rv Flashcards
(25 cards)
Max daily dose of tranexamic acid
4g for 4 days (usually 1g TDS for 4/7)
What test is conducted for patients with suspected venous thromboembolism
A D dimer test
Unfractioned and LMWH antidote
Protamine
Bendro x lithium
Increases lithium levels resulting in a risk of toxicity
What conditions would require a INR of 3.5
Mechanical
Recurring DVT or PE
What is the dosage regimen for apixban for treatment of DVT or PE
10mg BD 7/7 then maintenance 5mg BD
Medication to use for Raynaud
Nifedipine
Which heparin is preferred in renal failure
Unfractionated heparin
Risk factors for pre-eclampsia
- 40+
- Pregnancy interval of more than 10 years
- BMI 35+
- Family hx
- Twins
- CKD
- Diabetes
- Autoimmune
- Chronic HTN
statin dose for familial hypercholesterolaemi
High intensity required 20mg+
Atorva
When should warfarin be stopped before surgery
3-5 days before. If at high risk of theromboembolism they should be bridged with a LMWH which should be stopped 24 hours before the surgery and then restarted 48 hours after the surgery. if the INR is over 1.5 give vitamin K
PCI needs to be done in STEMI within
2 hours of the event
Thromboprophylais after elective surgery
Options
- Aspirin 75mg for 14/7
- LMWH 14/7 with stockings till mobile
- Rivaroxaban 14/7
NOT EDOXABAN
Can you use digoxin and bisoprol in HEART FAILURE
No - risk of heart block
Pharmacological prophylaxis for major cancer surgery in their abdomen
28 days
Pharmacological prophylaxis following general surgery
7 days
Pharmacological prophylaxis for spinal surgery
30 days
Isachemic stroke how many days of aspirin 300mg before switching to life long clop
14 days
Stage 2 hypertension
160/100 or higher but below 180/120 - need to treat with antihypertensive regardless
BP THAT WOULD SUGGEST PRE-ECLAMPSIA
above 140/90mmhg
Target BP for patient under 80 with or without type 2 diabetes
140/90
BP if over 80 with CKD
130/80 if their ACR is 70 or more or 140/90 if their ACR is below 70
Spiro x NSAIDS
Hyperkalemia
What to add if patient is on triple therapy for HTN but has low potassium
Add spiuronlactone