Chapter 3

Question 1

What is the chain of prevention?

Answer 1

Education, monitoring, recognition, call for help, response

Question 2

Name the causes of VF

Answer 2

ACS, hypertensive heart disease, valvular disease, drugs (anti arrhythmics, TCAs, digoxin, adrenaline), long QT syndrome, acidosis, electrolytes, hypothermia, electrocution

Question 3

What is the most common cause of sudden cardiac death?

Answer 3

Coronary artery disease

Question 4

How does pulse pressure help us differentiate types of shock?

Answer 4

Narrow suggests arterial vasoconstriction (cardiogenic, hypovolaemic) whilst high, wide suggests vasodilation (anaphylaxis, sepsis)

Question 5

What is immediate ACS treatment?

Answer 5

300mg chewed aspirin, GTN, O2 if sats <94%, fentanyl or morphine for pain

Question 6

How do you manage hypoglycaemia in an unconscious patient?

Answer 6

50mL 10% glucose solution IV, repeat minutely until conscious or 250mL given