Akut medvetslöshet Flashcards

1
Q
A
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2
Q

Vilka är de tre dominerande mekanismerna bakom akut medvetslöshet?

A
  1. Strukturella skador
  2. Metabolisk encefalopati
  3. Kramptillstånd
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3
Q

Exmepel på strukturell genes

A

Blödning
Tumör
Ischemisk stroke
Hydrocefalus

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4
Q

Exempel på metabol genes

A

Resp insuff
Chock
Hypoglykemi
Elektrolytrubbning
Intoxikation
Allvarlig infektion
Encefalopati

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5
Q

Exempel på epileptogen genes

A

Status epileptikus
Postdiktalitet

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6
Q

Initial handläggning

A

ABCDE
inkl KAD, bladerscan, p-glukos

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7
Q

Klinisk kemi

A

P-glukos
CRP
Blodgas inkl laktat
El-status inkl S-urea
Ev odling

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8
Q

HUSK-MIDAS

A

(Herpes)encefalit
Uremi
Status epilepticus
Wernicke-Korsakoffssyndrom
-
Meningit, Sepsis
Intoxikation
Diabetes
Andningsinsufficiens
Subaraknoidal- subduralblödning

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9
Q

Behandling: meningit

A

Blododling + kortison + antibiotika

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10
Q

Behandling: encefalit

A

antiviral behandling + ev kortison

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11
Q

Behandling: Addisonkris

A

Hydrokortison/Solu-Cortef + NaCl/glukosdropp

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12
Q

Behandling: Wernicke-Korsakoffs syndrom

A

Tiamin

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13
Q

Behandling: Inklämning

A

Mannitol iv + hyperventilation

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14
Q

Behandling: Intox

A

Opioid: Naloxon
Benso: Flumazenil

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15
Q

Behandling: Status epilepticus

A

Diazepam

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