Bendrups Tutorial #2

Question 1

5 Hs and 5Ts of reversible Cardiac arrest?

Answer 1

Hypoxia
Hydrogen (acid)
hypothermia
hypovolaemia
hyper/hypo kalaemia

Thrombosis
Toxins
Tension Pneumo
Tamponade
Trauma

Question 2

how does LVH lead to decrease systolic function?

Answer 2

> thicker myocardium
decreased perfusion from less diastolic filling
ischaemia
loss of systolic function

Question 3

you see someone slumped in their chair asleep during the day, what do you think of?

Answer 3

sleep apnoea

Primary hypoventilation

Question 4

Which decline is faster, COPD or Heart Failure?

Answer 4

COPD: Slower

Heart Failure: Faster

Question 5

someone with COPD and Heart failure presents and you have Abx and Frusemide, they get better, how do you know which one made it better?

Answer 5

The timing. Frusemide works

Question 6

how do you determine the length of LOC of an unwitnessed event?

Answer 6

If it was in front of the TV, ask the shows that was on before or after
if hot food, ask if they needed to reheart it?

Question 7

How to determine functionally if someone has intermittent claudication?

Answer 7

what do you do at a cross light if you arrive and it’s already green?

Question 8

classic side effect of colchicine?

Answer 8

diarrhoea

Question 9

what do you use to prevent gout?

Answer 9

allopurinol

Question 10

never combine allopurinol and?

Answer 10

azathiprine

Question 11

what to give when having acute gout attack?

Answer 11

colchicine

Question 12

how does colchicine work?

Answer 12

mitotic spindle inhibitor

Question 13

gout looks how on radiographs?

Answer 13

radioluscent

Question 14

what predisposes someone to gout?

Answer 14

if lots of nitrogen:

1. proteins and rich foods
2. high cell turn over (eg. tumour lysis

Question 15

what diuretic worsens gout?

Answer 15

thiazides

Question 16

what is Hartmann’s solution?

Answer 16

compound sodium lactate (CSL) is a crystalloid solution that is most closely isotonic with blood and intended for intravenous administration

Question 17

Hartmann’s solution contains?

Answer 17

131 mEq of sodium ion = 131 mmol/L.
111 mEq of chloride ion = 111 mmol/L.
29 mEq of lactate = 29 mmol/L.
5 mEq of potassium ion = 5 mmol/L.
4 mEq of calcium ion = 2 mmol/L.
0 mEq of magnesium ion = 0 mmol/L
This amounts to an osmolarity of 279 mOsm/L.[2]

Question 18

how much sodium in a litre of NaCl?

Answer 18

154 mEq of sodium ion = 154 mmol/L

154 mEq of chloride ion = 154 mmol/L