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CMP > ILS > Flashcards

ILS Flashcards

1
Q

From small to large what are the cannula colours?

A 
blue
pink
green
grey
orange
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2
Q

In what order is the order of draw?

A 
blue - coag
red - virology/serology
yellow - biochem
green - cytogenetics 
purple - fbc - haem
pink - cross match
grey - blood glucose, lactate
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3
Q

What makes up the chain of survival?

A

early recognition and call for help

early CPR

early defibrillation

post resuscitation care

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4
Q

What makes a good team leader?

A 
know everyone in team and their capabilities
accept leadership role
delegate tasks
stay calm
communicate
be assertive
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5
Q

In what percentage of patents are there signs of deterioration before arrest?

A

80%

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6
Q

What are the most common signs of impending arrest?

A

hypoxia, hypotension

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7
Q

Once cardiac arrest happens what percentage survive to go home?

A

20%

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8
Q

What components make up the chain of prevention for in hospital cardiac arrest?

A

Education

Monitoring

Recognition

Call for help

Response

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9
Q

Causes of airway obstruction

A 
CNS depression
Blood
Vomit
Foreign body 
Epiglottitis
Pharyngael swelling
Laryngospasm
Bronchospasm
Bronchial secretions
Blocked tracheostomy
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10
Q

Causes of breathing compromise?

A

Drive: CNS depression

Effort: damage to nerves supplying diaphram - myasthenia gravis, guillian-barre, MS - Abnormalities - # ribs

lung disorders: COPD, asthma, ARDS, pulmonary oedema, pneumothora, tamponade, - all impair gas exchange

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11
Q

Causes of circulation problems?

A

In acutely ill usually hypovoleamia!

Primary heart problems: sudden arrest usually due to arrhytha secondary to ACS - usually VF

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12
Q

Causes of ventricular fibrillation?

A 
acute coronary syndromes
hypertensive heart disease
valve disease
drugs (antiarrhythmic drugs, digoxin, tricyclic antidepressants
inherited cardiac disorders - long QT
acidosis
abnormal electrolytes
hypothermia
electrocution
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13
Q

What is the initial management of an acute coronary syndrome?

A

aspirin 300mg orally

GTN

oxygen if sats below 94%

morphine

clopidogrel

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14
Q

What should be done under A of A-

E approach?

A

look for obstruction

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15
Q

What should be done under B of A-E approach?

A

give high flow oxygen

look listen feel

resp rate

depth of breathing

look for chest deformity

O2 sats

listen to chest

percuss chest

check tracheal position

feel chest wal for crepitus

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16
Q

What should be done under C of A-E approach?

A

look amd feel hands

measure CRT

Pulse rate, regular, volume

BP

Auscultate heart

Insert large bore canulla

take bloods

give 500ml rapid bolus normal saline

17
Q

What should be done under D of A-E approach?

A

Check drug chart

examine pupils

AVPU/GCS

blood glucose

18
Q

What should be done under E of A-E approach?

A

check everywhere!!!!

19
Q

What are the shockable rhythms?

A

ventricular fibrillation

pulseless ventricular tachycardia

20
Q

What are the non shockable rhythms?

A

pulseless electrical activity

asytole

21
Q

What is the dose of adrenaline given in cardiac arrest?

A

1mg of 1:10,000 adrenaline IV

22
Q

What is the dose of amiodarone given in an arrest?

A

300mg amiodarone IV

23
Q

What drugs are given in shockable rhythms?

A

adrenaline, amioderone after the 3rd shock repeat every 2nd cycle

24
Q

What drugs are given in non-shockable rhythms?

A

adrenaline as soon as IV access achieved - repeat every second cycle

25
Q

What are the 4 Hs of arrest causes?

A

hypoxia
hypotheria
hyper/hypo kalaemia
hyovolaemia

26
Q

What are the 4 ts of arrest causes?

A

tension pneumothorax
cardiac tamponade
thrombosis
toxins

27
Q

How is an oropharyngeal airway measured?

A

angle of jaw to incisors

28
Q

How is a nasopharyngeal airway measured?

A

tragus to nostril

29
Q

What makes up post-cardiac arrest syndrome?

A

post-arrest brain injury
post arrest myocardial dysfunction
systemic iscahema/reperfusion response
persistent precipitating pathology

30
Q

test

A

test

CMP (4 decks)

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