Choking anaphylaxysis + Paracetamol overdoe

Question 1

What is the maximum dose of paracetamol in 24 hours - adult

Answer 1

4g

Question 2

What is an acute overdose usually the result of?

Answer 2

Self harm

Question 3

Maximum dose per Kilogram of paracetamol in 24 hours

Answer 3

> 75mg

Question 4

What is classed as serious toxicity of paracetamol intake?

Answer 4

> 150mg/Kg in 24 hours

Question 5

What is anaphylaxis?

Answer 5

Life threating reaction to a trigger such as an allergy

Question 6

Common allergies?

Answer 6

Nuts
Bee/wasp stings
Penicillin
Elastoplast

Question 7

In an allergic reaction what is released?

Answer 7

Histamine by mast cells

Question 8

How are allergies managed?

Answer 8

Antihistamines

Question 9

2 most common antihistamine?

Answer 9

Cetirizine
Chlorphenamine

Question 10

How is adrenaline administered?

Answer 10

Auto - injector (epipen)

Question 11

What happens to the body during anaphylaxis?

Answer 11

The immune system releases chemicals which can send the person into shock

Question 12

Anaphylaxis signs and symtpoms?

Answer 12

Sudden onset and rapid progression
Stridor wheezing
Increased RR Decreased sp02
Decreased BP
Rash, angioedema of lips nose etc

Question 13

Anaphylaxis ME management?

Answer 13

Phone 999
Remove source if known
Patient in supine position
Adrenaline
Oxygen
Repeat after 5 mins if required

Question 14

How much adrenaline do you give for anaphylaxis? (adult)

Answer 14

1:1000 0.5mg

Question 15

Doses of adrenaline for anaphylaxis in 6 months - 5 years old?

Answer 15

0.15mg

Question 16

Doses of adrenaline for anaphylaxis in 6 - 11 years old?

Answer 16

0.3mg

Question 17

Doses for adrenaline for anaphylaxis in 12-17 years old?

Answer 17

0.5mg

Question 18

Where do you give IM injection of adrenaline?

Answer 18

upper thigh

Question 19

Why do we use adrenaline during anaphylaxis?

Answer 19

Vasco - constrictor, pushes blood and fluid back to the heart