Condition: Drugs

Question 1

Cocaine Toxicity

Answer 1

OXG
ASP (complain CP)
GTN (complain CP)
DZP (severe hypertension - SBP>140 CP, convulsion)

Question 2

Gastroenteritis

Answer 2

SCP<90
IV PAR/PAIN,Discomfort w Temp
ODT

Question 3

Traumatic Brain Injury (TBI)

Answer 3

OXG 94-98
monitorETCO2
PAIN RELEIF
SCP -maintain SBP 110
TXA

Question 4

Heat Stroke

Answer 4

OXG - more so if confused

Cool Steadily
Correct Symptoms
Pain Relief

‘irregardless of guidelines fluids/SCP important, if vomiting consider ODT’

Do not administer antipyretics.

Question 5

Sepsis

Answer 5

OXG (initially regardless, of sats)
SCP < 90 500ml/15 min, 250ml/8 min x2

IV PAR with discomfort

meningitis BPN

Sepsis: NEWS 5 or more

Question 6

Epilepsy/Seizure

Answer 6

OXG 15L High Conc Mask
MDZ, DZP,

10mins- 2nd dose
10mins - seek clinical advice for risk/benefit 3rd dose

don’t delay admin due to lack of IV access

Question 7

Appendicitis:

Answer 7

IV PAR
SCP <90
ODT
sepsis?news? -time critical from perforation

Question 8

Rhabdo:

Answer 8

keep flat

OXG if req
SCP<90
IV PAR/Analgesia

Question 9

MI:

Answer 9

ASP
GTN - SBP <90
MOR - SBP <90
OXG -94 -98
ECG

Question 10

Addisons:

Answer 10

HYC (slow 2 mins) (100mg once)
SCP - SBP <90
Pain Relief

keep flat?

Question 11

Asthma

Answer 11

used own inhaler?

OXG
SLB
IPR
HYC
SLB
Magnesium Sulfate (life threat)
ADM 1:1000 (near fatal) (IM ONLY)

Question 12

COPD

Answer 12

OXG 88-92 (ask pt baseline!!)
SLB
(6l,6min)
IPR (x1ONLY)
(6l,6min)
HYC

when off titrate O2

Question 13

Anaphylaxis

Answer 13

lie flat

ADM 1:1000
OXG
SCP
SLB - wheeze, discontinue HR >140

ECG

Question 14

General Trauma

Answer 14

CATHEM
CSPINE
DRESSINGS
OXG
SCP
TXA

Question 15

Tension Pneumothorax

Answer 15

OXG
NCD (Skill)
SCP < 60
TXA

Question 16

Heart Failure

Answer 16

sit upright immediately
OXG - 94-98
GTN consider with ischemia or uncontrolled hypertension
FRM

Question 17

DKA

Answer 17

SCP - if clinically shocked,<90
500/15mins
O2
ECG

Question 18

Hypoglycaemia

Answer 18

IV GLX 10%,
reassess 5-10, up to 2 doses

Question 19

Meningitis;
where the clinician has a high index of suspicion of bacterial meningococcal septicaemia, even without the presence of a non blanching rash,

Answer 19

OXG >94
BNP
SCP >90 (do not delay)

Question 20

Burns:

Answer 20

OXG
TBSA: More than 25% = SCP 1L

SLB -inhaled smoke

Question 21

Ectopic:

Answer 21

SCP >90
PAR
ODT