ACC Flashcards
(21 cards)
What is the MOA for neuromuscular blocking drugs REVERSAL AGENTS
Acetylcholinesterase inhibitor
Inhibit break down -> more Ach -> compete for post synaptic receptors -> impulse passes
Where to LA work in the cell
Block Na channels so stop action potential
Overdose associated with tinnitus
Asprin
ABG following aspirin OD
Initially respiratory alkalosis then metabolic acidosis
Initial and then long term management of an ischaemic stroke in a pt with af
2 weeks of aspirin the DOAC
Management of ischaemic stroke
Aspirin (2 weeks) +/- alteplase
Clopidogrel (DOAC if AF) mono therapy
Statin (not started immediately)
CK for rhabdomyolysis
> 10000
Treatment of subarachnoid haemorrhage
?coils
Nifedipine for prevention against vasospasam
Blood pressure support in acute heart failure
Inotrope
Such as dobutamine or ephedrine
What type of drug is noradrenaline
VASOPRESSOR (some inotrope action)
What types of drugs are phenylephrine and metaraminol
Vasopressors
5 CXR signs of HF
Cardiomegaly
Venous diversion
Pulmonary effusion
Fluid in interlobular fissuers
Kerley B lines (fluid in septal lines)
Would you use an inotrope or vasopressor in HF
Inotrope as cardiac issue
What is NIHSS
Likely clinical outcome in a person having a stroke
score >26 seen as a contraindication to thrombolysis
Score that should be accessed at TIA clinic
ABCD2
Likelyhood of going onto have a stroke
Confusion over if recognised by NICE
Imaging of choice in TIA
MRI
When would a TIA patient be admitted
Crescendo TIA
Severe stenosis
Vunerable (no one to watch them)
Anticoagulated
BP control guidelines in active stroke
Ischaemia: almost never except above 185 and going for thrombolysis
Bleed: above 150, aim for 140 but reach it slowly
Only part of heamostatis that should be strictly controlled in a ischaemic stroke
BM 4-11
BP only if >185 and thrombolysis
How is the majority of heat lost from the body
Radiation (40%)
First change in anaphylaxis
Hypotension