Acute care Flashcards
the As please
Adenosine is for SVT when patient hemodynamically stable, Adrenaline is for anaphylaxis and ALS, Atropine is for sinus bradycardia, Amiodarone is for arrhythmia (VT) and also in ALS
pulses in BLS
infant - brachial and femoral
adult - carotid and femoral
patient put on PCA what do you do with their other meds
stop other opioids but can continue other medications
isolated fever 24 hours after surgery
physiological reaction to operation
anaphylaxis doses
<6m : 0.1-0.15ml (100-150 micrograms)
6m-6y: 0.15ml (150 micrograms)
6-12y: 0.3ml (300 micrograms)
12y+: 0.5ml (500 micrograms)
all of 1:1000 adrenaline
beta blockers antidote
glucagon
organophosphates antidote
atropine
ALS drugs
300mg IV amiodarone after 3 shocks if still shockable then after 5
IV adrenaline every 3-5 mins in resus
preop food and drink
6 hours no food
2 hours no clear fluids
what reverses muscle relaxants
cholinesterase inhibitors eg neostigmine
pre-op medications
-clopidogrel- 7 days
-don’t take metformin morning of
-if missing more than one meal then insulin sliding scale
-more steroids
-stop pill
local anaesthetic toxicity management
IV 20% lipid emulsion
heparin toxicity
IV protamine sulphate
drugs cardiac arrest
-adrenaline immediately if non-shockable and every 2nd cycle after
-if shockable give adrenaline after 3 shocks then every 3-5 minutes and amiodarone after 3 shocks
extra anaphylaxis bits
chlorphenamine and hydrocortisone
