Luke Flashcards
1
Q
Open # Zygoma
A
- What does ‘open’or compound fracture mean?–Bones protrude through the skin
- Flatness of the cheek
- Altered sensation underneath the eye on the affected side
- Blurred or double vision
- Pain with jaw movement
2
Q
Management of Head injury
A
- neuro assessment
- signs of a deterioration
- GCS: Standardised approach to assessing LOC
- Defines severity of brain injury
Provides a rule of thumb management
- Cerebral CT (CTB) if drops by 2 points
- GCS <8 requires airway management
- Spinal Precautions – needs radiological and clinical clearance
3
Q
Types of Consent
A
Verbal
Written
Implied or inferred
4
Q
Consent - voluntary
A
Not coerced into giving consent
5
Q
Informed consent
A
Understands the procedure
6
Q
Legal capacity
A
Competent to give consent
7
Q
Elements of a valid consent
A
voluntary
covers the procedure
informed
legal capacity
8
Q
Cannula changing
A
72hrs generally but not if:
- No inflammation or phlebitis
- Difficult to re-cannulate e.g.child/veins
- Only required for another 24hrs
- Aseptic insertion
9
Q
Cannula Assessment
A
Site inspection for signs of inflammation
Check patency
Check dressing integrity
10
Q
Cannula - signs of inflammation
A
redness
Swelling/oedema
heat
pain
11
Q
Cephazolin - action
A
- Selectively interferes with cell wall synthesis
- Bacteriacidal
- Broad spectrum often 2nd line
12
Q
Cephazolin - use
A
- Resp, Skin, Bone and joint, urinary tract, Intra abdominal, Gynaecological infections, ENT,
- Meningitis, Surgical prophylaxis
13
Q
Cephazolin - adverse effect
A
N + V, abdo pain Rash, urticaria, fever , pruritus Dizziness, headache, insomnia, malaise Super infection MRSA is resistant to cefalosporins) Anaphylaxis
14
Q
Woundcleansing
A
Use of fluid e.g. normal saline to clean the wound and optimise healing.
Goal is to:
- Remove visible debris and devitalised tissue
- Remove dressing residue
- Remove excessive or dry crusting exudates
