Day three Flashcards
How often are level 1 patients having observations?
4 hourly
How often are level 1 patients having observations?
4 hourly
Level 2 patients
Patients on CPAP or Bipap requiring single organ support
SIRS
2 or more signs of inflammation: T >38 or <36 HR >90 WCC>12 or <4 RR>20 Altered conscious level BM >7.7 (if not diabetic) If patient is neutropenic then just 1 of the above
Which level of patients are managed in ICU?
Level 3
Where are level 2 patients managed?
HDU
Name the types of distributive shock?
Sepsis (commonest) Anaphylaxis neurogenic shock liver failure adrenal insufficiency drugs and toxic exposures
For BUFFALO, what level of lactate may indicate shock?
> 3mmol/l
What base excess may indicated shock?
How do ionotropes work?
These work by increasing the contractility of the heart and often the rate. (usually acting on beta receptors).
How do vasopressors work?
These work by causing vasoconstriction of the peripheral vasculature, and act on alpha receptors.
Level 2 patients
Patients on CPAP or Bipap requiring single organ support
SIRS
2 or more signs of inflammation: T >38 or <36 HR >90 WCC>12 or <4 RR>20 Altered conscious level BM >7.7 (if not diabetic) If patient is neutropenic then just 1 of the above
Which level of patients are managed in ICU?
Level 3
Where are level 2 patients managed?
HDU
Name the types of distributive shock?
Sepsis (commonest) Anaphylaxis neurogenic shock liver failure adrenal insufficiency drugs and toxic exposures
For BUFFALO, what level of lactate may indicate shock?
> 3mmol/l
What base excess may indicated shock?
How do ionotropes work?
These work by increasing the contractility of the heart and often the rate. (usually acting on beta receptors).
How do vasopressors work?
These work by causing vasoconstriction of the peripheral vasculature, and act on alpha receptors.
Which drug may you give in cardiogenic shock?
Ionotrope- dobutamine
Which drug may you give in distributive shock?
Vasopressor such as noradrenaline.
What is the difference between CPAP and biPAP?
BiPAP is the same as CPAP, but also with additional pressure to support inhalation.
BIPAP terms?
EPAP-expiratory positive airway pressure, analogous to CPAP
IPAP-inspiratory positive airway pressure, the pressure given to support inspiration
How does BiPAP work?
It increases minute volume by increasing tidal volume.
Canon ball mets are associated with which cancers?
Renal cell, prostate, sarcoma
Why can’t patients speak when intubated?
There is no air flow over the vocal chords.
