rote learn

Question 1

RED flag - pathologies ? (AP SAFES) (7)

Answer 1

• First presentation seizure
• Anaphylaxis (even if resolved following treatment)
• Acute coronary syndrome (even if symptoms resolved)
• Ectopic pregnancy
• Primary obstetric issue
• Stroke/TIA
• Sudden onset headache

Question 2

RED flag - numbers? (5)

Answer 2

• HR > 120 per minute
• RR > 30 per minute
• Systolic BP < 90 mmHg
• SpO₂ < 90% (unless chronic hypoxaemia as per CPG A0001
Oxygen Therapy)
• GCS <13 (< 15 if age ≤15 years)

Question 3

What is the maximum dose of fluid to be administered in hemorrhagic hypovolemia prior to consult?

Answer 3

2L

Question 4

What is the SBP required prior to fluid admin in hemorrhagic hypovolemia?

Answer 4

<= to 70

Question 5

Isolated SCI BP for fluid and what amount?

Answer 5

< 90 , 10ml/kg

Question 6

Unconscious / becomes unconscious
with poor or no ventilation but still
with C.O. - SC

Answer 6

Small child 12 - 15 ventilations/minute

Question 7

Unconscious / becomes unconscious
with poor or no ventilation but still
with C.O. - MC

Answer 7

Medium child 10 - 14 ventilations/minute

Question 8

Severe asthma paediatric doses of meds?

Answer 8

• Nebulised Salbutamol

• Small children (2 - 4 years):
  Salbutamol 2.5 mg (1.25 mL) nebulised
• Medium children (5 - 11 years): Salbutamol 2.5 - 5 mg
  (1. 25 - 2.5 mL) nebulised
• Repeat Salbutamol at 20 minute
  intervals if required

• Ipratropium Bromide 250 mcg (1 mL)
nebulised

Question 9

critical asthma paed doses of meds?

Answer 9

• Nebulised Salbutamol
- All children (2 - 11 years): Salbutamol 10 mg
(5 mL) nebulised
- Repeat Salbutamol at 5 minute intervals if
required

• Ipratropium Bromide 250 mcg (1 mL) nebulised

• If unable to gain IV or unaccredited in IV Adrenaline:
- Adrenaline 10 mcg/kg IM (1:1000)
- Repeat at 5 - 10 minute intervals as required
(max 30 mcg/kg IM)

• dexmethasone 600mcg/kg max 12mg

Question 10

paediatric asthma criteria (mild/mod - severe - critical): conscious state/WOB/HR/speech

Answer 10

Mild/Moderate: Normal conscious state, some increased
work of breathing, tachycardia, speaking in phrases/
sentences.

Severe: Agitated/distressed, markedly increased work
of breathing, including accessory muscle use/retraction,
tachycardia, speaking in words.

Critical: Altered conscious state, maximal work of
breathing, marked tachycardia, unable to talk.

Question 11

paediatric midaz doses in GCSE and rpt times

Answer 11

• Midazolam IM

• Medium Child (5 - 11 years) Midazolam 2.5 - 5 mg IM
• Small child (1 - 4 years) Midazolam 2.5 mg IM
• Small & Large Infant (< 12 months) Midazolam 1 mg IM
• Newborn Midazolam 0.5 mg IM

repeat 10/60 once only

Question 12

paed opiod OD and rpt times

Answer 12

• Naloxone 10 mcg/kg (max. 400 mcg) IM

repeat original dose once only

Question 13

mild to moderate signs of TCA toxicity (8) (DD -THARMS)

Answer 13

• Mild to moderate OD

• Drowsiness, confusion
• Tachycardia
• Slurred speech
• Hyperreflexia
• Ataxia
• Mild hypertension
• Dry mucus membranes
• Respiratory depression

Question 14

TCA overdose severe toxicity within 6 hours ingestion symptoms? (CRC-HESPS-V)

Answer 14

• Coma
• Respiratory depression / hypoventilation
• Conduction delays
• Hypotension
• ECG changes
• Seizures
• PVCs
• SVT
• VT

Question 15

AEIOUTIPS

Answer 15

• A Alcohol / drug intoxication
• E Epilepsy (post-ictal)
• I Insulin or other metabolic cause – hypo / hyperglycaemia, renal / liver failure
• O Overdose / oxygen (hypoxia)
• U Underdose (including alcohol / drug withdrawal)
• T Trauma (head trauma) – consult with Clinician if (after pain relief) patient requires sedation
• I Infection / sepsis
• P Pain / psychiatric condition
• S Stroke / TIA

Question 16

Fluid volume to give in PEA arrest likely response to fluid?

Answer 16

20ml/kg

Question 17

Sbp required for valsalva

Answer 17

+/= to 90