medical emergencies

Question 1

how do you deliver oxygen and what volume?

Answer 1

15L via non-breathing mask

Question 2

signs and symptoms of anaphylaxis

Answer 2

A B C D E

a - swelling stridor
b - increased respiratory rate
c -
d -
e -

Question 3

what drug should you deliver in a patient with emergency airway involvement

Answer 3

adrenaline

Question 4

O2 saturation of 82, what drug will you deliver?

Answer 4

adrenaline

Question 5

what does a adrenaline do

Answer 5

increases blood pressure
vasoconstriction
bronchodilator
myocardial contractility

Question 6

concentration and dose of adrenaline

Answer 6

1 : 1000 IM injection
0.5mg

Question 7

side effects of adrenaline

Answer 7

arythmia
anxiety

Question 8

z track technique - use when delivering emergency drugs

Question 9

angina signs and symptoms

Answer 9

a - talking
b - increased respiratory rate
c - increased
d - alert
ee - pale damp clammy central chest pain

Question 10

what is the condition that causes chest pain on exertion

Answer 10

stable angina

Question 11

MI

Answer 11

MI - rupture of atheroma - blood and atheroma leaks out causing inflammatory process and constriction and thrombus formation

Question 12

treatment for angina

Answer 12

GTN spray sublingual
400micrograms per dose/puff - give 2 puffs

Question 13

MI treatment

Answer 13

300 mg aspirin crushed or chewed - deny water for at least 10 mins as needs to be absorbed into oral mucosa

Question 14

side effects of aspirin in emergency

Answer 14

GI bleeding and ulcers

Question 15

what is the function of aspirin

Answer 15

analgesic, anti-inflammatory, anti pyretic, anti-platelet

Question 16

when can you repeat GTN

Answer 16

after 5 mins

Question 17

signs and symptoms of asthma - mild or moderate

Answer 17

can complete sentence
normal respiratory rate
normal heart rate
alert
slight tightness in chest

Question 18

signs and symptoms of asthma - severe

Answer 18

difficult completing sentence
increased respiratory rate
increased heart rate
alert
tripod position

Question 19

treatment of mild/moderate asthma

Answer 19

salbutamol

Question 20

treatment of severe asthma

Answer 20

10 puffs salbutamol with spacer then o2 mask

Question 21

signs and symptoms of life threatening asthma

Answer 21

compromised
decrease in respiratory rate
decrease in heart rate
unresponsive
blue tinge to lips

Question 22

how many mg salbutamol in one puff

Question 23

hypoglycaemia signs and symptoms

Answer 23

initially talking
initially increased respiratory and heart rate
initially alert
irritable confused and pale

Question 24

treatment of hypoglycaemia

Answer 24

glucose
glucagon if pt unresponsive
1mg intramuscular z track technique
get them to eat

Question 25

seizures signs and symptoms

Answer 25

compromised airway unresponsive seizure activity and incontinence

Question 26

pt seizing after 5 mins or having repeated seizures what do you do

Answer 26

buccal midazolam 10mg

Question 27

what are the effects of midazolam

Answer 27

muscle relaxation sedation slows down nerve signals to brain

Question 28

side effects of midazolam

Question 29

signs and symptoms of syncope

Answer 29

compromised reduced rate reduced rate and pressure unresponsive pale and clammy

Question 30

syncope treatment

Answer 30

elevate legs

Question 31

pt does not revive after suspected syncope what do u do

Answer 31

is not syncope need to investigate