Medical Emergancies

Question 1

During an acute asthma attack how might the patients airway present?

Answer 1

Wheezing on expiration

Question 2

During an acute asthma attack how might the patients breathing present?

Answer 2

Increased RR
Decreased sp02
Rapid + shallow

Question 3

During an acute asthma attack how might the patients circulation present?

Answer 3

Increased HR
Hypertension - sometimes

Question 4

During an acute asthma attack how might the patients present in regards to ACVPU?

Answer 4

Anxious but alert

Question 5

During an acute asthma attack how might the patients exposure present?

Answer 5

Pale
Distressed
Cant complete sentence

Question 6

During a life threating asthma attack how might the patients airway present?

Answer 6

Severe wheezing on expiration

Question 7

During a life threating asthma attack how might the patients breathing present?

Answer 7

Decreased RR
Decreased sp02

Question 8

During a life threating asthma attack how might the patients circulation present?

Answer 8

Decreased HR
Cyanosis in lips + nose

Question 9

During a life threating asthma attack how might the patients present in regards to ACVPU?

Answer 9

Confused due to hypoxia

Question 10

During a life threating asthma attack how might the patients exposure present?

Answer 10

Grey/blue colour
Exhausted/sleepy

Question 11

During a medical emergency for an asthma attack you give salbutamol. How and when is this done?

Answer 11

One puff every 30-60 for up to 10 puffs seconds via spacer

Question 12

During any medical emergency how much oxygen do you give and how?

Answer 12

15ltrs/min via a non re-breather mask

Question 13

How should a patient be sat if having an asthma attack and why?

Answer 13

Upright and forwards to allow the opening of muscles

Question 14

During an epileptic seizure how might the patients airway present?

Answer 14

Difficult to assess but often patent

Question 15

During an epileptic seizure how might the patients breathing present?

Answer 15

Increased RR
Decreased sp02
Apnoea

Question 16

During an epileptic seizure how might the patients circulation present?

Answer 16

Increased HR

Question 17

During an epileptic seizure how might the patient present in regards to ACVPU?

Answer 17

Unresponsive

Question 18

During an epileptic seizure how might the patients exposure present?

Answer 18

Convulsions
Flustered
Frothing

Question 19

During a medical emergency of an epileptic seizure, what should you do first?

Answer 19

Move any objects that may harm them

Question 20

During a medical emergency of an epileptic seizure if its >5 minutes what would you administer?

Answer 20

10mg midazolam buccally

Question 21

If an epileptic seizure has gone on for >5 minutes what is this called?

Answer 21

Status epilepticus

Question 22

What is the dose of midazolam for someone ages 6-11 months?

Answer 22

2.5mg

Question 23

What is the dose of midazolam for someone ages 1-4 years?

Answer 23

5mg

Question 24

What is the dose of midazolam for someone ages 5-9 years?

Answer 24

7.5mg

Question 25

What is the dose of midazolam for someone ages 10-17 years?

Answer 25

10mg

Question 26

What is the dose of midazolam for someone ages 17+?

Answer 26

10mg

Question 27

During a hypoglycaemia attack how might the patients airway present?

Answer 27

Patent

Question 28

During a hypoglycaemia attack how might the patients breathing present?

Answer 28

Increased RR Decreased sp02

Question 29

During a hypoglycaemia attack how might the patients circulation present?

Answer 29

Increased HR

Question 30

During a hypoglycaemia attack how might the patient present in regards to ACVPU?

Answer 30

Confused Blood glucose <4mmols (IMPORTANT)

Question 31

During a hypoglycaemia attack how might the patients exposure present?

Answer 31

Slurred speech Drunk acting

Question 32

If the patient in conscious during a hypo what would you give them?

Answer 32

10-20g of oral glucose every 10-15 mins

Question 33

If the patient was unconscious during a hypo what would you give them and how?

Answer 33

1mg of glucagon intra muscular

Question 34

During an angina attack/MI how might the patients airway present?

Answer 34

Patent - sometimes wheezing

Question 35

During an angina attack/MI how might the patients breathing present?

Answer 35

Increased RR Decreased sp02

Question 36

During an angina attack/MI how might the patients circulation present?

Answer 36

Hr can either increase OR decrease CRT increases

Question 37

During an angina attack/MI how might the patient present in regards to ACVPU?

Answer 37

Anxious but aware

Question 38

During an angina attack/MI how might the patients exposure present?

Answer 38

Grey/blue colour Sweating Nauseas

Question 39

During a medical emergency for angina you give GTN spray, how and where do you give this?

Answer 39

2 puffs sublingually - repeat every 3 minutes

Question 40

During a medical emergency if GTN spray does not work, what does this indicate?

Answer 40

The patient is having an MI (heart attack)

Question 41

If you suspect your patient is having an MI, what do you do?

Answer 41

Give 300mg of dispersive aspirin