Notes in Medicine::MD4::On call textbook

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Status	Last Update	Fields
Published	02/16/2024	Advanced Life Support Drugs:Shockable rhythm:{{c1::Adrenaline}} {{c1::1mg::dose}} after {{c1::2nd}} shock then every {{c1::2nd cycle}}{…
Published	03/13/2024	First-line drugs + MOA for neuropathic pain:{{c1::Antidepressants (TCAs, SNRIs)}} → {{c2::inhibit the reuptake of sertonin and noradren…
Published	03/13/2024	Pain Definitions Acute pain → pain that lasts for {{c1::< 3 mo }}Chronic pain → pain that lasts for {{c1::> 3 mo}}Neuropathi…
Published	03/23/2024	What to chart along for pain med side effects? NSAIDs → {{c1::esomeprazole 20mg daily}} Opioids - {{c2::Antiemetics x 2 → ondasetr…
Published	03/23/2024	Naloxone Dosing If resp rate {{c1::6-10}} → stop PCA, call doctor If resp rate {{c1::4-6}} → stop PCA, call MET, give naloxone {{c2::100mcg}…
Published	03/23/2024	Features of Neuropathic Pain (DN4 Questionnaire) Characterised as {{c1::burning}}, {{c1::painful cold}}, {{c1::electric shocks }}A…
Published	03/23/2024	CodeinePros → {{c2::familiar, anti-tussive, decreases bowel motility }}Cons → {{c1::prodrug that converts to morphine in liver to exert…
Published	03/23/2024	Naloxone is a {{c2::competitive mu opioid antagonist::MoA}}. What is crucial to know about its elimination? - {{c1::Naloxone has a shor…
Published	03/23/2024	What are options for severe pain, not responding to strong opioids? → {{c1::PCA}} → {{c1::Ketamine infusion}}→ {{c1::Regional analgesia…
Published	03/23/2024	Which pain meds to worry about with renal impairment? → {{c1::Morphine (accumulation of active metabolities) }}→ {{c1::K…
Published	03/23/2024	Tramadol MoA: {{c1::weak mu opioid receptor agonist}} + {{c1::serotonin/noradrenaline reuptake inhibitor }}Dose: 50-100mg PO/IV Ca…
Published	03/23/2024	Tapentadol IR/SR (Palexia) MoA: {{c1::strong mu-opioid receptor agonist}} + {{c1::weak serotonin and noradrenaline reuptake inhibitor}}In co…
Published	03/23/2024	What pain meds to prescribe on discharge and how long/much? {{c1::Paracetamol 1g QID - 5 days}}{{c1::Ibuprofen/Celecoxib - 5 days}}&nbs…
Published	03/23/2024	Why doesn't the naloxone in Targin stop the oxycodone from providing analgesia?{{c1::Naloxone is metabolised by the liver, 70% oxy…
Published	03/23/2024	Need to be cautious with Targin in {{c1::liver}} impairment
Published	03/23/2024	Ibuprofen vs Celecoxib Ibuprofen/Naproxen/Diclofenac → {{c1::non-selective COX 1/2 inhibition }}Celecoxib → {{c1::selective COX-2 …
Published	03/26/2024	Bradycardia + shock:First line:{{c1::Atropine::drug}} {{c1::500mcg::dose}} {{c1::IV::route}} repeat up to {{c1::3mg}}
Published	04/03/2024	Hypercalcaemia in context of malignancy advice:{{c1::Hydration}}Avoid {{c1::low calcium}} dietEncourage {{c1::mobilisation}}
Published	04/03/2024	Patients with an uncertain tetanus vaccination history should be given a {{c1::booster vaccine}} + {{c1::immunoglobulin}}, unless the wound is very {{…
Published	04/03/2024	In life-threatening C. difficile infection treatment is with {{c1::ORAL::route}} vancomycin and {{c1::IV::route}} metronidazole
Status	Last Update	Fields