Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Clinical Prac > EXAM REVISION > Flashcards

EXAM REVISION Flashcards

(134 cards)

Start Studying
1
Q

Adrenaline presentation

A

1mg in 1ml

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Adrenaline PEI

A 
Cardiac Arrest - VF/VT, asystole, PEA
Inadequate perfusion 
Bradycardia with poor perfusion 
Anaphylacxis
Severe asthma 
Croup
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Adrenaline Contras

A

hypovolaemic shock without adequate fluid replacement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Adrenaline Precautions

A

Elderly
CVD
MOA inhibitors
Beta blockers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Side effects of Adrenaline

A

Sinus tachy, supraventricular arrhythmias, ventricular arrhythmias, hypertension, pupillary distension, may increase size of MI, anxiety/palpitations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Presentation of Aspirin

A

300mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

PEI Aspirin

A

ACS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Contras of Aspirin

A 
Hypersensitivity
actively bleeding peptic ulcers
Bleeding disorders
Suspected dissecting aortic aneurysm 
Chest pain assoc with psychostim OD if SBP >160
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Precautions of Aspirin

A

peptic ulcer
asthma
pts on anticoagulants

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Side effects of Aspirin

A

heartburn, nausea, GI bleeding, increased bleeding time, hypersensitivity reactions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Dextrose 10% presentation

A

25g in 250ml soft pack

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

PEI Dextrose 10%

A

diabetic hypoglyciaemia with BGL less than 4 unable to self admin oral glucose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Contras of Dextrose 10%

A

Nil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Precautions of Dextrose 10%

A

Nil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Side effects of Dextrose 10%

A

Nil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Glucagon presentation

A

1 mg in 1 ml

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

PEI for Glucagon

A

Diebetic hypoglycaemia with BGL less than 4 unable to self admin oral glucose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Contras for Glucagon

A

Nil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Precautions for Glucagon

A

nil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Side effects of Glucagon

A

nausea and vomiting (rare)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

GTN presentation

A

600mcg tablet

50mg patch 0.4mg/hr release

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

GTN PEI

A 
chest pain with ACS
Acute LVF
Hypertension assoc with ACS
Autonomic dysreflexia 
Preterm labour
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Contras of GTN

A 
Hypersensitivity 
SBP less than 110 tablet
SBP less than 90 patch 
Viagra or Levitra in 24 hours or Cialis in 4 days
HR greater than 150 
Bradycardia HR less than 50 
VT 
Inferior STEMI with BP less than 160 
Right ventricular MI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Precautions of GTN

