AAA Flashcards
1
Q
AAA management : meds
A
high flow O2
IV analgesia eg morphine
IV antiemetic eg cyclizine
2
Q
AAA management : access
A
2 x wide bore cannula
urinary catheter
3
Q
AAA management : investigations
A
CXR
ECG
bloods for: FBC, U&Es, LFTs, glucose, baseline coagulation, X-match
4
Q
AAA management : next steps
A
tell ICU
get vascular team
get anaesthetics
5
Q
What sizes are significant in terms of aneurysms?
A
Anything where artery is dilated 50% is officially an aneurysm but AAA is when dilation >3cm. AAA >6cm are 25% likely to rupture in a year so surgery is advised on those >5.5cm.
6
Q
Common sites for AAA
A
Infrarenal - 85% of AAAs
Pararenal - renal artery involvement
Suprarenal - visceral artery involvement
7
Q
Risk factors : AAA
A
Being male Being over 50 Smoking Arteriosclerosis HTN Hypercholesterolaemia Connective disease - Marfans, Ehlers-Danlos
