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Flashcards in ABCDE - Specific Deck (61)
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1

What should be added to the second bag of fluids in DKA in most cases?

40mmol KCl

2

What four drugs should you give to a patient with ACS? How would you give each one?

Morphine (IV), GTN (sublingual), aspirin and ticagrelor (oral)

3

You shouldn't give IV furosemide to patients with pulmonary oedema who have what clinical sign? What should you do instead?

Hypotension - contact the critical care team

4

What dose of nebulised ipratropium bromide should be given in acute asthma/COPD?

500mcg

5

What should be done when blood glucose falls below 15mmol/l in DKA?

Start an infusion of 5% dextrose in 0.9% saline

6

What products will you be given upon activation of the major haemorrhage protocol?

4 x units of RBCs and 4 x units of FFP

7

What dose of IV lorazepam should be given for a seizure?

4mg

8

Assuming the patient has had no other benzodiazepines, how soon can a dose be repeated in a seizing patient?

After 5 minutes

9

What three drugs should you give to a patient with anaphylaxis? How would you give each one?

Adrenaline (IM), hydrocortisone (IV) and chlorphenamine (IV)

10

What dose of oral aspirin should be given in ACS?

300mg

11

How often can the dose of adrenaline be repeated in anaphylaxis?

Every 5 minutes

12

How often can nebulised salbutamol be repeated?

Every 15 - 30 minutes

13

What dose of oral ticagrelor should be given in ACS?

180mg

14

Patients with clinical evidence of a STEMI require what further intervention?

Primary PCI

15

What medications are given to drive potassium into cells in hyperkalaemia?

10 units Actrapid in 50ml 50% dextrose

16

What further intervention can be considered for patients with acute COPD who are not improving and have evidence of type 2 respiratory failure?

Non-invasive ventilation

17

What dose of IV amiodarone should be given in cardiac arrest?

300mg

18

What dose of IV metronidazole should be given to septic patients?

500mg (tds)

19

What investigation can be used to give you a rapid lactate measurement in septic patients?

ABG/VBG

20

What is the immediate emergency treatment for a tension pneumothorax?

Needle decompression into the 2nd intercostal space, mid-clavicular line (on the affected side)

21

How often can a dose of sublingual GTN be repeated in ACS?

Every 5 minutes, up to 3 times

22

If a patient with DKA has a systolic BP > 90mmHg, what fluids should be given?

1L of 0.9% saline over 1 hour

23

When should IV amiodarone be given in cardiac arrest?

After 3 shocks

24

If there is no response to benzodiazepines in a seizing patient, what drug should be tried next?

IV infusion of phenytoin

25

What dose of chlorphenamine should be given in anaphylaxis?

10mg

26

What are some additional interventions if a COPD exacerbation is suspected to be infective?

Take blood and sputum cultures, give antibiotics

27

What antibiotics should be given to patients with sepsis of unknown origin who are penicillin allergic?

IV vancomycin, metronidazole and gentamicin

28

What dose of oral prednisolone should be given in acute COPD?

30mg

29

What medication should be given to patients in acute pulmonary oedema?

IV furosemide 40mg

30

What are the two treatment options for severe hypoglycaemia?

150ml 10% glucose over 10-15 minutes OR 1mg glucagon IM