acute care 2

Question 1

sudden collapse and VF

Answer 1

CPR
defibrillate
precordial thump if px goes into VF in front of you

Question 2

defibrillate jewls

Answer 2

150

Question 3

complete HB what on ECG

rx (3)

Answer 3

wide QRS complexes
500mcg IV atropine can be repeated 6 times
isoprenaline
pacing (in acute do transcutaneous pacing)

Question 4

if MI suspected ix

Answer 4

trop then another trop 6h later

Question 5

scalp lacerations do what

Answer 5

bleed a lot

can continue to bleed through pressure dressing

Question 6

tension pneumothorax what are 2 late signs

Answer 6

tracheal deviation

dilated neck veins

Question 7

tension pneumothorax cause of

Answer 7

obstructive shock

Question 8

chest drain goes where

Answer 8

5th ICS just ant to mid-axillary above the rib in the safe triangle - neuromuscular bundle is below the rib
pec major - 6th rib - lattisimus dorsi

Question 9

BB overdose looks like what

antidote

Answer 9

pale
low pulse
low RR

glucagon

Question 10

anticholinergic toxidrome symp

Answer 10

restless agitate confused skin dry pupils dilated increased pulse increased RR gait ataxic

Question 11

anticholinergic toxidrome rx

Answer 11

sodium bicarb if very tachy or ECG changes

Question 12

paracetamol levels check when

Answer 12

4h post

Question 13

opined toxidrome symp

Answer 13

pinpoint pupils
decreased RR
unresponsive

Question 14

another cause of pinpoint pupils

Answer 14

posterior circulation syndrome - basillar arteries - locked in syndrome

Question 15

aspirin/sallicylate overdose symp

Answer 15

acidosis
tinnitus
hot
increased RR

Question 16

causes of acidosis MUDPILES

Answer 16

methanol
uraemia
DKA
P
Isoniazid
Lactate
Ethanol
Sallicylate

Question 17

acute px hypoglycaemia

Answer 17

IV glucose 10% 100mls ASAP

Question 18

antidote for midazolam and given when

Answer 18

IV flumozenil 200mcg over 15 seconds - only for iatrogenic overdoses

Question 19

tetanus primary course

Answer 19

3,4,5 month old

booster in primary school and in secondary school

Question 20

tetanus immunoglobulin

Answer 20

in vaccinated patients if high risk injury

Question 21

immunglobulin and tetanus vaccine

Answer 21

at separate sites

Question 22

burn acute (2)

Answer 22

if within 20 mins then run under cold water for 15-20mins

layer cling film

Question 23

burn dressing

Answer 23

mepital

Question 24

why should bites not be sutured shut

Answer 24

inncoluating bacteria

Question 25

dog bites rx

Answer 25

co amox 624mg TDS for 7 days PO

Question 26

sebaceous cyst rx

Answer 26

incise
drain
fluclox 500mg QDS 7 days

Question 27

does glass show up on an XR

Answer 27

ye