ACC Flashcards
in a presentation of diffuse abdominal pain consider … by looking for …
mesenteric ischaemia; AF
cushing’s triad of raised ICP
Increased blood pressure, bradycardia and irregular breathing
if on carbimazole be aware of
sepsis (BM suppression)
biochemical picture of hyperaldosteronism (Conn’s syndrome)
hypernatraemia + hypokalaemia with normal renal function
note on prescribing for px on PCA post-op
Do NOT prescribe to someone on PCA
how much opioid to prescribe a px who had epidural
Epidural infusions contain fentanyl - NO further opioids
malignant hyperthermia presentation & mx
(disorder of Ca metabolism)
rigidity, tachycardia, flushing, apparent myoglobinuria (with accompanying renal dysfunction) and a high creatine kinase (indicating rhabdomyolysis). hyperthermia is actually a late sign in this condition
increase in end-tidal pCO2
stop triggering agent & Dantrolene (ryanodine receptor antagonist // inhibits Ca release –> muscle relaxation)
Which antihypertensive drug should be avoided with an Epipen?
labetalol
definitive intervention for near-fatal asthma
mechanical ventilation
how much adrenaline in resuscitation
1mg as 10ml in 1:10,000
opioid withdrawal symptoms
flu-like symptoms (e.g., rhinorrhea, chills, diaphoresis, piloerection, and myalgias), gastrointestinal symptoms (e.g., nausea, vomiting, abdominal pain, and diarrhea), sympathetic hyperactivity (e.g., mydriasis, tachycardia, hypertension, and muscle cramps), and central nervous system stimulation (e.g., insomnia, irritability, anxiety, agitation, aggression, and yawning)
class of atropine
anticholinergic
(isoprenaline is a b-agonist)
effect of intubation, ventilation & CPAP on pneumothorax & how to mitigate
expand it –> chest drain first
most common finding in px developing anaphylactic reaction
hypotension
clue of anaphylaxis following intubation
difficulty hand ventilating due to bronchospasm
