OSCE Flashcards

(12 cards)

1
Q

WARFARIN - CI + SE

A

Pregnancy
active bleeding
risk of major bleeding

SE - bleeding
Diarrhoea, rash, hair loss, nausea

Avoid liver, spinach, cranberry juice, alcohol, nsaids/aspirj

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2
Q

DOAC - CI + SE

A

Significant renal impairment
major bleeding
active bleeding

SE - bleeding
GI disturbance
Only dab is reversible

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3
Q

Levothyroxine - CI + SE

A

CI - none

SE - rare, as it is replacing a hormone, could get levels wrong and get symptoms of hyperthyroid

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4
Q

Statin - CI + SE

A

CI - pregnancy

SE - Muscle pains
Headache
Itching
Nausea, sickness, diarrhea, abdo pain
Rhabdo

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5
Q

Metformin - CI + SE

A

CI - significant renal impairment
Ketoacidosis
Low BMI

SE - N+D, abdo pain, weight loss
LACTIC ACIDOSIS - let your anaethetist know if taking

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6
Q

Iron tablets - CI + SE

A

CI - None

SE - GI irritation, black/green stool, funny taste in mouth

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7
Q

SSRI - CI + SE

A

CI - suicidal risk, mania

SE - GI, appetite and weight change, headahces, anxiety inititally, withdrawal
Sexual dysfunction
Seretonin syndome

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8
Q

Methotrexate - CI + SE

A

CI - pregnancy INCLUDING MEN
Breast feeding
Hepatic impairment
Active infection
Immunodeficiency

SE - alopecia, headaches, GI disturbance, myelosuppression - seek medical attention of any bruising/bleeding
Liver and lung toxicity

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9
Q

Lithium - CI + SE

A

CI - 1st trimester of pregnancy
breast feeding
Cardiac insufficiency
renal impairment
addison’s disease
Low sodium diets

SE - GI,
metallic taste
fine tremor
-thirst, polyuria, impaired urinary conc, weight gain, oedema
renal toxicity
nephrogenic DI
hypothyroidism
neuromuscular

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10
Q

Levodopa - CI + SE

A

CI - glaucoma

SE - psychosis
N+V
Dyskinesias
Postural hypotension
On-off
Impulsive behaviour
dizziness

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11
Q

Insulin - CI + SE

A

CI - none

SE - weight gain
Sharp injuries
Hypo
Lipidystropy at injection sites

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12
Q

Atypical antipsychotics - CI + SE

A

CI - hepatic impairment, phaeochroma

SE - anti dopamingerigc
constipation, dry moith
weight gain, dizzines,s drowsiness
NMS - rigidity
agranulo - cloz
Withfrawal
hyperglycaemia + FM
hyperprolactinaemia
prologed QT

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