Disability

Question 1

How does avpu correspond to gcs?

Answer 1

Alert: 14-15
Verbal: 12-13
Pain response: 9- 11
Unresponsive: 8 or less (severe head injury )

Question 2

Describe eye component of glascow coma scale

Answer 2

1. No response
2. Open in response to pain
3. Open in response to speech
   4 spontaneous opening

Question 3

Describe verbal component of glascow coma scale

Answer 3

1. No response
2. Incomprehensible sounds
3. Inappropriate words
4. Confused but able to answer questions
5. Orientated to time, person, place

Question 4

Describe motor component of glascow coma scale

Answer 4

1. No response
2. Abnormal extension (decerebrate)
3. Abnormal flexion (decorticate posture)
4. Flex to withdraw from pain
5. Moves to localised pain
6. Obeys 2 step command

Question 5

How is GCS calculated in intubated patients?

Answer 5

Out of 10.
Minimum is 2.
Only based on eye opening and motor scores. Add suffix t to indicate intubation.

Question 6

Dose dextrose for hypoglycaemia?

Answer 6

Dextrose 10% 5ml/kg ivi
If known alcohol user, give thiamine 100mg IM/IV before dextrose

Recheck in 15 min, if still <3 give further 2ml/kg

Once >3, Continue dextrose 5% 1L IVI 6hrly

How to mix 10% dextrose:
- take the desired % solution (eg 10%) and divide this by the undiluted injection (50%) =0.2
- multiply this by the volume of fluid in your bag in ml (ie 250ml) = 50
- this is the amount to add to bag. Ie remove 50ml of NS and replace with 50ml 50% dextrose = 10% dextrose.

Question 7

Organophosphate poisoning symptoms (8)

Answer 7

DUMBELS

• DIARRHOEA
• urination (incontinence)
• miosis!
• bradycardia
• bronchospasm/muscle twitching!
• emesis
• lacrimation (tears)!
• salivation!