Anaesthetics

Question 1

Management of local anaesthetic toxicity

Answer 1

IV 20% lipid emulsion

Question 2

GCS. Motor

Answer 2

6- obeys commands
5- localises to pain
4- withdraws from pain
3- abnormal flexion (decorticate posturing)
2- abnormal extension
1- none

Question 3

GCS. Eyes

Answer 3

4- spontaneously
3- to speech
2- to pain
1- none

Question 4

GCS. Verbal

Answer 4

5- orientated
4- confused
3- inappropriate words
2- groaning
1- none

Question 5

Anaphylaxis prescribing <6 months

Answer 5

Adrenaline 150 micrograms (0.15ml 1 in 1,000)
Hydrocortisone 25 mg
Chlorphenamine 250 micrograms/kg

Question 6

Anaphylaxis prescribing 6 months - 6 years

Answer 6

Adrenaline 150 micrograms (0.15ml 1 in 1,000)
Hydrocortisone 50 mg
Chlorphenamine 2.5 mg

Question 7

Anaphylaxis prescribing 6 years - 12 years

Answer 7

Adrenaline 300 micrograms (0.3ml 1 in 1,000)
Hydrocortisone 100 mg
Chlorphenamine 5 mg

Question 8

Anaphylaxis prescribing >12 years

Answer 8

Adrenaline 500 micrograms (0.5ml 1 in 1,000)
Hydrocortisone 200 mg
Chlorphenamine 10 mg

Question 9

How long should a patient be observed following anaphylaxis?

Answer 9

6-12 hours due to 20% experiencing biphasic reactions

Question 10

How can true anaphylaxis be confirmed?

Answer 10

Serum tryptase remain elevated up to 12 hours following anaphylaxis