CWIs

Question 1

IV Indications

Answer 1

IV fluid is required as per the CPG including the dilution and admin of medications

Question 2

IV fluid bag Precautions

Answer 2

• ensure aseptic technique is practiced at all times
• do not re-spike fluid bag (may cause air embolism)

Question 3

IV contraindications

Answer 3

NIL

Question 4

IM Indications

Answer 4

Medications that are required to be administered via intramuscular route

Question 5

IM Precautions

Answer 5

• Safety: ensure correct technique for administration, anatomical position, and disposal of sharp technique is used at all times
• Larger volumes may be painful. Dilution should be avoided

Question 6

IM Contraindications

Answer 6

NIL

Question 7

Admin Oral Paracetamol Precautions

Answer 7

PU

P Paracetamol precautions
U Only Use orange string to avoid admin via other routes

Question 8

Admin Oral Paracetamol Contraindications

Answer 8

PU

P Paracetamol contraindication
U Unable to tolerate oral liquids

Question 9

Assembling, connecting and changing IV infusion line contraindications

Answer 9

NIL

Question 10

Assembling, connecting and changing IV infusion line precautions

Answer 10

• Ensure aseptic environment technique is practiced at all times
• Do not respite bag, may introduce embolism

Question 11

NEB indications

Answer 11

A medication required to be administered via nebuliser route

Question 12

NEB Precautions

Answer 12

Respiratory tract infection, use appropriate PPR

Question 13

NEB contraindications

Answer 13

NIL

Question 14

MAD indications

Answer 14

Admin administration via intranasal route as per CPG

Question 15

MAD precautions

Answer 15

Rhinitis, rhinorrhoea, facial trauma. Blow nose

Question 16

MAD Contraindications

Answer 16

Severe facial trauma

Question 17

Suction Indications

Answer 17

Suspected fluid obstruction in airway or airway device

Question 18

Suction Precaution

Answer 18

Epiglottis

CROUP

Question 19

Suction Contraindications

Answer 19

NIL

Question 20

OPA Indications

Answer 20

• support airway latency in the unconscious patient
• bite block in intubated patient

Question 21

OPA Precautions

Answer 21

NIL

Question 22

OPA contraindications

Answer 22

• trismus
• gag reflex
• TBI w/adequate ventilation

Question 23

NPA Indications

Answer 23

Support airway latency in unconscious patient

Question 24

NPA Precautions

Answer 24

• facial fracture or suspected basal skull fracture
• TBI

Question 25

NPA Contraindications

Answer 25

NIL

Question 26

PEEP Indications

Answer 26

All patients receiving IPPV w/cardiac output All neonate patients w/IPPV

Question 27

PEEP Precautions

Answer 27

Hypotension Elevated ICP Right ventricular failure Tension Pneumothorax

Question 28

PEEP Contrainidcations

Answer 28

Cardiac Arrest: no pulse to PEEP, excluding neonates

Question 29

Assembling, connecting and changing IV infusion line indications

Answer 29

This method is indicated when intravenous fluid is required as per the CPGs, including the dilution and administration of medications

Question 30

Pelvic Binder Indications

Answer 30

SAUTe S Suspected pelvic fracture A An awake patient complaining of pain to pelvic area including lower back, groin or hips U Unconscious or altered conscious state patient with significant mechanism T Traumatic arrest, a pelvic splint should be applied as a priority if the mechanism is suggestive

Question 31

Pelvic Binder Precautions

Answer 31

Should be appropriately sized for the patient. Smaller paediatrics may require sheet/towel/pillow-case as a pelvic wrap Consider the two sizes (small/large) A traction splint should not be applied until after the pelvis has been stabilised

Question 32

Pelvic Binder Contraindications

Answer 32

Impaled object preventing application

Question 33

Formable Split Indications

Answer 33

Fracture of: - radius / ulner - humerus - lower leg / knee - ankle injury

Question 34

Formable Splint Precautions

Answer 34

Consider the use of traction splint for leg fracture if not contraindicated

Question 35

Formable Splint Contrainidcations

Answer 35

NIL

Question 36

SGA Indications

Answer 36

U Unconscious patient w/o gag reflex B Ineffective ventilations w/BVM and basic airway mx Unable to intubate >10 minutes assisted ventilations required

Question 37

SGA Precautions

Answer 37

S Inability to perform Sniffing position A pt who requires high Airway pressures T Paed pt who may have enlarged Tonsils A Vomit in Airway

Question 38

BVM Indications

Answer 38

Apnoea Inadequate ventilation

Question 39

BVM Precautions

Answer 39

NIL

Question 40

BVM Contraindication

Answer 40

NIL

Question 41

Measuring an OPA

Answer 41

Angle of the jaw to the incisor

Question 42

Measuring an NPA

Answer 42

Corner of nose to earlobe

Question 43

CT6 Indications

Answer 43

- middle third femur fracture, including compound - upper two thirds tibia fractures, including compound

Question 44

CT6 contraindications

Answer 44

Knee or ankle/foot trauma: may increase pain and worsen injuries

Question 45

CT6 Precautions

Answer 45

Pelvic trauma: Pelvic splinting is a higher clinical priority than splinting of limb factures. Traction splints may apply pressure on the pelvis in order to achieve traction, potentially worsening an injury. Legs should be realigned as part of open book fracture management. Splinting can still be used in pelvic trauma/fracture though anatomical splinting may be better depending on pelvic injury and severity. Realign long bone fractures in as close to normal position as possible. Open fractures with exposed bone should be irrigated with a sterile isotonic solution prior to realignment and splinting.

Question 46

PILSDUCT

Answer 46

Signs of a fracture Pain Irregularity Loss of movement Swelling Deformity Unnatural movement Crepitus Tenderness

Question 47

Fracture Treatment Acronym

Answer 47

FRACTURES Fix Reassure Afford limb support Cover any wounds Try for natural position Use appropriate splint React to haemorrhage Every occasion suspect fracture Shock treat and manage

Question 48

Valsalva Contras

Answer 48

- systolic BP <90 - unable or rapidly detiorating - AF or flutter

Question 49

Valsalva Precautions

Answer 49

None