MACS Flashcards
immediate drug management for anaphylaxis
give 500 micrograms IM adrenaline 1:1000
indications for long term oxygen therapy
chronic hypoxaemia:
- COPD
- interstitial lung disease
- CF
- bronchiectasis
- pulmonary arterial disease
- pulmonary HTN
- severe HF
–> when PaO2 is consistently at/below 7.3 kPa
use of nasal cannulae O2
mild hypoxia, usually non-acute
prongs positioned in nose
flow rate of nasal cannula O2
24-30% O2 –> max 4L/min
issues with nasal cannula O2
high flows will dry and irritate nasal passages
do not allow close control of FiO2
flow rate of non-rebreather mask
~70% when used with 15L O2 flow rate
who are venturi masks used on
those with COPD due to risk of T2 resp failure
what are the colours of venturi mask and their flow rates?
blue venturi
2-4 L/min, 24%
white venturi
4-6L/min, 28%
yellow venturi
8-10L/min, 35%
red venturi
10-12L/min, 40%
green venturi
12-15L/min, 60%
how do you interpret the bradens score?
out of 24, low score =high risk
some risk=15+
moderate risk=13-14
high risk=10-12
very high risk=9 or below
what factors does the Bradens score take into account
sensory perception
moisture
activity
mobility
nutrition
friction/shear
components of MUST tool
BMI score
weight loss score
acute disease effect score
–> added together calculate overall malnutrition risk
scoring in MUST tool
0 = low risk
1 = medium risk
2 + = high risk
normal urine output in health individual
between 0.5-1.5ml/kg/hr
should urinate at least every 6 hours
oliguria definition
production of inadequate urine volumes
<500ml/day in adults
composition of NaCl 0.9%
isotonic
154 mmol/L of Na+
154 mmol/L of Cl-
composition of Hartmann’s
isotonic
131 mmol/L of Na+
5 mmol/L of K+
111 mmol/L of Cl-
29 mmol/L of HCO3-