EOPW 18/23 Flashcards
At what GCS do we intubate?
GCS <=8
1) All burn patients should receive what type of O2 supplementation?
2) What are the ways burn injuries can compromise respiration? (4)
3) Can pulse oximetry differentiate between oxyhemoglobin and carboxyhemoglobin?
4) How fast does 100% O2 displace CO from bound proteins compared to atmospheric O2?
1) 100% O2 through a humidified non-rebreathing mask
2)
a. mechanical restriction of breathing
b. blast injury
c. smoke inhalation
d. carboxyhemoglobinemia
3) No
4) 6 times faster
1) Aortic dissection presentation?
2) What syndrome is associated with aortic dissection?
3) Management goals of aortic dissection? (2)
1) Sudden onset chest pain radiating to the back
2) Marfan syndrome
3) - IV Beta blocker to reduce heartbeat to less than 60bpm
- Systolic BP between 100-120
ECG showing ST elevation in lead II, III aVF, right lead 4,5,6. What coronary artery is affected by lead II, III and aVF?
What kind of MI is this?
What is the immediate treatment of this MI in ED?
Why is that the treatment?
Lead II, III, and aVF affects right coronary artery
It is an inferior MI
Bolus NS 250 mL
- The Preload in inferior MI is reduced
- Giving NS increases preload
What are the 4 minimum requirements in monitoring anaesthesia based on AAGBI?
1) ECG
2) SpO2
3) Non-invasive BP monitoring
4) Capnography
Primary PPH duration?
Secondary PPH duration?
Primary PPH: <24H
Secondary PPH: >24H
DKA test to confirm diagnosis?
1) ABG
2) Serum ketones
3) Serum glucose
What test diagnoses OSA?
Polysomnography
Leptospirosis treatment?
IV doxycycline
Leptospirosis symptoms? (7)
- High fever
- Generalised muscle ache
- Headache
- Red eyes
- Jaundice
- Abdominal Pain
- Vomiting
Best Painkiller for elderly (>65) with fracture pain (ps: 10/10)
IV Fentanyl
Not Morphine: High risk for respiratory depression
Spinal analgesia is given together with what other analgesia?
Fentanyl
