Altered LOC treatment Flashcards
Hypoglycaemia treatment
-manage CABCD
- if gcs less than 8 give IV glucose (or IM glucagon if not possible)
-if alert and orientated give oral glucose
-NBM
-reassess BM after 5 and 15
mins
-convey if severe or not fully recovered
Hyperglycaemia treatment
-CABCD
-check ketones for signs of DKA
-if high BM and symptomatic convey
-give ONE fluid bolus (if in DKA) if needed
-if asymptomatic and no signs of DKA contact GP/ primary care for advice
High risk of DKA- ketones 3mmol/L
Sepsis treatment
-manage CABCD
-O2 regardless of SPO2 reading
-IV fluid if BP less 90mmHg
-transfer with pre alert
Seizure treatment
-manage CABCD
-move to a safe and comfortable position
-give O2 if needed unless PNES
For BTCS (tonic clonic)
-if convulsing for 5 mins give 1st dose benzodiazepine
-if convulsing 10 mins after 1st dose give 2nd
Syncope treatment
-CABCD
-O2 if needed
-IV fluid if hypotensive
-make sure they’re in a comfortable and safe position
SAH treatment
-CABCD
-O2 if needed
-rapid transport with pre alert
-treat any seizures
-analgesia (paracetamol)
-anti emetic (ondansetron)
Stroke/ TIA treatment
-CABCD
-BM test
-FAST test
-check for any cranial nerve deficits
-if FAST positive convey with pre alert
Opiate OD treatment
-CABCD
-O2 if needed
-may need ventilation due to respiratory depression
-intra nasal naloxone, 0.5ml into each nostril
-convey with pre alert
Addisons treatment
-CABCD
-O2 if needed
-IV fluids if needed
-hydrocortisone if in adrenal crisis IV/ IM
-if in adrenal crisis, pre alert
CO poisoning treatment
-remove from affected area
-CABCD
-high flow O2
-call fire and HART
-convey
Meningitis
-CABCD
-O2 if needed
-fluids if hypotensive/ signs of shock
-IV or IM benzylpenicillin if high index of suspicion of bacterial meningococcal septicaemia unless Hx of anaphylaxis
-convey PA
