What should be added to the second bag of fluids in DKA in most cases?
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)
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
What dose of nebulised ipratropium bromide should be given in acute asthma/COPD?
What should be done when blood glucose falls below 15mmol/l in DKA?
Start an infusion of 5% dextrose in 0.9% saline
What products will you be given upon activation of the major haemorrhage protocol?
4 x units of RBCs and 4 x units of FFP
What dose of IV lorazepam should be given for a seizure?
Assuming the patient has had no other benzodiazepines, how soon can a dose be repeated in a seizing patient?
After 5 minutes
What three drugs should you give to a patient with anaphylaxis? How would you give each one?
Adrenaline (IM), hydrocortisone (IV) and chlorphenamine (IV)
What dose of oral aspirin should be given in ACS?
How often can the dose of adrenaline be repeated in anaphylaxis?
Every 5 minutes
How often can nebulised salbutamol be repeated?
Every 15 - 30 minutes
What dose of oral ticagrelor should be given in ACS?
Patients with clinical evidence of a STEMI require what further intervention?
What medications are given to drive potassium into cells in hyperkalaemia?
10 units Actrapid in 50ml 50% dextrose
What further intervention can be considered for patients with acute COPD who are not improving and have evidence of type 2 respiratory failure?
What dose of IV amiodarone should be given in cardiac arrest?
What dose of IV metronidazole should be given to septic patients?
What investigation can be used to give you a rapid lactate measurement in septic patients?
What is the immediate emergency treatment for a tension pneumothorax?
Needle decompression into the 2nd intercostal space, mid-clavicular line (on the affected side)
How often can a dose of sublingual GTN be repeated in ACS?
Every 5 minutes, up to 3 times
If a patient with DKA has a systolic BP > 90mmHg, what fluids should be given?
1L of 0.9% saline over 1 hour
When should IV amiodarone be given in cardiac arrest?
After 3 shocks
If there is no response to benzodiazepines in a seizing patient, what drug should be tried next?
IV infusion of phenytoin
What dose of chlorphenamine should be given in anaphylaxis?
What are some additional interventions if a COPD exacerbation is suspected to be infective?
Take blood and sputum cultures, give antibiotics
What antibiotics should be given to patients with sepsis of unknown origin who are penicillin allergic?
IV vancomycin, metronidazole and gentamicin
What dose of oral prednisolone should be given in acute COPD?
What medication should be given to patients in acute pulmonary oedema?
IV furosemide 40mg
What are the two treatment options for severe hypoglycaemia?
150ml 10% glucose over 10-15 minutes OR 1mg glucagon IM