acute care 2 Flashcards
sudden collapse and VF
CPR
defibrillate
precordial thump if px goes into VF in front of you
defibrillate jewls
150
complete HB what on ECG
rx (3)
wide QRS complexes
500mcg IV atropine can be repeated 6 times
isoprenaline
pacing (in acute do transcutaneous pacing)
if MI suspected ix
trop then another trop 6h later
scalp lacerations do what
bleed a lot
can continue to bleed through pressure dressing
tension pneumothorax what are 2 late signs
tracheal deviation
dilated neck veins
tension pneumothorax cause of
obstructive shock
chest drain goes where
5th ICS just ant to mid-axillary above the rib in the safe triangle - neuromuscular bundle is below the rib
pec major - 6th rib - lattisimus dorsi
BB overdose looks like what
antidote
pale
low pulse
low RR
glucagon
anticholinergic toxidrome symp
restless agitate confused skin dry pupils dilated increased pulse increased RR gait ataxic
anticholinergic toxidrome rx
sodium bicarb if very tachy or ECG changes
paracetamol levels check when
4h post
opined toxidrome symp
pinpoint pupils
decreased RR
unresponsive
another cause of pinpoint pupils
posterior circulation syndrome - basillar arteries - locked in syndrome
aspirin/sallicylate overdose symp
acidosis
tinnitus
hot
increased RR
causes of acidosis MUDPILES
methanol uraemia DKA P Isoniazid Lactate Ethanol Sallicylate
acute px hypoglycaemia
IV glucose 10% 100mls ASAP
antidote for midazolam and given when
IV flumozenil 200mcg over 15 seconds - only for iatrogenic overdoses
tetanus primary course
3,4,5 month old
booster in primary school and in secondary school
tetanus immunoglobulin
in vaccinated patients if high risk injury
immunglobulin and tetanus vaccine
at separate sites
burn acute (2)
if within 20 mins then run under cold water for 15-20mins
layer cling film
burn dressing
mepital
why should bites not be sutured shut
inncoluating bacteria
dog bites rx
co amox 624mg TDS for 7 days PO
sebaceous cyst rx
incise
drain
fluclox 500mg QDS 7 days
does glass show up on an XR
ye