A

No previous admin
Elderly
Recent MI
Concurrent use with other tocolytics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Side Effects of GTN
Tachycardia, hypotension, headache, skin flushing (uncommon), bradycardia (occassionally)
26
Ipratropium Bromide presentation
250mcg in 1ml
27
PEI for Atrovent
severe resp distress assoc with bronchospasm
28
Contras for Ipratropium Bromide
known hypersensitivity to atropine or its derivatives
29
Precautions of Atrovent
Glaucoma | Avoid contact with eyes
30
Side effects of Ipratropium Bromide
headache, nausea, dry mouth, skin rash | tachycardia (rare), palpitations (rare), acute angle closure glaucoma secondary to contact with eyes (rare)
31
Methoxy presentation
3ml
32
PEI for Methoxy
pain relief
33
Contras of Methoxy
Pre-existing renal disease or impairment Concurrent use with tetracycline antibiotics Exceed total dose in 24 hours
34
Precautions of Methoxy
Penthrox held by pt Pre-eclampsia Concurrent use with oxytocin may cause hypotension
35
Side effects of Methoxy
Drowsiness, decrease BP and HR (rare), renal toxicity if total dose exceeded
36
Metoclopramide presentaiton
10mg in 2ml
37
PEI for Metoclopramide
Nausea and vomiting asoc with chest pain, opioid admin for pain, cytotoxic or radiotherapy, previously diagnosed migraine, severe gastro Prophylaxis: awake spinal immobilised pts, eye trauma
38
Contras for Metoclopramide
Children Suspected bowel obstruction GI haemorrhage
39
Precautions for Metoclopramide
Undiagnosed abdo pain Adolescents less than 20 yrs Admin slowly over 1 min
40
Side effects of Metoclopramide
Drowsiness, lethargy, dry mouth, muscle tremor, extrapyrimidal reactions
41
Midaz presentation
5mg in 1ml | 15mg in 3ml
42
PEI for Midaz
``` Status epilepticus sedation to enable intubation Post intubation sedation Sedation to enable synchronized cardioversion Sedation in agitated pt Sedation in psychostim OD ```
43
Contras for Midaz
Hypersensitivity to Benzos
44
Precautions for Midaz
Reduced doses for elderly, renal failure, CCF or shock Depressant effect are enhanced in presence of narcotics or alcohol Severe resp depression in COPD pts Pts with myasthenia gravis
45
SIde effects of Midaz
Depressed level of consciousness, resp depression, loss of airway control, hypotension
46
Morphine presentation
10mg in 1ml
47
PEI for Morphine
``` Pain relief Acute LVF with SOB and full field crackles Sedation to maintain intubation Sedation to enable intubation RSI ```
48
Contras for Morphine
Hypersensitivity | Late Second Stage Labour
49
Precautions of Morphine
``` Elderly Hypotension Resp depression Current Asthma Resp tract burns Known addiction to opiods Acute alcoholism Pts on MOA inhibitors ```
50
Side effects of Morphine
Drowsiness, resp depression, euphoria, nausea and vomiting, addiction, pin point pupils, hypotension, bradycardia
51
Naloxone presentation
0.4mg in 1ml
52
PEI for Naloxone
Altered conscious state and resp depression secondary to admin of opioids
53
Contras of Naloxone
nil
54
Precautions of Naloxone
Be prepared for combative pts | Neonates
55
Side effects of Naloxone
Sweating, goose flesh, tremor, nausea and vomiting, agitation, dilation of pupils, convulsions
56
Presentation of Normal Saline
10ml | 500ml and 1000ml soft pack
57
PEI for Normal Saline
Replacement fluid in volume depleted pts Expand intravascular volume in non cardiac non hypovolaemic pts Fluid exchange in unresponsive, non hypovolaemic, hypotensive pts Fluid for diluting and administered IV drugs Fluid TKVO for IV admin or emergency drugs
58
Contras for Normal Saline
nil
59
Precautions for Normal Saline
modifying factors when admin for hypovolaemia
60
Side effects of Normal saline
nil
61
Prochlorperazine presentation
12.5mg in 1ml
62
PEI for Stemitil
Treatment or prophylaxis of nausea and vomiting for: motion sickness, planned aeromedical evac, known allergy or C/I to metoclopramide, headache irrespective of N and V, vertigo
63
