Medical Emergencies

Question 1

Symptoms of a patient experiencing hypoglycaemic attack?

Answer 1

Shaking/trembling
Slurred speech
Sweating and pallor
Blurred vision
Confusion

Question 2

Give 3 drugs that can be used to treat seizures and give a side effect for each one

Answer 2

Phenytoin - gingival hypertrophy
Carbamazepine - dry mouth
Sodium valporate - Nausea

Question 3

What is the medication administered for an asthma attack?

Answer 3

Salbutamol aerosol inhaler (100micrograms / puff)

Question 4

What medication would you give for a suspected myocardial infaraction?

Answer 4

Chew on 300mg aspirin tablet

Question 5

What blood glucose reading would suggest a hypoglycaemic attack?

Answer 5

2.6 mmol/L

Question 6

What symptoms may suggest chest pain is not angina but is a myocaridal infarction?

Answer 6

Nausea
Vommiting
Sweating

Question 7

What are the paediatric doses of adrenaline?

Answer 7

< 6 yrs - 150 mg (0.15ml of 1:1000)
6-12 yrs - 300 mg (0.3ml of 1:1000)
> 12 yrs - 500mg (0.5ml of 1:1000)

Question 8

Describe the classification of epilepsy

Answer 8

Partial - electrical activity involving part of the brain
Generalised - electrical activity involving entire brain

Question 9

What is the paediatric dose of glucagon?

Answer 9

< 8 years or < 25kg
0.5mg IM

Question 10

What medication do you adminster for a hypogylacaemic attack where the patient is conscious?

Answer 10

Source of fast acting glucose
Glucose tablets
Glucose gel
Orange juice

Question 11

List 4 causes of seizures besides epilepsy

Answer 11

Hypoglycaemia
Multiple sclerosis
Drugs (antidepressants)
Head trauma

Question 12

What medication do you adminster for a hypogylacaemic attack where the patient is unconscious?

Answer 12

Glucagon 1mg IM

Question 13

What is the medication administered for an angina attack?

Answer 13

2 sprays of Glyceryl trinitrate spray sublingually (400micrograms / dose)

Question 14

What are the paediatric doses for midazolam?

Answer 14

1-5 years - 5mg
5-10 years - 7.5mg
> 10 years - 10mg

Question 15

What is a normal blood glucose range?

Answer 15

3.6-5.8 mmol/L

Question 16

When do you give medication for a epileptic seizure?

What medication and dose do you give?

Answer 16

Prolonged convulsive seizures for longer than 5 minutes or 3 or more seizures in an hour

Midazolam 10mg/ml (buccal or intranasal)

Question 17

What are some symptoms you may expect to see if a patient is experiencing anaphylaxis?

Answer 17

Break out of hives
Respiratory distress
Stridor/wheezing

Question 18

What is the treatment of the ME anaphylaxis?

For an adult

Answer 18

Adrenaline 500mg IM
(0.5ml of 1:1000)