emergancies Flashcards
human error
fatigue
in a hurry or per-occupied
lack of familiarity
failure to obtain the correct history
equipment failure
didn't assemble the equipment correctly ET tube problems CO2 exhausted empty O2 tank APL valve problems
patient problems
respiratory disease obese trauma patient geriatric patient neonate patient brachycephalic breeds
what are the principles of emergency care
stay calm, take a second to think prioritise know what is in your crash kit make sure that all the doses are in the kit and they are fully equipped don't panic!!
what are the signs of inadequate anaesthesia?
movement
tachycardia
elevated BP
twitching of the muscles
what are the signs that a patient is too deep?
slow/shallow respiration pale mm slow CRT weak pulse bradycardia absence of reflexes
what is the procedure for IPPV?
turn off the vaporiser
intubate the patient and give O2
close the APL valve
fill the reservoir bag
gently squeeze the bag until the patients chest rises
repeat every 5-6 secs until signs of recovery.
what are the signs of respiratory arrest?
dyspnoea before arrest
cyanosis
abnormal HR, CRT, pulse and pupil dilation
what is the treatment for respiratory arrest?
inform the VS check the HR and pulses perform IPPV put onto IVFT keep the patient warm
what are the signs of cardiac arrest
no heart beat cant palpate any pulses mm are grey pupils are widely dilated respiratory is absent
what is the treatment for cardiac arrest
inform a vs turn off the vaporiser and supply 100 % O2 start compressions 100-120bpm begin IPPV can administer drugs under the direction of the VS keep the patient warm
Epinephrine
ADRENALINE
increases the HR and force of contractions of the heart
Atropine
reverse bradycardia
lignocaine
treat arrhythmias
diazepam
treat seizures
