MD

Question 1

What meds can you give for bronchconstriction

Answer 1

Salbutamol EPi dexamethasone

Question 2

Weight and routes of salbutamol

Answer 2

Above or less than 25kg and can be given MDI or Neb

Question 3

Salbutamol Tx for pt less than 25 kg

Answer 3

MDI - 600mcg, 5-15mins PRN, up to 3
NEB - 2.5mg, 5-15mins PRN, up to 3

Question 4

Salbutamol Tx for pt more than 25kg

Answer 4

MDI - 800mcg, 5-15mins, 3 times
NED - 5mg, 5-15mins, 3 times

Question 5

EPi Tx for bronchoconstriction

Answer 5

IM, 0.01mg/kg up to 0.5mg, once

Question 6

Tx of dexamethasone for bronchoconstriciton

Answer 6

PO/IM/IV, 0.5mg/kg up to 8mg

Question 7

What meds can you give for croup

Answer 7

EPi and dexamethasone

Question 8

Conditions to give epi for croup

Answer 8

Between 6 months and 8 years old, HR less than 200bpm, stridor

Question 9

Tx for croup with EPI for a pt less than 10kg

Answer 9

NEB, 2.5mg once

Question 10

Tx for croup with EPI for a pt more than 10kg

Answer 10

NEB, 5mg, once

Question 11

Nitro conditions for cardiac ischemia

Answer 11

Greater than 18 years old, HR 60-159, normotension, prior Hx of nitro

Question 12

Nitro Tx for NO STEMI

Answer 12

SBP >100, SL, 0.4mg, every 5 mins 6 times

Question 13

Nitro Tx for STEMI

Answer 13

SBP>100, SL, 0.4mg, every 5 mins up to 3 times

Question 14

Tx of nitro for ACPE for pt with SBP 100-140

Answer 14

Yes IV, SL, 0.4mg, every 5 mins up to 6 times

Question 15

Nitro Tx for ACPE for pt with SBP >140 and no IV or Hx

Answer 15

SL, 0.4mg, every 5 mins up to 6 times

Question 16

Nitro Tx for pt with SBP >140 and an IV

Answer 16

SL, 0.8mg every 5 mins up to 6 times

Question 17

Conditions for dextrose for hypoglycaemia

Answer 17

Greater than 2 years old, LOA is altered

Question 18

Tx for hypoglycaemia with 10% dextrose

Answer 18

IV
0.2mg/kg (2mL/kg)
25mg (250mL)
Every 10 mins
2 times

Question 19

Tx for Hypoglycaemia with 50% dextrose

Answer 19

IV
0.5mg/kg (1mL/kg)
25mg (50mL)
Every 10 mins
2 times

Question 20

Tx of hypoglycaemia with glucagon if pt is <25kg

Answer 20

IM
0.5mg
Every 20mins
Two times

Question 21

Tx for hypoglycaemia with glucagon if pt is >25kg

Answer 21

IM
1mg
Every 20 mins
Two times a day

Question 22

Drugs for adrenal crisis and their conditions

Answer 22

Hydrocortisone - medics must be presented with vile AND
Age related hypoglycaemia, tachycardia, hypotension,
GI symptoms
Temp >38
Altered LOA
Syncope

Question 23

Hydrocortisone Tx

Answer 23

IM/IV
2mg/kg
100mg
Once