Study Day Questions

Question 1

Asthma Knowledge questions

What Risk factors are associated with Vt of pt?

Answer 1

1) Increased gas trapping
2) Increased ITP Idiopathic thrombocytopenic purpura
3) Decreased VR and CO
Potential Tpt and Aspiration

Question 2

Related knowledge Asthma:

Common asthma triggers:

Answer 2

• Pollution/Preservatives
• Infection
• Exercise/emotion
• Drugs/dust

Question 3

Related knowledge Asthma:

Why do we allow for the apnoea period?

Answer 3

= Allow passive exhalation of trapped gases
= Allows O2 and CO2 exchange
= Decrease hyperinflation
= Decrease in ITP to increase VR+CO

Question 4

Related knowledge Croup : 
Dexamethasone amount for a 
2YO, 
4 YO 
6YO

Answer 4

2YO

7. 2mg Oral
8. 8mL

4YO

9. 6mg Oral
10. 4 mL

6YO
12mg
3 ml

Question 5

Related knowledge Asthma

Signs of CO2 retention in children:

Answer 5

Sweating
Hypertension
Tachycardia 
Bounding Pulse 
Pupillary Dilation 
Cardiovascular depression

Question 6

Related knowledge Overdose
Naloxone:
Why IM > IV?:

Answer 6

IM provides a slower onset of action and prolonged duration of effect, which may minimise rapid onset of withdrawal symptoms in opioid dependant patients

Question 7

Related knowledge Overdose:

Pt’s should be ventilated with 100% O2 prior to administration Why ?

Answer 7

= patients may have developed a hypoxic brain injury from prolonged hypoventilation (typicaly have a unknown period of down time)

Question 8

Related knowledge Seizures :

What causes febrile Convulsions?

Answer 8

What causes febrile Convulsions? Sudden change in body temperature Temp> 40C Age 6mths-6yo (pts <6yo, hypothalamus not fully developed and unable to regulate temperature) Usually associated with fever and acute illness

Question 9

Related knowledge Seizures :

Causes of seizures in adults:

Answer 9

• Epilepsy
• Trauma
• Tumours
• Drug abuse
• Stroke

Question 10

Related knowledge Seizures :

What is a febrile convulsion?

Answer 10

Febrile convulsions are one of the most common paediatric emergencies and are usually associated with fever (mainly temperatures exceeding 38°C (100.4°F)) in the absence of CNS infection, metabolic abnormalities, or a history of afebrile seizures, in children between 6 months and 5 years of age.
A febrile convulsion is not epilepsy and a short-lived fit will not cause brain damage – even a long fit almost never causes harm
2 types;
- Simple febrile seizures are the most common type, they are usually generalised, last under 15 minutes and do not recur within 24 hours.
- Complex febrile seizures have a focal onset, last longer than 15 minutes and recur within 24 hours.

Question 11

Related knowledge Seizures

Indication for Midaz?

Answer 11

Evidence of Stat Epilepticus (5 or more minutes or 2 or more seizures without full recovery) = GSCE or consult for subtle SE

Subtle SE: Coma and ongoing electrographical seizure activity with or w/out subtle convulsive movements
= rhythmic muscle twitches or tonic eye deviation
= no improvement in conscious state