Investigations Flashcards

1
Q

High urea indication

A

Haemorrhage- RBC lysis- protein break down

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2
Q

Hb target level

A

Hb of 80 is better prognosis than overshooting and reaching a Hb of 110

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3
Q

Septic screen

A
Blood cultures
MCS ( sputum, urine, stool, wound)
CXR
ABG
Lactate 
FBE, UEC, LFT, BSL
Coagulation studies 
LP?
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4
Q

What are the 6x Bedside tests?

A
ECG
Vitals
Urinalysis dipstick
Pin prick BSL
Peak flow
Patient samples
ABG
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5
Q

Reference range of INR and PT?

A

PT is normally 12-15 seconds.

Normal range for INR is 0.8-1.2

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6
Q

Target range of INR with valves

A

2.5-3.5

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7
Q

Haemolytic screen

A
Churbl
Direct Coombs test
Haptoglobins
UCB unconjugated bilirubin 
Reticulocytes
Blood film
Lactate
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8
Q

Thrombophilia screen

A
Protein C 
Protein S
Factor V Leiden
Anti thrombin III inhibitor 
Anti phospholipid syndrome
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9
Q

Pneumonia Ix

A

CXR

Urinary antigen for: Legionella, Strep O titre,

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10
Q

Low Hb and high ESR suggests what pathology

A

Vasculitis eg Wegener’s

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11
Q

Sepsis six management- if done within first hour decrease mortality by 50%

A
Oxygen 
Blood culture 
Give ABx- fluclox and gent*
IV saline
Lactate
Urine output
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