Random PSA

Question 1

What is the first-line treatment for unconcisous patients/ drowsy patients with hypoglycaemia?

Answer 1

10-15g Glucose IV administered with 10 or 20% Glucose over 15 minutes

• 150-200ml of 10% Glucose OR
• 75-100ml of 20% glucose

Question 2

What are the different options for thromboprophylaxis in patients undergoing total hip replacements?

Answer 2

1. Low-molecular weight heparin 10 days, followed by 28days of aspirin
2. Or LMWH for 28days and stockings until discharge **(High risk surgers - usually Enoxaparin Sodium 40mg SC OD) **

Question 3

What are the most common drugs causing hyperkalaemia?

Answer 3

NSAIDS
ACEi
ARB
Diuretics - in particular
All Heparins

And more

Question 4

What are signs of amynophiline toxicity?

Answer 4

agitation
vomiting
hypokalaemia
tachycardia

Question 5

Which drugs increase the risk of falls in the elderly?

Answer 5

Benzodiazepines
Antidepressants (particularly TCAs and SNRIs)
Monoamine oxidase inhibitors
Most antipsychotics
Opiates
Most antihypertensives (particularly diuretics and alpha-blockers)

Question 6

Which drugs increase the risk of fractures/ osteoporosis?

Answer 6

PPIs
Steroids
GnRH agonists (buserelin, goserelin etc)