All of it Flashcards
Signs of an aortic dissection? (3 key things)
- Hypotension
- Hoarseness + swallowing difficulties
- Nil ECG changes
+ pain that radiates to the back
Do we need the cath lab? What is PPCI
Primary percutaneous coronary intervention
STEMI > Cath lab
or
STEMI > Thrombolysis (in or out of hospital) + Angio (blood thinners) - if this fails t/f to PCCI hospital
What medication do you give to chest pain < prior to cath lab >
Anti thrombolytic therapy
Clopidogrel 300-600
Tricgrelor 180
Drasurel 60
ACS includes (3) + management
Angina
NSTEMI
SETMI
1st line - asprin
2nd line - GTN
ALS Rythym
CPR 30:2 > attach defib + monitor
SHOCK - shock, CPR 2 min, 2nd shock 1 mg adrenaline then every 2 loop + Amido. 300 mg after 3 shocks
NON SHOCK - CPR 2 min, 1 mg adrenaline immediately then every 2nd loop
What do you charge the defib to?
200 biphasic
Can go up to 360
Etco2 during CPR & what is considered a poor outcome?
Etco2 decreases during CPR as cardiac output in low and output is generated by compressions
> Failure to achieve > 10 mmHg after 20 min is linked to poor outcomes
Normal Capnography? + Inspiratory & Ex
35-45 mmHg
Inspiratory = flat line
Ex = wave
Potential complications of IO access?
Heamotoma
Compartment syndrome
Narrow pulse pressure?
arterial vasoconstriction
e.g. Cardiogenic / hypovolemic shock
Normal PP?
35-45
Wide PP?
arterial vasodilation e.g. anaphylaxis or sepsis
Calcium Significance with the Heart
stabilises the <3 membranes
Heat exhaustion vs heat stroke
Exhaustion - under 40*
Stroke - over 40*
Naloxone dose
100 mcg increments
Tricyclic (anti-depressant) antidote?
sodium bicarb bolus
Cyanide positioning - antidote?
causes <3 toxicity
* B12 Injection 5mg
Choking
encourage coughing
OR
5 x back blows + 5 x chest thrusts