Shock

Question 1

Hypotension + raised JVP
What kind of shock ?

Answer 1

Obstructive

Question 2

hypotension requiring inotropes
Warm extremities
Dec urine output
What kind of shock ?

Answer 2

Septic

Question 3

Started on first line anti-TB medications
Taking lisonopril, amlodipine & warfarin
Which adjustment should be made to his medications ?

Answer 3

⬆️ Inc Warfarin

Question 4

Enzyme “P450” inducers:

Answer 4

🔸 Rifampicin
🔸 Carbamazepine
🔸 phenytoin
🔹 Chronic alcohol

• all antiepileptics except valporic acid

Question 5

Enzyme “P450” inhibitors:

Answer 5

🔸 Valporic acid
🔸 INH
🔸 Amiodarone
🔹 Acute alcohol

• most antibiotics (metro, cipro, erythromycin)

Question 6

How Rifampicin affects medications?

Answer 6

Lowers the availability ( need to 🔺 dose)
Except:
-Clopidogrel (🔻 dose)
-Thiazide (🟢 no change)
-Nifidipine (use alternative)