

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13
Q

what medication can be given after benzos in status epilepticus?

A

phenytoin

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14
Q

what medication can be given for acute stroke?

A

Aspirin 300 mg

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15
Q

Drug management of hyperglycaemia

A

Fixed rate short
potassium monitoring (correct if <4)

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16
Q

Management options for hypoglycaemia in unconscious pt?

A

IV 20% glucose 100ml
or 1 mg IM glucagon

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17
Q

fluid prescribing for AKI

A

500ml stat, then 1 L 4 hourly

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18
Q

Medication for paracetamol overdose

A

n acetyl cysteine

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19
Q

Medication for opiate overdose

A

Naloxone 400mcg
If no response, up to 2 doses of 800mcg

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20
Q

Medication for benzodiazepine overdose

A

flumazenil

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21
Q

chronic HF drugs, that reduce mortality

A

ACEi
B blocker

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22
Q

HTN management if <55 and white, or DM

A

ACEi or ARB

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23
Q

HTN management if >55 or black

A

CCB

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24
Q

How do you step up HTN medication after first line

Study These Flashcards
A

always and ACEi or and ARB, never both
add on the other category, e.g. CCB or thiazide-like if ACEi; ACEi or thiazide-like if CCB
Third line is all 3

25
Second line mx for HF?
Spironolactone
26
Medication to manage acute fluid overload in HF?
Furosemide
27
How to treat AF if <48 hours since onset?
Flecainide or electrical cardioversion
28
Stroke prevention- when to give and what? when not to give?
DOAC or warfarin if CKD If CHA2DS2VASc if 1 in men or 2 in women. If HASBLED score 1 there is moderate risk of bleed, if 3 then absolutely not
29
Pain relief in angina, how to write dose
GTN spray- dose is 2 sprays
30
Angina secondary prevention
aspirin, statin
31
Stable angina anti anginal med
B-blocker (atenolol) or diltiazem
32
second line anti anginal therapy
isosorbide mononitrate or nicorandil
33
COPD management 1,2,3,4 line
1- SABA/SAMA 2- LABA 3- LABA + LAMA (ICS if asthmatic features) 4- LABA + LAMA + ICS
34
Asthma management 1,2,3,4 line
1- ICS PRN 2- ICS preventer 3- ICS+ LABA 4- ICS increase or +LTRA
35
Diabetes secondary prevention(3 meds) and when
if over 50 in T2DM or CVD RF: aspirin and statin if neurovascular complications: ACEi is protective
36
First line options for T2DM
metformin - esp if overweight SU- if creatinine >150, better for underweight pts
37
Second line T2DM options
Dual therapy: DPP4i Pioglitazone SU SGLT2i
38
Third line T2DM options:
metformin, DPP4i, SU metformin, Pioglitazone, SU metformin, Pioglitazone/SU, SGLT2i
39
Management of Parkinson's disease?
co beneldopa or co careldopa
40
Mild Parkinson's disease management?
Ropinirole Rasagiline (MAOi)
41
Least teratogenic antiepileptics?
lamotrigine or levetiracetam
42
Tonic clonic seizure meds
valproate or lamotrigine
43
management of myoclonic seizures
valproate or levetiracetam
44
management of focal seizures
carbamazepine or lamotrigine
45
management of absence seizures
ethosuximide or valproate
46
Way to remember anti epileptic medications for women?
All lamotrigine, except myoclonic seizures are levetiracetam Absence is ethosuximide for both F+M
47
Ways to remember antiepileptic medications for men?
All valproate, except carbamazepine in focal Absence is ethosuximide for both F+M
48
What medications are used in mil/moderate Alzheimer's?
AChE i Donepezil, rivastigmine, galantamine
49
What medication can be added on in moderate/ severe Alzheimer's?
Memantine
50
What medication is used to induce remission in Crohn's
Prednisolone or hydrocortisone if severe
51
What medications are used to maintain remission in Crohn's
Azathioprine (affected by enzyme activity) Or, methotrexate
52
What rheum meds can be given in chronic RA?
Methotrexate
53
What rheum meds can be given in acute RA?
Methylprednisolone NSAIDs DMARDs
54
Types of laxatives?
Bulking- ispaghula husk Osmotic- lactulose, phosphate enema Softener- docusate sodium Stimulant- senna, bisacodyl
55
What laxatives are C/I in acute abdomen
Stimulants, or phosphate enema (osmotic)
56
What laxative is c/i in IBD?
Phosphate enema
57
When are all laxatives c/i
Bowel obstruction
58
What meds to give for insomnia?
Zopiclone 7.5 mg, half the dose in thin or elderly

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