Medical Emergency

Question 1

What are the signs of a faint?

Answer 1

Nausea
Turning pale
Ringing in the ears.
Blurry vision.
Feeling faint.
Warm and sweaty.

Question 2

What are the predisposing factors to fainting?

Answer 2

Anxiety
Pain
Fasting
Fatigue

Question 3

How would you manage a faint?

Answer 3

Lay patient with head below heart.
Loosen tight clothng.
Open window for fresh air.
Monitor pulse.
Check blood glucose (4-6mmol) and O2 (95% -100%) saturation.

Question 4

What are the symptoms of a panic attack?

Answer 4

Rapid shallow breathing.
Dizziness.
Tingling.
Shaking.
Tachycardia.
Palpitations.
Muscle pain.

Question 5

How would you manage a panic attack?

Answer 5

Reassure patient.
Keep calm.
Encourage controlled breathing.
Check O2 saturation.

Question 6

What are the predisposing factors to epilepsy?

Answer 6

Hunger
Flickering lights.
Stress
Drugs

Question 7

What are the signs and symptoms of epilepsy?

Answer 7

Preceding aura.
Sudden loss of consciousness.
rigid appearance.
Generalised jerking
Incontinence.

Question 8

How would you manage a fitting patient?

Answer 8

Protect patient from injury.
Move hard/sharp objects.
Cushion head.
Do not place objects between teeth.
Place in recovery position.
Maintain airway.
10mg midazolam/O2/glucose
time seizures, more than 5 minutes ring 999.

Question 9

What are predisposing factors to hypoglycaemia?

Answer 9

Missed meal
Excess insulin.
Increased calorific need from exercise.

Question 10

What are the signs an symptoms of hypoglycaemia?

Answer 10

disorientation
Irritability
Aggression
Drowsiness
Excitability
Appearance of inebriation.

Question 11

What are the signs and symptoms of asthma?

Answer 11

Tight chest
Shortness of breath.
Expiratory wheezing.

Question 12

How would you manage asthma?

Answer 12

Keep patient upright.
salbutamol inhaler.
Oxygen
If not responding call ambulance.

Question 13

What are the signs of anaphylaxis?

Answer 13

Facial flushing
Itching
Numbness
cold extremities
Nausea
Wheezing
Facial Swelling
Feeling of faintness.
Thin thready pulse.
Hypotension.
Cold clammy skin.

Question 14

How would you treat an anaphlactic shock?

Answer 14

Place supine.
Give O2
give adrenaline
Call 999.

Question 15

What are the signs and symptoms of a stroke?

Answer 15

May loose consciousness.
Unilateral weakness.
Difficulty with speech.
Drooping on one side of the face.

Question 16

What are the signs and symptoms of acute chest pain?

Answer 16

Severe crushing retrosternal pain which may also radiate to the; arms, neck, jaw, abdomen.
Grey pallor.
Sweating
Breathlessness
Vomiting.

Question 17

What is a differential diagnosis of chest pain?

Answer 17

Angina
MI

Question 18

What are the predisposing factors to chest pain?

Answer 18

Stress
Emotion
Exercise

Question 19

How would you manage anigna?

Answer 19

Give two sprays of GTN
if symptoms persist prepare for MI.

Question 20

What would you do if the patient had an MI?

Answer 20

Sit patient upright.
Give oxygen
Give 300mg aspirin.
Call ambulance
Prepare for cardiac arrest.