NZ 2021 cards

Question 1

nose bleed cocktail

Answer 1

soak adrenaline and lidocaine onto 4 cotton balls or gauze

Question 2

COPD treatment

Answer 2

5mg salbutamol, 500mcg ipratropium

200mg hydrocortisone or 40mg pred

Question 3

ASTHMA treatment

Answer 3

5mg salbutamol
500mcg ipratropium
200mg IV hydrocortisone
------------------
500mcg salbutamol IV
10mmol Mag over 20 minutes
---------------
salbutamol infusion 1mg/hr
aminophylline?

Question 4

DKA treatment

Answer 4

D10 80ml/hr starts at BSL 14
20mmol/hr when K is under 5
6 or 12 u/hr of unsulin

Question 5

octreotide in NZ

Answer 5

Terlipressin - 1-2mg IV, vasoconstrictor

Question 6

add on labs if suspect pancreatitis

Answer 6

LDH, Urea, albumin, Calcium

Question 7

Carbon Monoxide important points

Answer 7

low COHb can not say you are fully safe
CO pulse ox is not reliable enough
VBG okay
8 hours of o2, no matter the CO level

Question 8

Hemlock

Answer 8

looks like wild carrot, smells musty, rounded flower umbles, purple smooth stems,
cholinergic
socrates

Question 9

which AED is NOT for tox patients

Answer 9

phenytoin - (Na channel blocker)

Question 10

Tutu Berries

Answer 10

Gaba Blocker found on WaiHiki, guidelines in NZ for honey production

Question 11

death cap mushroom

Answer 11

aminita phylloides
symbiotic with oak trees (and others now)
AC within 2 hours, MDAC after
delayed symptoms
NAC, silibinin, high dose penicillin

Question 12

angels trumpet

Answer 12

datura, anti cholinergic

Question 13

Acs meds

Answer 13

Ticagrelor 180mg
Heparin 5000u
Aspirin 300mg
Nitro sprays

Question 14

Nitrofurantoin

Answer 14

Macrobid

50mg QID

Question 15

Ponstan

Answer 15

Mefanamic acid. For PV bleeding

Question 16

intralipid dose

Answer 16

Bolus: 1 ml/kg over 1 min
repeat bolus every 3 minutes up to 3 ml/kg
Infusion: 0.25 ml/kg/min until hemodynamically stable for at least 10 minutes
Can increase infusion to 0.5 ml/kg/min if BP worsens

Question 17

JMNOPQ

Answer 17

juliet
mike
november
oscar
popa
quebec

Question 18

wxyz

Answer 18

whiskey, xray, yankee, zulu

Question 19

rstuv

Answer 19

romeo
sierra
tango
uniform
victor

Question 20

usual pressors rate

Answer 20

10mcg/min. 0.6mg/hr. adrenalin and noradrenalin

Question 21

sedation drip rates

Answer 21

propofol 100mg/hr
fentanyl 100mcg/hr
ketamine 20mg/hr

Question 22

tpa dosing in a arrest

Answer 22

STEMI is 15mg over 1 min TPA

PE is 50mg over 1 min