問題一覧
1
What is the correct dose for TXA for an adult?
1G / 10ml
2
The full dose of is TXA given over …
10mins
3
TXA is indicated in a 18 year old with a suspected head injury with a GCS of 15?
false
4
The dose of adrenaline 1:1000 in anaphylaxis is
500mcg / 0.5ml
5
In anaphylaxis & Life threatening asthma, Adrenaline 1:1000 has what max dose
no max dose
6
Adrenaline 1:1000 (anaphylaxis / asthma) is always given via what route ?
IM (anterior lateral thigh / large muscular site)
7
If indicated there are no contraindications to Adrenaline 1:1000
true
8
which is NOT an indication for TXA?
significant PR bleed or Haematemesis that produces 500ml or more of blood loss
9
TXA should be given prior to critical interventions such as controlling Cat Haem or airway management
false
10
Which as these patients can TXA be given to ?
patients known to have convulsions or has had convulsions due to injury
11
Nitrous oxide can be given in a trauma to those with chest injuries that may have a tension pneumothorax
false
12
Which patient can entonox be given to?
those who have taken Viagra (sildenafil) in the last 2 Hours
13
Major Trauma patients should be given 100%/15L 02 through a non-rebreathe mask until sats reach 94%-100%
false
14
Oxygen only has 1 contra indication
true
15
With COPD patients, Nebs should be limited to 6 mins and Oxygen should be given with caution and titrated to a target of 88%-92% or to the patients normal levels (if known)
true
16
The initial dose of Fluids in a patient suffering from anaphylaxis is …
500ml-1000ml
17
Adrenaline 1:1000 should be given as soon as anaphylaxis is deemed present and given prior to any other intervention
true
18
Salbutamol is always given prior to oxygen with any patient suffering from anaphylaxis
false
19
Salbutmol initial and max dose are (initial/max)
5mg/none
20
Nebulisers should be given at
6-8L
21
Which is not a side affect of salbutamol?
hypotension
22
Salbutamol and ipatropium have no contraindications in emergency settings
true
23
IV paracetamol is indicated for a patient with
moderate to Severe pain
24
IV paracetamol dose is (adult 50kg+)
1G / 100ml
25
Iv paracetamol can be given for antipyretic purposes alone
false
26
Paracetamol can be given to which patient
a patient with renal impairement who took paracetamol 8hours ago
27
(Paracetamol)Adults under 50kg should be given 500mg instead of the full 1G dose
true
28
Which patient is hydrocortisone not indicated with
anaphlaxis
29
Hydrocortisone is a corticosteroid I that suppressed the immune response and reduced inflammation
true
30
Hydrocortisone has two contraindications
true
31
Hydrocortisone is in 100mg of powder form and mixed in 5ml of water
false
32
Hydrocortisone should be given over what time period when IV/IO
2mins
33
Hydrocortisone can be given …
IM/IV/IO
34
Adult Hydrocortisone dose is
100mg / 2ML
35
Hydrocortisone has a max dose of
100mg / single dose
36
The only side affect of hydrocortisone is stinging when given IM
true
37
Furosemide is indicated in patients with
Pulmonary oedema and / or resp distress due to acute heart failure
38
Furosemide is a potent diuretic that’s has a rapid onset (30mins)
true
39
Furosemide can be given to which patient
pregnant
40
Furosemide has two Cautions
true
41
Furosemide can be given
IV only
42
What is the initial dose of furosemide?
40mg / 4ml
43
Glucagon is
a hormone that triggers the breakdown of glycogen into glucose in the liver
44
Which is not a contra for glucagon
not eaten prior to arrival
45
What is the initial dose for glucagon (adult)?
1mg
46
Nausea/ vomitting/ abdo pain are all side affects of glucagon
true
47
GTN (spray) initial dose is..
400mcg-800mcg
48
GTN has no max dose when being given to Acute heart failure..
false
49
GTN has no max dose when given for ACS ..
true
50
When giving GTN to a patient with ACS their BP must be above
90syst
51
When giving GTN to a patient in acute Heart failure what must be present
110syst
52
Which is not a contra indication for GTN?
scuba diving in the last 24hours
53
Which is not a side affects of GTN?
HTN
54
Which is GTN not indicated for ?
complications of valve mitral valve stenosis
55
Co-amoxiclav is not indicted in which circumstance
clear deformity / fracture without the presence of an open wound
56
which is not a contraindication of co-amoxiclav?
suspected head injury with GCS12 or below
57
Co-amoxiclav is reconstituted in how much water?
20ml
58
The adult dose of co-amoxiclav is ..
1.2g
59
Co-amoxiclav is given via which route ?
IV / IO
60
Aspirin has an additional dose of ..
300mg
61
Aspirin is contraindicated in all patient except which one?
suspected TIa
62
Aspirin can be given to a suspects TIa if they meet the three criteria
true
63
Increased risk of GI bleed and wheezing in asthmatics are the side affects of Aspirin
true
64
atropine is indicated in which of the below patients
absolute bradycardia (<40)
65
Atropine can be given to patients with bradycardia caused by hypothermia
false
66
Which is not an indication of atropine? (All symptomatic)
symptomatic bradycardia with patient following a cardiac transplant
67
Atropine may induce tachycardia
true
68
The initial dose of atropine is ..
600mcg
69
Atropine can be given every 3-5mins to a max dose of .. (adult)
3mg / 5 doses
70
Glucose 10% can be given to which patient
hypoglycaemia (<4.0)
71
Which Patientnis Glucose 10% not indicated for
reduced GCS due to hypothermia
72
The initial dose of glucose 10% is ..
10g / 100ml
73
Following glucose 10% administration should be flushed with how much sodium chloride ?
2 doses 10-20ml
74
Glucose 10% can be given IM
false
75
The max dose of glucose 10% is ..
30g / 300ml
76
Glucogel can be given to those suffering from a Hypo and are able to consume the gel without risk of choking
true
77
The initial dose of glucogel is
10-20g / 2 tubes
78
Glucogel can be given up to a max dose of 50g
false
79
Morphine is indicated in which patient
pain with a suspeccted MI
80
Morphine indicated for - pain with MI - severe pain as a component of balanced analgesia regimen - moderate pain
true
81
Which is not a side affect of morphine ?
increased Blood pressure
82
Adverse complications from Morphine can be reversed with nalpxone
true
83
The initial dose of morphine IV is
up to 10mg
84
The max dose of morphine iv is
20mg