ATSP Flashcards
1
Q
Abdo pain
Medication review
A
? Hold: - NSAIDs, opioids ? Start: - omeprazole, gaviscon - analgesia, buscopan - laxatives - enema (only if faecal loading)
2
Q
Abdo pain
Plan
A
NBM until dx Fluids Analgesia, buscopan Monitor urine o/p NGT if vomiting
3
Q
Abdo pain
Investigations
A
Bloods AXR, erect CXR ECG Urine dip ?stool sample ? USS
4
Q
Agitation/ confusion
Bloods
A
Fbc U&e Ca2+ LFT ? TFT, cultures
5
Q
Agitation/ confusion
Investigations
A
Urine dip Bloods ABG CXR ? CT head
6
Q
Agitation/ confusion
Common causes
A
Infx/ Sepsis Hypoxia Pain: constipation, retention CVA/ TIA Hypoglycaemia
7
Q
Agitation/ confusion
Med review
A
? Stop Opiates esp Tramadol Benzodiazepines Insulin Gelufusine
8
Q
Agitation/ confusion
Plan
A
Treat causes Sedate only if risk of harm DO NOT SEDATE pt head injury - zopiclone 3.75-7.5mg PO - diazepam 5mg PO - Haloperidol - chlordiazepoxide - alcohol
9
Q
Chlordiazepoxide reducing regime
A
Day 1/2: 20-30mg QDS Day 3/4: 15mg QDS Day 5: 10mg QDS Day 6: 10mg BD Day 7: 10mg ON
10
Q
Blood in catheter bag
Med review
A
? Stop
- anti coagulation: check with senior
11
Q
Blood in catheter bag
Plan
A
Obs 2-4' Urine dip Fluid balance IV access Bloods
12
Q
Blood in catheter bag
Bloods
A
Fbc
U&e
Clotting
G&s/ xmatch
13
Q
Decreased GCS
Common causes
A
Infx/ sepsis Stroke/ MI Low BM Drug toxicity Renal failure
14
Q
Decreased GCS
Plan
A
Acute event or unsure regarding reason for GCS drop
- SENIOR HELP
15
Q
Abdo pain
Bloods
A
FBC U&E Ca2+ LFT Amylase Clotting Cross match/ g+s
