Emergency

Question 1

Inotropes for types of shock

Answer 1

Hypovolemic or distributive - alpha agonist eg adrenaline/norad

Cardiogenic

• positive chronotrope e.g. adrenaline/norad, dopamine
• reduce afterload e.g. dobutamine, nitroprusside, milrinone

Question 2

Cause of respiratory deterioration of intubated patient

Answer 2

DOPE
Displacement
Obstruction 
Pneumothorax 
Equipment failure

Question 3

Size of intubation tube

Answer 3

4 + age/4

Question 4

Dose of atropine for supraventricular or junctional bradycardia

Answer 4

IV/IM 20 microg/kg (max 500 microg)

Question 5

Dose of arrest adrenaline

Answer 5

10 microg/kg = 0.1mL/kg

Of 1:10:000

Question 6

Cause of hypoxemia vs hypercarbia

Answer 6

VQ mismatch and shunting vs inadequate ventilation

Question 7

Starting dose of defib vs cardioversion

Answer 7

2-4J/kg vs 0.5-1J/kg

Cardioversion - REMEMBER TO SYNC

Question 8

Definition of ARDS

Answer 8

Onset with 7 days of insult
Not fully explained by fluid overload
New infiltrate on imaging
Impairment of oxygenation

Question 9

Oxygenation index

Answer 9

                 Pa02

Mild >4
Moderate >8
Severe >16

Question 10

Total blood volume

Answer 10

Neonate 100ml/kg
Child 75- 80ml/kg
Teenager 70ml/kg