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NURBN3030 Management of deteriorating
patient Exam Revision Questions With 100%
Verified Answers
Basic Life Support Algorithm - answer✔Dangers
Responsive
Send for help
Airway
Breathing
CPR
Defibrillator
Advanced life support actions during CPR - answer✔airway adjuncts (LMA/ETT)
oxygen
waveform capnography
IV/IO access
plan actions before interrupting compressions
Advanced Life Support Drugs- shockable - answer✔adrenaline 1mg after 2nd shock (then every
2nd loop).
amiodarone 300mg after 3 shocks
Advanced Life Support Drugs- non shockable - answer✔Adrenaline 1mg immediatley (then
every 2nd loop)
Advanced Life Support- Consider and Correct - answer✔hypoxia
hypovolaemia
hyper/hypokalaemia/ metabolic disorders
hypothermia/hyperthermia
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tension pneumothorax
tamponade
toxins
thrombosis - (pulmonary/coronary)
Advanced Life Support- post resuscitation care - answer✔re-elevate ABCDE
12 lead ECG
Treat precipitating causes
Aim for: spo2 94-98%, normocapnia and normoglycemia
Targeted temp management
IV adrenaline MOA and dose - answer✔MOA: acts on alpha-1 receptors, induces increased
vascular smooth muscle contraction, pupillary dilator muscle contraction and intestinal spchinter
muscle contraction. Increases heart rate, myocardial contractility and renin release via beta-1
receptors.
Dose: 1: 10 000 for emergency
0.10ml of 1:10 000 for adrenaline= 10mcg/kg (max single dose of 1mg)
IOV Amiodarone MOA and Dose - answer✔MOA: Anti-arrhythmic, blocks potassium rectifier
currents that are responsible for repolarization of the heart during phase 3 of the cardiac action
potential.
Dose: 300mg over 20min-2hrs, 900mg infused over 24hrs (max 1200mg in 24hrs)
What are the H and T's - answer✔H's: Hypovolemia, Hypoxia, Hydrogen ions (acidosis),
Hypo/hyperkalaemia, hypothermia.
T's: Tension pneumothorax, Tamponade (cardiac), Toxins, Thrombosis (pulmonary),
Thrombosis (coronary)
Hypovolemia (Definition, Causes, Treatment) - answer✔Definition: Sudden and significant
decrease in amount of blood and fluid in the body.
Causes: Loss of blood, inadequate fluid intake, excessive diarrhoea or vomiting
Treatment: obtain IV/IO access, administer fluids/blood products.
Hypoxia (Definition, Causes, Treatment) - answer✔Definition: When the body is deprived of
sufficient oxygen supply.
Causes: Lack of oxygen, Lung disease, chemical or gas poisoning
Treatment: ensure airway is open, increase oxygen intake, ventilate.
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Hydrogen ions (acidosis) (Definition, Causes, Treatment) - answer✔Definition: improper pH
levels caused by too much acid in the body.
Causes: Respiratory- lung diseases, build up of oxygen. Metabolic- DKA/AKA, cancer, liver
failure.
Treatment: Respiratory- ventilate, Metabolic- Sodium bicarbonate.
hypo/hyperkalaemia (Definition, Causes, Treatment) - answer✔Definition: When there is either
too much or too little potassium in the body.
Causes: kidney disease/failure, diuretics, DKA.
Treatment: Respiratory: ventilate, Metabolic: sodium bicarbonate.
Hypothermia (Definition, Causes, Treatment) - answer✔Definition: When the body loses ability
to keep itself warm.
Causes: extreme or prolonged exposure to cold weather or water.
Treatment: Passive and active warming measures to restore body to normal temperature.
Tension Pneumothorax (Definition, Causes, Treatment) - answer✔Definition: when air enters the
pleural space but is unable to exit.
Causes: Mechanical ventilation, iatrogenic, chest trauma.
Treatment: Needle Decompression
Tamponade (cardiac) (Definition, Causes, Treatment) - answer✔Definition: Build up of blood or
fluid in the pericardial space.
Causes: chest trauma, myocardial rupture, pericarditis.
Treatment: Pericardiocentesis (drains fluid from pericardium)
Toxins (Definition, Causes, Treatment) - answer✔Definition: intentional or accidental overdose.
Causes: Street drugs, prescription or CTC drugs, chemical exposure.
Treatment: Specific Antidote based on overdose agent, support circulation.
Thrombosis (pulmonary) (Definition, Causes, Treatment) - answer✔Defintion: blockage of the
lungs main artery/
Causes: Blood clots, pulmonary embolism
Treatment: Fibrinolytic (lyse acute blood clots), thrombolytics (dissolves blood clots),
embolectomy.
Thrombosis (coronary) (Definition, Causes, Treatment) - answer✔Definition: Blockage of the
hearts artery/arteries.
