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CMS > Medical Emergencines > Flashcards

Medical Emergencines Flashcards

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Introductory Sommelier Exam (CMS) flashcards
1
Q

What o2 saturation level is indicated if patient at risk of hypercapnic respiratory failure

A

88-92%

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2
Q

What are signs and symptoms of anaphylaxis?

A 
Flushing
Sweating
Generalised itching
Bronchospasm
Laryngo spasm
Rapid weak pulse
Drop in be
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3
Q

What is management of anaphylaxis?

A

ABCDE
Lay flat and raise feet
Administer adrenaline intramuscularly 500micrograms / 0.5ml

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4
Q

What dosage of adrenaline does a self administered Epi pen contain?

A

300 micro grams

0.3ml

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5
Q

What dosage should be given in children under 6?

A

150 micrograms

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6
Q

What dosage should be given in children aged 6-12?

A

300 micrograms

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7
Q

What is medication should be administered in case of asthmatics attack?

A

Beta 2 agonist salbutamol

100micrograms

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8
Q

What categorises acute asthma?

A

Able to talk
Resp breaths 92%
Peak flow >50%

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9
Q

How long should you monitor patient after moderate attack?

A

15-30 minutes

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10
Q

What accounts for severe acute asthma?

A 
Can not complete sentences in one breathe
Resp breaths >25
Pulse>110
O2 sat >92%
Peak flow 33-50
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11
Q

What accounts for life threatening acute asthma?

A 
Silent chest
Feeble resp effort
Cyanosis
Hypotension
Bradycardia
Arrhythmia
Agitation- kids
Peak flow
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12
Q

What are signs and symptoms of myocardial infarction?

A 
Crushing pain across chest 
May radiate towards shoulder and arm or neck and jaw
Pale , clammy skin
Nausea and committing
Weak pulse
Fall in bp
Breathlessness
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13
Q

Treatment re. MI?

A

GTN spray to relieve pain
Aspirin- 300mg
O2

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14
Q

Signs and symptoms of epileptic seizure

A 
Brief warning/aura
Sudden loss of consciousness 
Tonic- rigid, fall, cyanosis
Clonic- jerking movement of limbs
Frothing of mouth
Incontinence
Flaccid/ unconsciousness
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15
Q

Management of epileptic seizure

A

Ensure patient not at risk of injury
O2
After convulsion- recovery position
Midazolam if prolonged or repeated - 10mg Buccally

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16
Q

Signs and symptoms of hypoglycaemia

A 
Shaking
Sweating
Pins and needles 
Hunger
Palpitation
Headache
Double vision
Confusion
Slurred speech
Convulsions
17
Q

What is the management of hypoglycaemia

A

10-20 g glucose orally- repeated in 10-15. Mins

If unconcsious- 1mg glucagon intramuscularly

18
Q

What is syncope caused by?

A

Insufficient blood to the brain
Vaso shall attack
Postural hypotension

19
Q

Signs and symptoms of syncope

A 
Low bp
Pallor and sweating
Yawning and low appetite
Nausea
Dilated pupils
Muscular twitching
20
Q

Management of syncope

A

Lay flat
Raise legs
Loosen clothes
Sweet tea on return of consciousness

21
Q

In acutely Ill patients what would o2 Saturation expected to be at?

A

94-98%

CMS (14 decks)

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