Managments Flashcards

1
Q

When attending an elderly fall - what are the assessments required

A

Fast
12 lead ECG
Postral drop
Head to toe ( trauma )
Mobility test

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2
Q

When attending an elderly fall what history questions are important

A
  • mechanism of injury ( intrinsic/ extrinsic
  • duration on floor ( long lie)
  • LOC
  • Prior, during the fall, after fall
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3
Q

What are the symptoms of symptomatic bradycardia
2) treatment plan

A

1) bradycardia causing poor precision - (HR 40-), BP(less 90), confusion, HF

2) O2 (94%+), pads, cannulate, atropine (600mcg -5 mins), fluids (100mmgh maintain)

3) if unrespetive to treatment plan = prealert

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4
Q

How would you manage a fracture

A
  • Early pain relief ( enternox)
  • Assess neurovascular compromise
  • Longer lasting analgesia ( parcemol/ morphine
  • Vacuum splint
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5
Q

What is the assessment pathway for patient with asthma

A

Rapid primary survey ( Determine LT features)

  • RR + HR + ISIFS ( give nebs + hydrocortisone)
  • if GHOST is present ( Adrenaline 1:1000 + 02 then nebs + hydrocortisone)

Full set of OBS + 12 lead ECG

  • if pt not receptive to treatment = pre alert
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6
Q

What is the basic management plan for an arrythmia ( Brady / svt)

A

S - support abc
T- 12 lead
O - oxygen ( if needed)
P - pads
P - pre alert
I- IV + fluid( if needed)
*“T**- tamper ( atropine / vagas monover)

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7
Q

How would you manage a adult cardiac arrest

A

Confirm cardiac arrest via ( ABC Approach
- confirm absence of ADRT, LPA, DNAR, RESPECT forms or irreversible conditions
- put on pads ( respond to rhythm)
- 30:2 - 5 rounds

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8
Q

What is the management for patient with an active seizure in regard to ABC’s

A
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9
Q

How do you manage an active seizure ( A-E approach)

A

A- airway (look + clear - suction + secure (OPA/ npa)

B- rr ( 15L 02 ) - sat not reliable when active seizures - prolonged + tolerating OPA = ? pop in igel ( ETCO2)

C - pulse and cap refill ( BP+ 12 lead when possible)

D- GCS ( give time for them to respond) + BM + TEMP + rashes + head injury assessment

T- time seizure = drugs

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10
Q

How do you manage a patient post seizure ( postictal states)

A

-Manage ABC
- Placement in recovery position
- History ( DDEMSIPL)
-

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11
Q

What is the management for patient with an active seizure basics

A
  • Managed ABC
  • protect the head, and airway from aspirations
  • ask about DEMSIPL
  • look for signs ( ? Epilepsy / ? PNES)
  • 5 minutes + give benzo
  • iv access
  • 10 minutes in = if still seizuring ( move to ambo
  • at 15 mins in/ 10 mins after first dosage = give second benzo
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12
Q

How do you manage a patient in status epilepticus ( seizures)

A

Status = 5 minutes + seizure/ 3+ seizures with an hour
- address ABC concerns
- protect head
- history = DDEMSIPL
- follow care plan or ( give first benzo ( midazolam buccal)
- 10 mins after give second bezo ( IV diazapam)
- 3rd benzo only 25 mins after 2nd dosage

Move to hospital 5 mins after first benzo = pre - alert. === Get ready with BVM ( Respiratory depression)

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13
Q

What is classified as SEVERE hypoglycemia
- what is the management plan for such PTS

A

1) PT with a reduced GCS - 8 OR LESS

  • correct ABCS
  • Give IV glucose / if not possible then Glucagon.
  • reassess after 10 mins
  • sugars still low = IV glucose or if no access = IO
  • Recheck after 15 mins - no change = convay with PRE-ALERT = CONSIDER 3RD DOSAGE
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14
Q

What is classified as a PT with mild - moderate hypoglycemic attack

A
  • PT with suger below 4.0/3.0 who is conscious and can swallow
  • give fast acting glucose = glucose 40% or 2 biscuits or pure fruit juice ( this can be given up to 3 times)
  • not effictive giv GLUCAGON ( consider PT tho - poor stores)
  • after 30 minutes give iv glucose
  • once above 4.0 give long acting carbs ( bread or meal)
  • make sure to replenish store if giving glucagon = more toast or more food
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15
Q

What is the management plan for PT with sepsis

A

Early NEWS2 score
- cannulate
- O2 ( if signs of shock or below normal)
- benzopencillin + paracetamol if needed
- provide fluids
** Pre alert**

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16
Q

What is the management plan for hyperventilation
- who should be convayed

A

Confirm it is hyperventilation not respiratory, metabolic or cardiac in origin

Management = reassurance, breathing and or distraction technique, in nose out mouth

**Transfer if **under 16 or first episode, known hyperventlator and non resolved or reaccuring,