ED Nursing #3!

Medication

150

Complete this medication calculation:

Order: Gentamicin IV 4mg/kg once daily.

Patient weight: 75kg.

Available stock concentration: 80mg/2mL.

1. Whats the required dose?

2. What volume is to be administered?

1. 4mg x 75kg = 300mg

2. (300mg/80mg)x2mL = 7.5mL

Endocrine

100

Name all six locations of the HypoKits in ED!

RAN

Fast track

Resus

Acute

Short Stay

Wardlipari

150

Where is the insulin infusion kit in the ED?

In the cupboard above the blood gas machine in resus!

200

What are the three diagnostic criteria for DKA?

- BGL >11mmol/L

- Ketones >0.6mmol/L

- Venous pH <7.3

250

What class of medication can cause euglycemic DKA?

...flozin

350

Describe the pathophysiology of DKA.

• Lack of insulin: the body cannot use glucose for energy.
• The liver breaks down fat instead for energy. This process releases acids called ketones.
• Excess ketones causes the blood to become dangerously acidic which can cause organ damage, coma and death.

Cardiac

100

What type of ACS does not require blood tests to diagnose?

ST-elevation myocardial infarction (STEMI)

150

How many leads must have ST elevation to meet code STEMI criteria?

At least two contiguous leads.

250

Which x3 ECG leads show us the inferior wall of the left ventricle?

Leads II, III and aVF

What am I?

100

I am an acute cardiovascular emergency where a coronary artery is occluded, causing myocardial ischaemia and cell death. What am I?

Myocardial infarction

150

I am a severe, life-threatening systemic hypersensitivity reaction that causes massive histamine release, leading to airway obstruction and vascular collapse. What am I?

Anaphylaxis

200

I cause acute respiratory distress due to air trapping in the pleural space, which collapses the lung. What am I?

Spontaneous pneumothorax

250

I occur when a tear in the inner layer of a major blood vessel allows blood to surge between the layers, creating a false lumen and compromising systemic perfusion. What am I?

Acute Aortic Dissection

350

I am a critical state of circulatory failure caused by a severe loss of intravascular volume, leading to inadequate tissue perfusion. What am I?

Hypovolaemic shock