A to E Prescribing

Question 1

tachycardia, hypoxic, pyrexial, hypotensive

EWS 4
lactate > 1 and AKI > 1

Answer 1

Red flag sepsis:
IV Meropenem 1g
500 ml 0.9% sodium chloride over 15 minutes (bolus)
high flow oxygen (aim to keep O2 sat above 94)

(check lactate + glucose via VBG / ABG, fluid challenge, urine output, blood cultures)

Question 2

tachycardia, hypoxic, pyrexial, hypotensive

Answer 2

IV

Question 3

hypocalcemia

Answer 3

IV slow injection

10 % calcium glutinate

Question 4

hypercalcemia

Answer 4

IV bolus fluids
calcitonin
bisphosphonates

Question 5

hypernatremia

Answer 5

IV fluid bolus - 5% dextrose

Question 6

hyponatremia

Answer 6

IV 100 ml bolus 3% saline over 10 minutes