Emergency management

Question 1

Management of anaphylaxis

Answer 1

1. Treat anything life-threatening
2. IM Adrenaline 1:1000
3. IV fluids
4. IM/IV Chlorphenamine
5. Hydrocortisone

Question 2

Warfarin reversal in a major bleed

Answer 2

(regardless of INR)
Stop warfarin
IV Vit K
Prothrombin complex

Question 3

Warfarin reversal in a minor bleed

Answer 3

(INR over 5)
Stop warfarin
IV Vit K

Question 4

Warfarin reversal in no bleed but deranged INR

Answer 4

(INR <5)
Aim for therapeutic range

(INR 5-8)
Withhold 1-2 doses, reduce subsequent dose warfarin

(INR >8)
Stop warfarin
Oral Vit K

Question 5

Immediate management of TIA

Answer 5

300mg Clopidogorel (then 75mg thereafter)

Question 6

Immediate management of stroke

Answer 6

300mg Aspirin for 2 weeks (then 75mg Clopidogrel thereafter)

Thrombolysis within 4.5h

Thrombectomy within 6h