Intermediate life support Flashcards

1
Q

what does ample stand for

A
allergies 
medication 
past medical history 
last oral 
events leading up to it
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2
Q

what is the PT assessment triangle

A

appearance
work of breathing
circulation

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3
Q

What are the 5p’s of defibrilation

A
Pacemaker 
Piercing 
perspiratin 
patches
pendant
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4
Q

What are the two shockable rhythms ?

A
Ventricular fibrilation (VF)
Pulseless ventricular tachycardia (VT)
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5
Q

What are the two Non-Shckable rhythms?

A

Asystole

Pulseless electrical activity (PEA)

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6
Q

what rythm do you check for a pulse ?

A

ventricular tachycadia

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7
Q

what is VF ?

A

Anything thats not a pattern, a flat line or normal (Shock)

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8
Q

What is VT?

A

Is a pattern, Look for a pulse, Shock if no pulse

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9
Q

What is PEA?

A

Normal, look for pulse, if no pulse carry on car

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10
Q

what to administer as soon as you have iv/io access in a non shockable rhythm

A

adrenaline 1mg in 10ml

every 3-5 minutes

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11
Q

what dose do you administer of amiodrone after the 5th shock

A

150mg in 5ml

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12
Q

what to administer after the 3rd shock if its still not successful

A

amiodarone 300mg

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13
Q

what should you give after administering adrenaline 1mg in 10ml

A

20ml flush

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14
Q

what are the contraindications of adrenaline 1mg in 10ml

A

hypothermic patients

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15
Q

how often can you give adrenaline 1mg in 10ml

A

every 3-5 minutes

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16
Q

what drug should you give if PT is VF/vt

A

adrenaline 1mg in 10ml

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17
Q

what is colorimetric capnography

A

colour changes from purple to yellow detection of co2

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18
Q

when would you not rate and opa

A

in neonatal babies

19
Q

how to insert an opt

A

invert
insert
rotate
locate

20
Q

when should you give amiodarone 300mg

A

in shockable rhythms only- give after 3rd shock- only in vf/vt

21
Q

once given adrenaline when should you repeat

A

every 3-5 minutes

5th- 7th shock

22
Q

in a non-shockable rhythm when should you give adrenaline

A

as soon as IV access is established- flush with 20ml

23
Q

in a shockable rhythm when should you give adrenaline

A

after 3rd shock- flush with 20ml

24
Q

how to reverse thrombosis

A

check legs for swelling

25
Q

how to reverse tension pneumothorax

A

tracheal deviation

resistance of the bvm

26
Q

how to reverse tamponde

A

chest trauma

27
Q

how to reverse toxins

A

check pupils, look around for drugs

28
Q

how to reverse hypothermia

A

check temperature, below 3.5

29
Q

how to reverse hypokalaemia

A

check blood sugars

30
Q

how to reverse hyopvalemia

A

any fluid loss, been eating and drinking

31
Q

how to reverse hypoxia

A

treat with oxygen

32
Q

what are the 4h’s and 4t’s

A

hypoxia
hypovalemia
hypokalemia
hypothermia

toxins
tamponde
tension pneumothorax
thrombosis

33
Q

what are the joules for an adult shock

A

150 plus

34
Q

how to work out the joules for a shock in a child

A

use page for age

35
Q

if its a child cardiac arrest what should you do first before cpr

A

5 rescue breaths

36
Q

explain cpr in children

A

average of 10 cycles of 15 compressions at a rate of 110-120 beats per minute with 2 ventilated breaths at the end of each cycle

37
Q

What is astole?

A

flat line carry on CPR

38
Q

Explain CPR

A

5 cycles of 30 compressions at a rate of 110-120 with 2 ventilation’s at the end of each cycle

39
Q

what is the levels for shock?

A

Recommend to start at 200j then if failed increased then at the steady rate and max 360j

40
Q

what are your considerations for an OPA ?

A

are ok for people who are unconscious and don’t use if they have a gag reflex

41
Q

How to identify an airway compromise?

A

Unconscious patient-

Snoring or added nosey airways
Abnormal chest

Conscious-

Facial truma

42
Q

When to use suction ?

A

Vomit
Blood
Obstruction in unconsious patients

43
Q

how to measure an opa

A

centre of the mouth to angle of jaw

44
Q

how to measure an npa

A

nose to ear lobe