Critical care update

Question 1

Spot Diagnosis: SEPSIS

Answer 1

OBS: Raised HR, Raised RR,

Question 2

Patient information: definition of sepsis

Answer 2

Source of infection + SIRS

Question 3

Patient information: definition of severe sepsis

Answer 3

Source of infection + SIRS + Organ dysfunction

Question 4

Emergency assessment GCS difference between localising and flexing to pain

Answer 4

Localising to pain past the clavicle

Question 5

Emergency assessment the APACHE 2 score is an indicator of

Answer 5

ICU mortality

Question 6

Mechanism: Average volume of water in a 70 kg man

Answer 6

42 L

Question 7

Mechanism: Oxygen sensing chemoceptor location in the body

Answer 7

Carotid and Aortic bodies

Question 8

Mechanism: Bohr effect

Answer 8

Description of the external conditions that encourage haemoglobin to release oxygen

Question 9

Mechanism: Haldane effect

Answer 9

Haemoglobins ability to carry carbon dioxide depending on oxygen

Question 10

Applying Knowledge CASE:
The patient has COPD with low sats of 82. You put them on Oxygen via a venturi mask. What blood test do you need to do to make sure patient is accumulating CO2?

Answer 10

ABG

Question 11

Mechanism: alveolar hyperventilation will cause what type of acid base disturbance

Answer 11

Respiratory alkalosis

Question 12

Mechanism: alveolar hypoventilation will cause what type of acid base disturbance

Answer 12

Respiratory acidosis