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ALS > ALS > Flashcards

ALS Flashcards

1
Q

sequence of ALS?

A

no pulse
call 2222
30:2 on chest
pads on
shock every 2 mins

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2
Q

what drugs are given in ALS and when?

A

amiodarone 300mg after every 3 shocks

adrenaline 1mg every 3-5mins

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3
Q

4Hs and Ts?

A

Hypothermia
Hypoxia
Hypvolaemia
Hyperkalaemia/hypo

Tension
Tamponade
Thrombosis
Toxins

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4
Q

level of innervation of diaphragm?

A

C345

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5
Q

what supplies intercostals?

A

T level of rib

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6
Q

what to do for A?

A

look
manouvres
suck
adjuncts
oxygen

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7
Q

what to do for B?

A

sats
look, listen, feel, percuss
oxygen

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8
Q

what to do for C?

A

CRT
pulse
listen
ECG
BP
Urine output
PVC

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9
Q

what to do for D?

A

Drugs
pupils
AVPU/GCS
BM

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10
Q

what to do for E?

A

Expose
full history

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11
Q

GCS for eyes?

A

spontaneous
speech
pain
none

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12
Q

GCS for verbal?

A

orientated
confused
inappropriate words
sounds
none

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13
Q

GCS for motor?

A

obeys
localise pain
flexion away from pain
abnormal flex
abnormal extension
none

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14
Q

how many breaths /min if bag valve mask?

A

10

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15
Q

in PEA - what drugs given?

A

adrenaline as soon as IV access

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16
Q

how to treat choking?

A

5 back blows
5 abdo thrusts

17
Q

what is classified severe hyperkalaemia?

18
Q

ECG changes for hyperkalaemia?

A

brady
wide QRS
tall tented T waves
1st degree HB

19
Q

Tx for hyperkalaemia?

A

10mls 10% calcium gluconate over 10 mins
10 units actrapid in 25g glucose
salbutamol

20
Q

Tx for hypocalcaemia?

A

calcium chloride 10% 10-40mls

21
Q

Tx for hypercalcaemia?

A

furosemide
fluids
hydrocortisone
pamidronate

22
Q

Tx for hypomagnesia?

A

2g 50% magnesium sulphate

23
Q

Tx for hypermagnesia?

A

calcium chloride 10% 10-40mls

24
Q

what is the dose of nalone?

25
Q

Tx for TCA overdose?

A

sodium bicarbonate

26
Q

ALS if <10 days cardiac surgery?

A

3 shocks
reopening of chest

27
Q

Tx for tension pneumothorax?

A

cannula in 2nd ICS midclav

OR

5th ICS mid axillary line

28
Q

Tx for anaphylaxis?

A

0.5mg IM adrenaline
(1:1000)

29
Q

asthma T?

A

salbutamol
ipratropium 500mcg
40mg pred
mag sulphate
aminophylline

30
Q

when should adrenaline be given in VF/pVT?

A

after 3rd shock

31
Q

how to initiate hypothermia?

A

rapid infusion 2L cool saline

32
Q

target temp of cooling?

33
Q

should rewarming be fast or slow?

A

SLOW 0.25-0.5 degrees an hour

34
Q

Tx for AF?

A

diltiazem
bisoprolol
digoxin

35
Q

life threatening features of narrow tachycardia? Tx plan?

A

shock
syncope
ischaemia
heart failure

anticoagulation and cardioversion

ALS (4 decks)

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