1.
What is the order of administration in intubation drugs?
Correct Answer
B. Analgesia, sedation, paralytic
Explanation
The correct order of administration in intubation drugs is analgesia, sedation, and then paralytic. This sequence is followed to ensure that the patient is first provided with pain relief (analgesia), followed by sedation to induce relaxation and reduce anxiety, and finally the administration of a paralytic to achieve muscle relaxation and facilitate intubation. This order is important to minimize discomfort and complications during the intubation procedure.
2.
What is the ketamine doseage given for intubation?
Correct Answer
B. 1.5-2mg/kg IV (4mg/kg IM)
Explanation
The correct answer is 1.5-2mg/kg IV (4mg/kg IM). This dosage is given for intubation using ketamine. The range of 1.5-2mg/kg IV is the recommended dosage for intravenous administration, while the higher dosage of 4mg/kg IM is used for intramuscular administration.
3.
What is the preparation for ketamine in intubation?
Correct Answer
A. 200mg/20mls NaCl 0.9% = 10mg/ml
Explanation
The correct answer is 200mg/20mls NaCl 0.9% = 10mg/ml. This preparation of ketamine involves mixing 200mg of ketamine with 20mls of NaCl 0.9%, resulting in a concentration of 10mg/ml.
4.
What is the correct doseage for paediatric ketamine RSI?
Correct Answer
C. 1-2mg/kg
Explanation
The correct dose for paediatric ketamine RSI is 1-2mg/kg. This means that for every kilogram of the child's body weight, the recommended dose of ketamine is between 1 and 2 milligrams. This dosage range is commonly used in pediatric patients for rapid sequence intubation (RSI) to induce anesthesia and facilitate intubation. It is important to carefully calculate and administer the appropriate dosage based on the child's weight to ensure safety and effectiveness.
5.
How do you prepare paediatric ketamine for intubation?
Correct Answer
B. Dilute 200mg in 20mls NaCl 0.9%
Explanation
To prepare paediatric ketamine for intubation, the correct option is to dilute 200mg in 20mls NaCl 0.9%. This means that 200mg of ketamine should be diluted in 20mls of normal saline solution with a concentration of 0.9%. This ratio ensures the appropriate dose and concentration of ketamine for paediatric intubation.
6.
What is the doseage for Midazolam for intubation?
Correct Answer
B. 0.3mg/kg IV
Explanation
The correct dosage for Midazolam for intubation is 0.3mg/kg IV. This means that for every kilogram of body weight, 0.3mg of Midazolam should be administered intravenously. This dosage is commonly used for inducing sedation and facilitating intubation in patients.
7.
How do you prepare Midazolam for intubation?
Correct Answer
A. 5mg in 5mls NaCl 0.9%
Explanation
Midazolam is prepared for intubation by diluting 5mg of the medication in 5mls of NaCl 0.9%. This concentration is appropriate for administration and ensures the correct dosage of the medication is given to the patient.
8.
What is the paediatric doseage for Midazolam?
Correct Answer
B. 0.1-0.2mg/kg IV
Explanation
The correct answer is 0.1-0.2mg/kg IV. This dosage range is commonly used for pediatric patients when administering Midazolam intravenously. It is important to calculate the dose based on the child's weight, with a recommended range of 0.1-0.2mg per kilogram of body weight.
9.
How do you prepare paediatric Midazolam for intubation?
Correct Answer
A. Dilute to 1mg/ml regardless of ampoule strength with a final concentration of 1mg/ml
Explanation
To prepare paediatric Midazolam for intubation, regardless of the strength of the ampoule, it should be diluted to a concentration of 1mg/ml. This means that regardless of the initial concentration of the ampoule, it should be diluted to achieve a final concentration of 1mg/ml. This ensures that the medication is prepared correctly for safe administration during intubation.
10.
What is the doseage of Fentanyl in intubation?
Correct Answer
C. 2-10mcg/kg IV
Explanation
The correct answer is 2-10mcg/kg IV. Fentanyl is a potent opioid analgesic commonly used during intubation to provide sedation and pain relief. The recommended dosage range for fentanyl in intubation is 2-10mcg/kg IV. This dosage range ensures adequate sedation and analgesia for the patient during the procedure. It is important to titrate the dose based on the patient's individual needs and response to the medication.
11.
How is Fentanyl given?
Correct Answer
A. Comes as 100mcg/2ml and is given neat as per order in mcg/kg
Explanation
Fentanyl is given in the form of a solution that contains 100mcg of the drug in 2ml of liquid. It is administered directly without any dilution, according to the prescribed dosage in mcg/kg.
12.
What is the recommended dose for paediatric fentanyl?
Correct Answer
A. 2-5mcg/kg IV slow push
Explanation
The recommended dose for paediatric fentanyl is 2-5mcg/kg IV slow push. This means that for every kilogram of the child's weight, a dose of 2-5mcg of fentanyl should be administered intravenously using a slow push technique. This dosage range ensures that the medication is given in a safe and effective manner, taking into account the individual needs and characteristics of the child.
13.
What is the preparation and dose for adult propofol in intubation?
Correct Answer
C. Draw up undiluted in 20mls and the dose varies from 1.5-2.5mg/kg
Explanation
The correct answer is "Draw up undiluted in 20mls and the dose varies from 1.5-2.5mg/kg." This is the correct preparation and dose for adult propofol in intubation. The medication should be drawn up undiluted in 20mls, and the recommended dose ranges from 1.5 to 2.5mg/kg.
14.
What is the dose for paediatric propofol?
