Random Respiratory conditions

Question 1

What would you give for emergency anaphylaxis + angioedema?

Answer 1

Adrenaline and epinephrine

Repeat dose at 5 minute intervals according to BP, pulse and resp function

Question 2

Which patient group require special consideration before administering adrenaline and epinephrine for an anaphylaxis attack?

Answer 2

patients taking beta blockers (may not respond to adrenaline)

Question 3

What is a useful adjunctive treatment to give after adrenaline in an anaphylaxis attack?

Answer 3

An antihistamine by slow IV injection e.g. chlorphenamine

Question 4

On discharge from anaphylaxis, what treatment should be considered for patients?

Answer 4

Oral antihistamine and oral corticosteroid for up to 3 days

Question 5

What route is the first choice for administration of adrenaline/epinephrine for anaphylaxis?

Answer 5

Intramuscular

Question 6

When would IV be an option for adrenaline/epinephrine in anaphylaxis?

Answer 6

• If the pt is severely ill

- If there is doubt about the circulation and absorption after IM injecting

Question 7

What are the main clinical signs of cystic fibrosis?

Answer 7

• pulmonary disease
• recurrent infections
• production of viscous sputum
• malabsorption

Question 8

Which mucolytic should be offered to patients producing viscous sputum in cystic fibrosis?

Answer 8

• first line - dornase alfa

- second line - add hypertonic sodium chloride

Question 9

What can be used to control a distressing cough in terminal lung cancer?

Answer 9

• diamorphine

- methadone - tend to avoid as it accumulates

Question 10

How do you treat croup?

Answer 10

dexamethasone oral solution