Contras for Prochlorperazine
Circulatory collapse CNS depression Children Previous hypersensitivity
64
Precautions for Stemitil
Hypotension Epilepsy Pts affected by alcohol or on antidepressants
65
Side effects of Procholorperazine
Drowsiness, blurred vision, hypotension, sinus tachy, skin rash, extrapyrimidal reactions
66
Presentation of Salbutamol
5mg in 2.5ml 500mcg in 1ml 5mg in 5ml
67
PEI for Salbutamol
Resp distress with assoc bronchospasm: | asthma, severe allergic reactions, COPD, smoke inhalation, capsicum spray exposure
68
Contras for salbutamol
IV Salbutamol
69
Precautions for Salbutamol
Large IV doses can cause intracellular metabolic acidosis
70
Side Effects of Salbutamol
Sinus rachy, muscle tremor (uncommon)
71
Fentanyl Presentation
100mcg in 2ml 200mcg in 1ml 600mcg in 2ml
72
PEI of Fentanyl
Sedation to facilitate intubation Sedation to maintain intubation Drug facilitated inrubation Analgesia
73
Contras for Fentanyl
Hypersensitivity | IV Amiodarone
74
Precautions of Fentanyl
``` Elderly Renal impairment Resp depression Current asthma Pts on MOA inhibitors Known addiction to opioids Rhinitis, rhinorrhea or facial trauma Oral Amiodarone ```
75
Side effects of Fentanyl
Resp depression Apnoea Rigid diaphragm and intercostal muscles Bradycardia
76
Adequate perfusion of an adult
Skin warm pink and dry Pulse 60-100 BP greater than 100 Conscious
77
Borderline Perfusion for an adult
Skin cool pale and clammy Pulse 50-100 BP 80-100 Conscious
78
Inadequate perfusion for an adult
Skin cool pale and clammy Pulse less than 50 greater than 100 BP 60-80 Either alert or altered
79
Extremely poor perfusion for an adult
Skin cool pale and clammy Pulse less than 50 greater than 110 BP less than 60 altered or unconscious
80
Normal RSA Adult
``` Appearance calm and quiet Speech clear and steady Sounds Quiet no crackles or wheeze Rate 12-16 Rhythm even Effort Normal HR 60 -100 Skin Normal conscious ```
81
Mild resp distress for adult
``` Appearance calm or mildly anxious Speech sentences Sounds mild exp wheeze or fine basal crackles Rate 16-20 Rhythm prolonged exp phase Effort slightly increase HR 60-100 Skin Normal Conscious ```
82
Moderate resp distress for adult
``` Appearnace distressed or anxious Speech short phrases Sounds Exp and insp wheeze, crackles at base to mid zone Rate greater than 20 Rhythm prolonged exp phase HR 100-120 Skin pale and sweaty Consicous state may be altered ```
83
Severe resp distress for adult
Appearance distress, anxious, exhausted, Speech words or nothing Sounds exp and insp wheeze, full field crackles Rate greater than 20 Rhythm prolonged exp phase Effort marked chest movement with accessory muscle use HR greater than 120 Skin pale and sweaty cyanotic Conscious state altered or unconscious
84
Weight of a Newborn
3.5kg
85
Weight of a 2 month old
5kg
86
Weight of 5 month old
7kg
87
Weight of a 1 year old
10kg
88
Weight of 1-9 yr old
age x 2 + 8
89
weight of 10-14 yr old
age x 3.3
90
Small child
1-8 yrs
91
Large child
9-14yrs
92
Perfusion of a Newborn
HR 120-160 | BP N/A
93
Perfusin of an infant
HR 100-160 | BP greater than 70
94
Perfusion of a small child
HR 80-120 | BP greater than 80
95
Perfusion of a large child
HR 80-100 | BP greater than 90
96
Newborn resp rate
40-60
97
Infant resp rate
20-50
98
Small child resp rate
20-35
99
Large child resp rate
15-25
100
Paed GCS verbal response
``` 5 Appropriate words or social smile, fixes, follows 4 Cries but consolable 3 Persistently irritable 2 Restless and agitated 1 None ```
101
Actual Time Critical Adult
``` RR less than 12 or greater an 24 BP less than 90 Pulse greater than 124 GCS less than 13 Spo2 less than 90% ```
102
Emergent Time Critical Adult
``` Penetrating or blunt injuries Limb amputations Suspected spinal cord injury Burns greater than 20% Serious crush injury major compound fracture Fracture 2 or more long bones Fractured pelvis ```
103
Potential Time Critical Adult