Correct Answer
A. 2-3mg/kg
Explanation
The correct answer is 2-3mg/kg. This dosage range is commonly used for administering propofol to pediatric patients. It is important to consider the age, weight, and overall health of the child when determining the appropriate dose. The range allows for flexibility based on individual patient needs.
15.
What is the doseage for adult suxamethonium?
Correct Answer
B. Varies from 1-1.5 mg/kg IV (2 mg/kg IV if myasthenia gravis) and 4 mg/kg IM (in extremis)
Explanation
The correct answer is "varies from 1-1.5 mg/kg IV (2 mg/kg IV if myasthenia gravis) and 4 mg/kg IM (in extremis)." This means that the recommended dosage for adult suxamethonium varies depending on the route of administration and the presence of myasthenia gravis. For intravenous administration, the dosage ranges from 1-1.5 mg/kg, but if the patient has myasthenia gravis, the dosage is increased to 2 mg/kg. For intramuscular administration in emergency situations (in extremis), the dosage is 4 mg/kg.
16.
What is the preparation for adult suxamethonium?
Correct Answer
C. 200mg in 4mls neat
Explanation
The correct answer is 200mg in 4mls neat. This means that the preparation for adult suxamethonium is 200mg of the medication mixed in 4mls (milliliters) of solution, without any dilution or additional substances. This specific concentration and volume are necessary to ensure the proper dosage and administration of the medication for adult patients.
17.
What is the concentration and preparation of paediatric suxametheonium?
Correct Answer
A. Vial Concentration: 100mg/2ml (50mg/ml). Preparation: draw up 2ml (100mg) to 10ml
Explanation
The correct answer is Vial Concentration: 100mg/2ml (50mg/ml). Preparation: draw up 2ml (100mg) to 10ml. This means that the concentration of suxamethonium in the vial is 100mg in 2ml, which is equivalent to 50mg/ml. To prepare the pediatric dose, 2ml (100mg) of the solution should be drawn up and diluted with 8ml of a suitable diluent, resulting in a total volume of 10ml.
18.
What is the recommended dose for paediatric suxamethonium?
Correct Answer
B. 2mg/kg
Explanation
The recommended dose for paediatric suxamethonium is 2mg/kg. This means that for every kilogram of the child's body weight, they should receive 2mg of suxamethonium. This dosage is determined based on factors such as the child's age, weight, and medical condition. It is important to adhere to the recommended dose to ensure safe and effective administration of the medication.
19.
What is the dose of adult rocoronium?
Correct Answer
A. 1-2 mg/kg IV
Explanation
The correct answer is 1-2 mg/kg IV. This is the recommended dose of adult rocuronium, which is a neuromuscular blocking agent used during anesthesia. The dose is based on the patient's weight, with a range of 1-2 mg per kilogram of body weight. This dose is given intravenously to achieve muscle relaxation during surgery or other medical procedures.
20.
How do you prepare adult rocoronium?
Correct Answer
C. Comes in Pyxis as 50mg in 5mls and is given neat as per dose given in mg/kg
Explanation
The correct answer is "comes in Pyxis as 50mg in 5mls and is given neat as per dose given in mg/kg". This means that the adult rocuronium comes in a Pyxis container with a concentration of 50mg in 5mls. It is administered directly without any dilution, and the dosage is calculated based on the patient's weight in mg/kg.
21.
What is the dose of paediatric vecuronium?
Correct Answer
B. 0.1mg/kg
Explanation
The correct answer is 0.1mg/kg. Vecuronium is a neuromuscular blocking agent used in pediatric patients during surgery or mechanical ventilation. The dose of vecuronium in pediatrics is typically lower compared to adults. The recommended dose is 0.1mg/kg, which is based on the child's weight. This dose helps achieve the desired muscle relaxation without causing excessive paralysis or adverse effects.
22.
What is the dose for an adult morphine infusion?
Correct Answer
A. Dilute 50mg in 50mls NaCl 0.9%
Explanation
The correct answer is "Dilute 50mg in 50mls NaCl 0.9%". This is the correct dose for an adult morphine infusion because it provides a 1mg/ml concentration, which is commonly used for adult patients.
23.
What is the doseage for an adult midazolam infusion?
Correct Answer
A. 50mg up to 50mls NaCl 0.9%
Explanation
The correct answer is 50mg up to 50mls NaCl 0.9%. This dosage is commonly used for an adult midazolam infusion. Midazolam is a sedative medication that is often administered intravenously to induce anesthesia or to treat seizures or anxiety. The dosage of 50mg up to 50mls NaCl 0.9% refers to the amount of midazolam that should be mixed with 50mls of normal saline (NaCl 0.9%) for infusion.
24.
What is the doseage for paediatric midazolam infusion?
Correct Answer
A. Dilute 10mg (10mg) to 50ml (Dose: 30-120mcg/kg/hr)
Explanation
The correct answer is to dilute 10mg (10mg) to 50ml. This is the correct dosage for paediatric midazolam infusion, with a recommended dose range of 30-120mcg/kg/hr. Diluting 10mg of midazolam in 50ml provides the appropriate concentration for administering the medication to children.
25.
What is the doseage for a paediatric propofol infusion?
Correct Answer
A. Undiluted draw up 50ml (500mg) (Dose: 0.3-4mg/kg/hr)
Explanation
The correct answer is "undiluted draw up 50ml (500mg) (Dose: 0.3-4mg/kg/hr)". This is the correct dosage for a pediatric propofol infusion. Propofol is typically administered at a dose of 0.3-4mg/kg/hr. In this case, the undiluted propofol is drawn up in a volume of 50ml, which contains 500mg of propofol. This dosage falls within the recommended range for pediatric patients.