DRUGS
How much is the deadspace in the atomiser when giving IN drugs?
0.1ml
What age must a patient be to receive paracetamol?
Over 1 month of age
What age in the QAS is not considered a paed anymore?
13 years and older.
List the components of the RSA.
A - Appearance
S - Speech
S - Sounds
R - Rate/rhythm
E - Effort
S - State
P - Pulse
S - Skin
What is the name of the medical director of QAS?
Dr. Stephen Rashford
What is QAS's preferred narcotic agent except under specific circumstances?
(bonus $50 per specific circumstance)
Morphine
specific circumstances:
- Allergy/adverse reaction to morphine
- Haemodynamic instability
- Known/suspected kidney disease
- When NAS is a preferred narcotic
- Suspected ACS
What are the contraindications of ondansetron?
- Allergy or adverse reaction
- Congenital Long Q-T syndrome
- Current apomorphine therapy
- Greater than 2 years of age
- Pregnancy of the first trimester (relative)
A 3 month old baby has a systolic BP of 84. Is this normal?
No. The baby is slightly hypertensive, the range is 60-70 for the first 6 months.
How do you take an infants HR?
What gets destroyed in the condition multiple sclerosis?
Myelin sheath
Paracetamol (narcotics cause rebound migraines)
Why is malignant hyperthermia a contraindication for methoxyflurane?
It contains a general anaesthetic that after exposure in certain individuals can lead to a rapid, life-threatening rise in body temperature, severe muscle spasms, rapid heartbeat, and potential organ failure.
- Work of breathing, Appearance, Circulation
T - tone
I - interactiveness
C - consolability
L - look/gaze
S - speech/cry
What two muscles do you administer an IM injection into, and how much do they take?
Arm - lateral deltoid
Thigh - vastus lateralis
What is the phallic stage?
The third of Sigmund Freud's five psychosexual development stages, occurring between ages 3 and 6, where a child's pleasure-seeking energy (libido) centers on their genitals.
What drug in our kit must be protected from the light?
Ondansetron
What is the contraindications for a blood pressure
- AV fistula
- Significant injury or burn
- lymph node removal post vasectomy
Calculate the dose of IN fentanyl for a 3 year old.
0.58ml (24micrograms). *remember extra 0.1ml for deadspace.
A patient opens their eyes to pain, grunts on a trap squeeze, and withdraws from pain. What is the GCS?
GCS 8
Pakistan borders which 4 countries?
India to the east, Afghanistan to the northwest/north, Iran to the southwest, and China to the northeast.
What is the one side effect of fentanyl that isn't a side effect of morphine?
Muscle rigidity
List all 12 contraindications for Ibuprofen
- Allergy or adverse reaction to any NSAIDs
- <13 years or ≥65 years of age
- Renal impairment
- GI bleeding or peptic ulcers
- Dehydration
- ACE inhibitors or ARB therapies
- Concurrent NSAID therapy
- Heart Failure
- NSAID induced asthma
- Pregnancy
- Anticoagulant meds
- Diuretic treatment
What age does a newborn become an infant?
After 24 hours
What is the maximum weight of the stair chair?
227kg
What is Conor Faz's dog's name?
Karen