2 Prescribing in Medical Emergencies

Question 1

What is the time best time to take mast cell tryptase?

Answer 1

1-2 hours

Question 2

How long should you monitor people after anaphylaxis onset?

Answer 2

6-12 hours

Question 3

How much adrenaline is given to an adult in anaphylaxis?

Answer 3

500 micrograms

Question 4

If a patient is allergic to penicillin which class of drugs can they have?

Answer 4

1. Tetracyclines (e.g. doxycycline)
2. Macrolides (e.g. clarithromycin)
3. Aminoglycosides (e.g. gentamicin)
4. Glycopeptides

Question 5

What are the signs of type 1 allergic drug reaction?

Answer 5

1. Urticaria
2. Itching
3. Angioexema
4. Bronchospasm
5. Hypotension

Question 6

What is the yellow card scheme?

Answer 6

Used for reporting serious adverse reactions

Question 7

Can patients be allergic to a specific brand of a medicine?

Answer 7

Yes

Question 8

Can patients be allergic to an excipient that may be present in many preperations?

Answer 8

Yes

Question 9

Is it important to identify non-drug akllergy is important when prescribing medicines?

Answer 9

Yes

Question 10

What do you need to write for an allergy on a drug chart?

Answer 10

Question 11

How quick can an allergic reaction occur after exposure?

Answer 11

minutes to two hours

Question 12

What drug can cause pure angioedema after many years of taking the drug?

Answer 12

ACE inhibitors

Question 13

What are names of types of rashes that are not from an allergic reaction?

Answer 13

1. Morbiliform rash
2. Eryrthema multiforme
3. Fixed drug eruptions
4. Photosensitivity

Question 14

Which monobactam can you prescribe to patients with a penicillin allergy?

Answer 14

Aztreonam

Question 15

If a patient develops angioedema with an ACE inhibitor what could you give them instead?

Answer 15

Angiotension-2-converting enzyme

Question 16

What co-existing conditions make you more likely to have an allergic reaction?

Answer 16

1. HIV
2. EBV
3. CMV
4. Cystic fibrosis

Question 17

What are the common drug causes for an allergic reaction?

Answer 17

1. Chlorhexidine
2. Non beta-lactam natimicrobials
3. NSAIDs
4. Muscle relaxants
5. Opoid analgesics
6. Penicillins and other beta-lactams
7. Plasma expanders
8. Radiocontrast media
9. Non-depolarsing nueromuscular agents (e.g. rocuronium)

Question 18

What are the common drugs to cause allergic reaction during anaesthesia?

Answer 18

1. Colloids
2. NMBAs
3. Ondansetron, propofol

Question 19

What is thr definition of an anaphylaxis reaction?

Answer 19

Severe, life-threatening, generalised or systemic hypersensitivity reaction

Question 20

What are the different types of auto-injectors?

Answer 20

1. EpiPen
2. Emerade
3. Jext

Question 21

HOW MUCH URINE WILL A HEALTHY PERSON PASS?

Answer 21

1ml/kg/hour

Question 22

What should you assess when assessing hydration status?

Answer 22

1. Blood pressure
2. Capillary refill time
3. Fluid balance charts
4. Response to straight leg raise
5. Skin tugor
6. Weight

Question 23

What do hypertonic solutions do?

What is an example of hypertonic solution?

Answer 23

1. Draw fluid out of cells
2. Mannitol

Question 24

What fluid losses should you look at when prescribing fluids?

Answer 24

1. Urine output
2. Insensible losses

Question 25

What do you have to look at when prescribing fluids?

Answer 25

1. How much oral intake they are having