Acute Med

Question 1

SEPSIS 6

Answer 1

BUFALO

Bloods
Urine
Fluids
Antibiotics
Lactate
Oxygen

Question 2

Sodium below what is dangerous

Symptoms of hyponatremia

Answer 2

125 ish

Mod
- general unwell
- confusion
- ataxia

Question 3

Management of hyperkalaemia

Answer 3

Calcium gluconate
IV dextrose and insulin
Nebulised salbutamol

Sometimes need dialysis

Question 4

AEIOU for dialysis

Answer 4

Acidosis
Electrolyte - hyperkalaemia
Intoxication
Overload
Ureamia - encephalopathy and pericarditis

Question 5

Adrenaline dose for anaphlatic vs MI

Answer 5

Allergy - 1 in 1000

MI - 1 in 10 000

Question 6

Cushings triad

When is this seen?

Answer 6

Hyperbradybrady

HYPERtension
BRADYcardia
BRADYpnea

Terminal phase of brain injury

Question 7

How can raised ICP be lowered?

Answer 7

Mannitol
Hypertonic saline

Question 8

Rule of 9s for burns

Answer 8

1 leg = 9
Abdo = 9
Lower back/buttocks = 9
Upper back = 9
Chest = 9
FULL ARM = 9
Face = 4.5
Back of head = 4.5
Gentialia = 1

Question 9

What GCS for intubation?

Answer 9

8 or less

Question 10

ECG finding in PE

Answer 10

S1Q3T3

Prominent S wave in I
Qwave in III
T-wave inversion in III