Headache & ACLS Special Considerations Flashcards
Kernigs sign
Sign for meningitis. Bending one of the patients legs up ward and looking for pain in spine and neck
Brudzinskis sign
A test done for meningitis. Patine lies with legs bent and then bends head forward looking for pain in neck and spine
BAM + epi
Protocol and drugs used in cardiac arrest associated with asthma/bronchospasm.
Bronchodilators (salbutamol/Atrovent)
Anti-inflammatories (dex/prednisone)
Mag sulfate
Then epi
Thunder clap head ache
“Worst head ache” the patient has ever had. Comes on rapidly and is related with subarachnoid hemorrhage
Anaphylaxis Criteria
Anaphylaxis Criteria
(1 or more of the following):
•Exposure to a known or suspected allergen with a sudden onset of illness and at least one of the following:
•Sudden respiratory signs and symptoms
•Sudden systolic BP less than 90mm/hg or symptoms of end organ dysfunction
•OR
(Both of the following):
•Exposure to a known or suspected allergen with a sudden onset of illness and BOTH of the following:
•Sudden skin or mucosal signs and symptoms
-Sudden gastrointestinal symptoms
Hyperkalemia
One of the few lethal electrolyte disturbance
•Severe hyperkalemia >6.5mmol/L
•Most commonly caused by renal failure
•Potassium shifts can occur with conditions that create acidosis i.e. DKA.
•Hyperkalemia despite total body depletion
Treatments for Hyperkalemia
Calcium Chloride (stabilizes cell membrane)
•Sodium Bicarbonate (shifts potassium into cells)
•Nebulized Salbutamol (shifts potassium into cells)
•Glucose and insulin (shifts potassium into cells)
•Lasix (forced diuresis)
•Dialysis
ABCDEF of poisons/ toxins
A- airway
B- breathing
C- Circulation
D- decontaminate / drugs
E- evacuate out of body
F- find drug/ antidote
Beta blocker overdose drug therapy order
G-Glucagon
C- Calcium Chloride
S- Sodium Bicarb
Watch ACLS
Main trycyclic at ACP
Elavil
Give sodium bicarb
