OSCE Flashcards
what is GTN spray, dose, adminstration route and what is it used for
Glyceryl trinitrate spray
400 micrograms / dose
sublingual
angina
how does GTN spray work
potent vasodilator for coronary artery
what are possible side effects of using GTN spray
dizziness
headaches
what is Salbutamol used for, dose, admin route
blue inhaler / reliever for asthma
inhalation
100 micrograms/actuation or 10 puffs
how does salbutamol work
B2 agonist
bronchodilator
smooth muscle relaxant
What is adrenaline used for, dose and admin route
0.5mg (0.5ml of 1:1000 solution)
Anaphylaxis
Intramuscular using anterio lateral part of thigh
how does adrenaline work
alpha receptor agonist B1 agonist B2 agonist mast cells stabilisation glucose elevation
what is aspirin used for, dose and admin route
Myocardial infarction
300 mg
oral
how does aspirin work
antiplatelet
What is glucagon used for, dose and admin route
when glucose gone, converts glycogen -> glucose
unconscious hypoglycaemia
1mg
intramuscular
how does glucagon work
glycogenolysis
when would you use a glucose solution or tablet instead of glucagon
conscious hypoglycaemia for glucose solution
unconscious -> glucagon
what is midazolam, dose and admin route
epilepsy,
status epilepticus (prolonged seizure > 5mins)
10mg/ml
buccal (gums)
how does midazolam work
muscle relaxant
when would you give oxygen and how, and how much
15L/min, inhalation
syncope, MI, anaphylaxis, adrenal insufficiency, stroke
how would you treat angina
GTN spray
400 mcg/dose
sublingual
how would you treat asthma
blue reliever = salbutamol
100 mcg/ actuation = 10 puffs
inhalation
how would you treat anaphylaxis
adrenaline
0.5mg (0.5ml of 1:1000 sol)
intramuscular
anterio lateral part of thigh
how much adrenaline is needed according for age and what is it used for
anaphylaxis ( severe allergy)
adult/>12 = 0.5mg
6-12 = 0.3mg
<6 = 0.15mg
how would you treat myocardial infarction
dispersable aspirin
300mg
oral
how would you treat unconscious hypoglycaemia
glucagon
1mg
intramuscular
how would you treat conscious hypoglycaemia
glucose sol/tablet/powder/gel
oral
how would you treat epilepsy or a status epilepticus
midazolam
10mg/ml
bucally (gums)
what is status epilepticus
prolonged seizure lasting more than 5 mins
how much midazolam would you give according to age, and for what, and its action mech
epilepsy or status epilepticus works as a muscle relaxant >10 = 10mg 5-10 = 7.5mg 1-5 = 5mg <1 = 2.5mg
when would you avoid giving oxygen to a patient
if hyperventilating
