Medical

Question 1

Nausea and vomiting.

Answer 1

Ondasertron administered for:

• Undifferentiated N+V
• C/I to Prochlorperazine
• Vestibular nausea <21years
• Prophylaxis for spinal pt, eye trauma

Prochlorperazine administered for:

• Vestibular nausea >21years
• C/I to ondasertron and >21years

Question 2

S/S hyperglycaemia

Answer 2

• BGL >11
• Confusion
• Polyuria
• Dehydration
• Polydipsia
• Kussmaul’s breathing
• Hx of diabetes

Question 3

Anaphylaxis S/S

Answer 3

R - respiratory distress, SOB, wheeze, cough, stridor
A - pain, cramping, N/V/D (particularly common in insect bites and systemically administered allergens (IV)).
S - hives, wells, itching, angioedema (lips, tongue)
H - hypotension SBP <90

Question 4

Meningococcal Septicaemia S/S

Answer 4

• Purpuric rash

Septicaemia signs

• Fever, rigours, joint and muscle pain
• Cold hands and feet
• Tachycardia and hypotension
• Tachypnoea

Meningeal signs

• Headache, photophobia, neck stiffness
• N+V
• Altered conscious state