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
how to reverse tension pneumothorax
tracheal deviation | resistance of the bvm
26
how to reverse tamponde
chest trauma
27
how to reverse toxins
check pupils, look around for drugs
28
how to reverse hypothermia
check temperature, below 3.5
29
how to reverse hypokalaemia
check blood sugars
30
how to reverse hyopvalemia
any fluid loss, been eating and drinking
31
how to reverse hypoxia
treat with oxygen
32
what are the 4h's and 4t's
hypoxia hypovalemia hypokalemia hypothermia toxins tamponde tension pneumothorax thrombosis
33
what are the joules for an adult shock
150 plus
34
how to work out the joules for a shock in a child
use page for age
35
if its a child cardiac arrest what should you do first before cpr
5 rescue breaths
36
explain cpr in children
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
What is astole?
flat line carry on CPR
38
Explain CPR
5 cycles of 30 compressions at a rate of 110-120 with 2 ventilation's at the end of each cycle
39
what is the levels for shock?
Recommend to start at 200j then if failed increased then at the steady rate and max 360j
40
what are your considerations for an OPA ?
are ok for people who are unconscious and don't use if they have a gag reflex
41
How to identify an airway compromise?
Unconscious patient- Snoring or added nosey airways Abnormal chest Conscious- Facial truma
42
When to use suction ?
Vomit Blood Obstruction in unconsious patients
43
how to measure an opa
centre of the mouth to angle of jaw
44
how to measure an npa
nose to ear lobe