anaesthetics/acute care stuff Flashcards
which fluid is this?
Na 154
cl 154
K+ 0
saline
which fluid is this
Na 0
Cl 0
K+ 0
glucose
which fluid is this?
Na 131 Ca 2 K5 Cl 111 lactate 29
Hartmanns
man dragged out of river from drowning
what will his acid- base balance be like
mixed resp and met acidosis
man in motor cycle crash, C spine is okay, airway is okay, breathing is okay but he has weak radial pulse
what type of shock is this
hypovolaemic
somebody who you give fluids to then rapidly deteriorates
what should you do?
stop fluids
give IV furosemide
what dose is 1ml of 1:1000 adrenaline
1mg
pulseless VT
what do you do?
300mg amiodarone
somebody with severe bradycardia
what do you do?
500mcg atropine
pinpoint pupils and needle marks
what is the blood gas like
resp acidosis
COPD exacerabtion
likely blood gas
resp acidosis
gastric outlet obstruction (blockage at pylorus)
likely blood gas
metabolic alkalosis
they will vomit!
what is the best way to monitor BP in a 65 year old male in HDU?
invase arterial BP monitoring
someone who is on morphine dose and break through and this has been controlling pain well up til now. he has prostate cancer and now has bony mets in sternum and ribs, what should you do?
morphine and adjuvant analgesia
patient has taken a drug and now has cardiac arrhythmias
amphetamines
in CPR how long should should you exhale into the rescue breaths
breaths should last 1 second
guy on MST 30mg BD and also 10mg oromorph PRN taking 5 x day, still getting nerve pain
stay on MST and add gabapentine/ amytryptaline
classification of early opiod toxicity
drowsiness and hallucinations
resp depression after ortho surgery
what can you give
40mcg naloxone
cardiac arrest
ABG?
mixed resp and met acidosis
DKA
ABG?
metabolic acidosis with increased anion gap
hyperventilation (anxiety)
ABG
resp alkalosis
COPD and asthma
ABG?
resp acidosis
resp depression e .g opiate overdose
ABG?
resp acidosis
PE
ABG?
resp alkalosis
pneumothorax?
ABG?
resp alkalosis
hypoxia
ABG?
resp alkalosis
increased alveolar ventilation to compensate
apsirin overdose
ABG?
metabolic acidosis with increased anion gap
diarrohea
ABG
metabolic acidosis with decreased anion gap
loss of bicarb
addisons
metabolic acidosis with decreased anion gap
vomiting
metabolic acidosis (loss of H+)
