Buksmärta Flashcards

1
Q

Ordning

A
  1. Vitalparametrar 2. Smärtlindring 3.
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2
Q

Vitalparametrar

A

ABCDE

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3
Q

Initiala åtgärder

A

Syrgas (B), Infart och Vätska (C)

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4
Q

Smärtlindring

A

Morfin, ketogan iv

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5
Q

Smärtanamnes

A

Debut, duration, lokal, intervaller, ligger stilla (peritonit), rör sig (stensmärta)

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6
Q

GI-anamnes

A

Kräkning, avföring, urin

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7
Q

Malignitetstecken

A

Viktnedgång, Ändrade avföringsvanor, Blod avföring, Anemi, Dysfagi

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8
Q

Status (utöver buk)

A

Hjärta, lungor

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9
Q

Bukstatus

A

Inspektion (ärr, båck), Auskultation (tyst=ileus, metalliska=paralytisk ileus), Perkussion (luft eller vätska), Palpation (kvadranter och epigastrium, ofrivill muskelföesvar=peritonit), Bråckportar, Yttre genitalia män

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10
Q

Rektalpalpation

A

Inspektion, Sfinktertonus, Resistenser, Färg faeces, Blod, Prostata,

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11
Q

Inläggning

A

Övervak? Fasta? (inför op) Vätska? Smärtlindring? V-sond? (om kräkning) KAD? (enda sätt kontrollera vätskebalans)

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12
Q

Radiologi

A

CT buk utan kontrast

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