Ejection from vehicle Motor/cyclist impact greater than 30km/hr Fall from height greater than 3 metres Struck on head by falling object greater than 3 metres Explosion High speed MVA greater than 60km/hr Pedestrian impact Prolonged extrication greater than 30 mins
104
LMA sizes and weights
size 3 30-60kg size 4: 50-90kg size 5: greater than 90kg
105
Contras of LMA insertion
intact gag reflex or resistance to insertion Strong jaw tone or trismus Suspected epiglottitis or upper airway obstruction Use of sedation to assist or maintain placement of LMA
106
Fentanyl doses for adults
Elderly: 100mcg IN repeat up to 50mcg every 5 mins max dose 200mcg Others: 200mcg IN repeat up to 50mcg every 5 mins max dose 400mcg IV Fentanyl: 25-50mcg every 5 mins max dose 200mcg
107
Morphine doses for adults
IV up to 5mg repeat every 5 mins max dose 20mg IM greater than 60kg 10mg repeat 5mg after 15 mins (once) Less than 60kg 0.1mg/kg single dose
108
Severe headache guideline
Methoxy 3ml and prochlorperazine 12.5mg IM If after 15m still 7/10 pain and destination is still 15 mins away: Morphine 2.5mg IV every 5 mins max dose 20mg OR Fentanyl 25mcg IV every 5 mins max dose 200mcg OR Less than 60kg 50mcg IN Fentanyl repeat up to 25mcg every 5 mins max dose 100mcg greater than 60kg 100mcg IN Fentanyl repeat up to 25mcg every 5 mins max dose 200mcg
109
Doses for Nausea and Vomiting patients
Metoclopramide 10mg IV/IM repeat after 10mins max dose 20mg | Prochlorperazine 12.5mg IM
110
BGL less than 4 responds to commands
Glucose 15g Oral
111
BGL less than 4 does not respond to commands
Dextrose 10% 15g (150ml) IV followed by 10ml flush OR Glucagon 1 IU IM repeat 10g (100ml) Dextrose 10% after 3 mins if GCS still less than 3
112
Midaz doses for Adults
10mg IM repeat once more after 10 mins if seizure activity continues
113
When do you give fluid under the hypovolaemia guideline
HR greater than 100 BP greater than 100 BP less than 100 Significantly dehydrated
114
When do you not give fluid
haemorrhage, fractures, pain, TPT, hypoxia
115
Modifying factors for fluid admin
``` SCI Chest injury Penetrating trunk injury AAA Uncontrolled external haemorrhage GI haemorrhage ```
116
Clinical signs of severe dehydration
``` Postural perfusion changes Decreased sweating and urination Poor skin turgor, dry mouth, dry tongue Fatigue and altered consciousnesss Evidence of poor fluid intake compared to fluid loss ```
117
Insertion point for chest decompression
``` Second intercostal space Mid clavicular line Above the third rib Right angle to the chest Towards the spine ```
118
Signs and symptoms of TNT
``` Chest trauma Resp disress Absent breath sounds Poor perfusion Increased jugular vein distension Subcutaneus emphysema Tracheal shift ```
119
WHen to decompress the chest
Decreased consious state Decreased blood pressure Increased resp distress
120
Fluid for spinal patients
500ml bolus
121
Treatment of Burns
Cool the burn, warm the pt Running water for 20 mins Dress the burn with cling wrap
122
Fluid calculations for burns
%TBSA x weight (kg) = volume in mls | Given over 2 hours from time of burn
123
Fentanyl doses for paeds
Lrge child greater than 25kg 50mcg IN Small child 10-24kg 25mcg IN repeat same doses every 5-10mins max 3 doses
124
Morphine doses for paeds
0.1mg/kg IM single dose
125
Glucagon doses for paeds
less than 25kg 0.5 IU IM (0.5ml) | greater than 25kg 1 IU IM (1ml)
126
Midaz doses for paeds
Large child greater than 25kg: 5mg IM Small child 10-24kg: 2.5mg IM Infant 5-9kg: 1mg IM Newborn less than 5kg: 0.5mg IM
127
Fluid Calculation for Burns in Paeds
3 x %TBSA x weight(kg) = volume in mls Given over 24 hours Admin half over the first 8 hours
128
%TBSA 4yo
head 15 | legs 15.5
129
%TBSA 1yo
head 18 | legs 14
130
%TBSA 6yo
head 13 | legs 16.5
131
%TBSA 9yo
head 10 | legs 18
132
%TBSA 7yo
head 12 | legs 17
133
%TBSA 3yo
head 16 | legs 15
134
%TBSA 10yo
head 9 | legs 18

Clinical Prac (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions