MEDICAL EMERGENCY - GW

Question 1

vasovagal syncope airway?

Answer 1

patent

Question 2

vasovagal syncope resp rate?

Answer 2

raised
>20

Question 3

vasovagal syncope sp02?

Answer 3

lowered
<96%

Question 4

vasovagal syncope heart rate?

Answer 4

tachycardia
>100bpm

followed by bradycardia
<60bpm

Question 5

vasovagal syncope blood pressure?

Answer 5

hypotension
<90/60

pallor

Question 6

vasovagal syncope ACVPU?

Answer 6

alert/ unconscious depending on the stage

Question 7

vasovagal syncope blood glucose?

Answer 7

<4mmol

Question 8

vasovagal syncope signs?

Answer 8

dizzy
blurred vision
light headed
nausea
sweaty

Question 9

management of vasovagal syncope before LOC?

Answer 9

give dextrose tablet/ glucose gel
open window
lay pt supine
low flow 02

Question 10

why do you lay a pt supine who is experience vasovagal syncope?

Answer 10

return the venous blood flow to the heart

Question 11

management of vasovagal syncope after LOC?

Answer 11

check airway
assess breathing
loosen tight clothing around neck
high flow 02 15l/min through a non re-breather
recovery position if necessary
reassurance on awakening

Question 12

acute severe asthma airway?

Answer 12

wheeze on expiration

Question 13

acute severe asthma resp rate?

Answer 13

high
>20

Question 14

acute severe asthma sp02?

Answer 14

lowered
<96%

Question 15

acute severe asthma breathing signs?

Answer 15

short of breath
unable to complete sentences in 1 breath
using accessory muscles to breath

Question 16

acute severe asthma heart rate?

Answer 16

tachycardia
>100bpm

Question 17

acute severe asthma blood pressure?

Answer 17

hypertension
> 140/90

pallor

Question 18

acute severe asthma ACVPU?

Answer 18

alert but distressed

Question 19

life threatening asthma airway?

Answer 19

extreme wheeze on expiration

Question 20

life threatening asthma resp rate?

Answer 20

low
<12

Question 21

life threatening asthma sp02?

Answer 21

low
<96%

Question 22

life threatening asthma breathing?

Answer 22

shallow breathing
exhausted

Question 23

life threatening asthma heart rate?

Answer 23

bradycardia
<60bpm

Question 24

life threatening asthma blood pressure?

Answer 24

hypertension
>140/90

Question 25

life threatening asthma ACVPU?

Answer 25

confused (hypoxia)
drifting toward unconscious

Question 26

life threatening asthma signs?

Answer 26

shallow breathing
exhausted
clammy
LOC

Question 27

asthma attack management?

Answer 27

• salbutamol inhaler 2 puffs/ 4 puffs into spacer
• call 999, if no improvement
• 15l/min O2 through non re-breather mask
• repeat salbutamol after 10 mins if no improvement
• plenty reassurance
• sit pt upright and lean forward to open accessory muscles and aid with breathing

Question 28

anaphylaxis airway?

Answer 28

stridor
wheeze
occluded

Question 29

anaphylaxis resp rate?

Answer 29

high
>20

Question 30

anaphylaxis sp02?

Answer 30

low
<96%

Question 31

anaphylaxis breathing?

Answer 31

shortness of breath

Question 32

anaphylaxis heart rate?

Answer 32

tachycardia
>100bpm

Question 33

anaphylaxis blood pressure?

Answer 33

hypotension
<90/60

Question 34

anaphylaxis RCT?

Answer 34

raised
>2 seconds

Question 35

anaphylaxis ACVPU?

Answer 35

alert but distressed

Question 36

anaphylaxis signs?

Answer 36

angioedema
urticarial rash
flushed
nausea
vomiting
urinary/ bowel incontinence
LOC

Question 37

anaphylaxis management?

Answer 37

• remove any known source
• phone 999
• administer adrenaline IM 0.5mg (1:1000)
• 02 15l/min through non rebreather mask
• lay pt supine to restore BP/ comfortable position
• if pt has autoinjector use this first
• repeat adrenaline every 5 mins
• reassurance

Question 38

what are the paediatric doses of adrenaline for anaphylaxis?

Answer 38

6 months - 5 years: 0.15mg
6-11 years: 0.3mg
12-17 years: 0.5mg