Medical Emergancies Flashcards
During an acute asthma attack how might the patients airway present?
Wheezing on expiration
During an acute asthma attack how might the patients breathing present?
Increased RR
Decreased sp02
Rapid + shallow
During an acute asthma attack how might the patients circulation present?
Increased HR
Hypertension - sometimes
During an acute asthma attack how might the patients present in regards to ACVPU?
Anxious but alert
During an acute asthma attack how might the patients exposure present?
Pale
Distressed
Cant complete sentence
During a life threating asthma attack how might the patients airway present?
Severe wheezing on expiration
During a life threating asthma attack how might the patients breathing present?
Decreased RR
Decreased sp02
During a life threating asthma attack how might the patients circulation present?
Decreased HR
Cyanosis in lips + nose
During a life threating asthma attack how might the patients present in regards to ACVPU?
Confused due to hypoxia
During a life threating asthma attack how might the patients exposure present?
Grey/blue colour
Exhausted/sleepy
During a medical emergency for an asthma attack you give salbutamol. How and when is this done?
One puff every 30-60 for up to 10 puffs seconds via spacer
During any medical emergency how much oxygen do you give and how?
15ltrs/min via a non re-breather mask
How should a patient be sat if having an asthma attack and why?
Upright and forwards to allow the opening of muscles
During an epileptic seizure how might the patients airway present?
Difficult to assess but often patent
During an epileptic seizure how might the patients breathing present?
Increased RR
Decreased sp02
Apnoea
During an epileptic seizure how might the patients circulation present?
Increased HR
During an epileptic seizure how might the patient present in regards to ACVPU?
Unresponsive
During an epileptic seizure how might the patients exposure present?
Convulsions
Flustered
Frothing
During a medical emergency of an epileptic seizure, what should you do first?
Move any objects that may harm them
During a medical emergency of an epileptic seizure if its >5 minutes what would you administer?
10mg midazolam buccally
If an epileptic seizure has gone on for >5 minutes what is this called?
Status epilepticus
What is the dose of midazolam for someone ages 6-11 months?
2.5mg
What is the dose of midazolam for someone ages 1-4 years?
5mg
What is the dose of midazolam for someone ages 5-9 years?
7.5mg
What is the dose of midazolam for someone ages 10-17 years?
10mg
What is the dose of midazolam for someone ages 17+?
10mg
During a hypoglycaemia attack how might the patients airway present?
Patent
During a hypoglycaemia attack how might the patients breathing present?
Increased RR
Decreased sp02
During a hypoglycaemia attack how might the patients circulation present?
Increased HR
During a hypoglycaemia attack how might the patient present in regards to ACVPU?
Confused
Blood glucose <4mmols (IMPORTANT)
During a hypoglycaemia attack how might the patients exposure present?
Slurred speech
Drunk acting
If the patient in conscious during a hypo what would you give them?
10-20g of oral glucose every 10-15 mins
If the patient was unconscious during a hypo what would you give them and how?
1mg of glucagon intra muscular
During an angina attack/MI how might the patients airway present?
Patent - sometimes wheezing
During an angina attack/MI how might the patients breathing present?
Increased RR
Decreased sp02
During an angina attack/MI how might the patients circulation present?
Hr can either increase OR decrease
CRT increases
During an angina attack/MI how might the patient present in regards to ACVPU?
Anxious but aware
During an angina attack/MI how might the patients exposure present?
Grey/blue colour
Sweating
Nauseas
During a medical emergency for angina you give GTN spray, how and where do you give this?
2 puffs sublingually - repeat every 3 minutes
During a medical emergency if GTN spray does not work, what does this indicate?
The patient is having an MI (heart attack)
If you suspect your patient is having an MI, what do you do?
Give 300mg of dispersive aspirin